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A model for patient-centered Army primary care
Paul C Lewis1, Barbara Holcomb
1Graduate School of Nursing, Uniformed Services University, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
Military Medicine
|February 13, 2013
Summary
A new patient-centered primary care model in a military setting improved access and health outcomes. This team-based approach enhanced patient care, reduced urgent care visits, and boosted preventive screening rates.
Area of Science:
- Health Services Research
- Primary Care Delivery Models
- Military Health Systems
Background:
- Traditional primary care models face challenges in optimizing patient access and population health management.
- Military healthcare settings require efficient and effective primary care delivery systems for service members and families.
Purpose of the Study:
- To evaluate a novel patient-centered primary care delivery method in a military family practice.
- To assess the impact of a multidisciplinary team on patient outcomes and healthcare utilization.
Main Methods:
- A pilot program involving approximately 2,500 patients in a military family practice.
- Formation of a patient management team comprising a registered nurse, registered nurse case manager, and primary care provider.
- Tracking of key performance indicators including access, utilization, continuity, productivity, Healthcare Effectiveness Data and Information Set (HEDIS) measures, and patient satisfaction.
Main Results:
- Patients in the pilot program demonstrated increased access to primary care (p < 0.05) and reduced urgent care visits (p < 0.05).
- A significant decrease in appointment no-show rates (p < 0.001) was observed.
- Substantial improvements in HEDIS measures, including colon cancer screening, LDL control, and breast cancer screening, were noted (p < 0.05).
Conclusions:
- A patient-centered, team-based approach to primary care delivery can significantly enhance outpatient care access.
- This model shows potential for improving population health maintenance and key quality indicators within military healthcare.
- Changes in staffing and care focus can lead to measurable improvements in healthcare efficiency and effectiveness.
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