Related Experiment Video
Updated: Apr 30, 2026
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
The effect of organizational climate on patient-centered medical home implementation
Ashok Reddy1, Judy A Shea2, Anne Canamucio3
1VISN 4 Center for Evaluation of PACT, Philadelphia VA Medical Center, Philadelphia, PA Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA Robert Wood Johnson Clinical Scholar Program, University of Pennsylvania, Philadelphia, PA ashokr@upenn.edu.
Abstract:
Organizational climate is a key determinant of successful adoption of innovations; however, its relation to medical home implementation is unknown. This study examined the association between primary care providers' (PCPs') perception of organization climate and medical home implementation in the Veterans Health Administration. Multivariate regression was used to test the hypothesis that organizational climate predicts medical home implementation. This analysis of 191 PCPs found that higher scores in 2 domains of organizational climate (communication and cooperation, and orientation to quality improvement) were associated with a statistically significantly higher percentage (from 7 to 10 percentage points) of PCPs implementing structural changes to support the medical home model. In addition, some aspects of a better organizational climate were associated with improved organizational processes of care, including a higher percentage of patients contacted within 2 days of hospital discharge (by 2 to 3 percentage points) and appointments made within 3 days of a patient request (by 2 percentage points).
Related Concept Videos
01:13Patient-centered Care
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:29Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
01:29Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:15Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...