Related Experiment Video
Updated: Mar 8, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
24.9K
Exploring Variation in Transformation of Primary Care Practices to Patient-Centered Medical Homes: A Mixed Methods
Robert D Lieberthal1,2, Tom Karagiannis2, Evan Bilheimer2,3
11 Department of Public Health, University of Tennessee , Knoxville, Knoxville, Tennessee.
Population Health Management
|January 19, 2017
Summary
Quantifying patient-centered medical home (PCMH) transformation activities in small to medium practices revealed varied implementation. Larger practices faced fewer barriers, highlighting the need for tailored support during PCMH dissemination.
Area of Science:
- Health Services Research
- Primary Care Medicine
- Healthcare Management
Background:
- The Patient-Centered Medical Home (PCMH) model aims to improve primary care delivery.
- Understanding the practicalities of PCMH transformation in smaller practices is crucial for widespread adoption.
- National Committee for Quality Assurance (NCQA) recognition is a key benchmark for PCMH standards.
Purpose of the Study:
- To quantify PCMH transformation activities in small to medium-sized NCQA-recognized practices.
- To identify barriers and facilitators encountered during PCMH transformation.
- To explore variations in PCMH implementation among different practice sizes.
Main Methods:
- A survey adapted from 2011 NCQA standards was administered to 11 PCMH practices in Southeastern Pennsylvania.
- Semistructured follow-up interviews were conducted to gather qualitative insights.
- Quantitative descriptive statistics and qualitative thematic coding were used for analysis.
Main Results:
- Significant quantitative variation was observed in workforce composition and PCMH activities implemented.
- Most practices enhanced access and continuity via staff training and team-based care.
- Larger practices reported fewer and less burdensome barriers to PCMH recognition.
Conclusions:
- The heterogeneity among small PCMH practices necessitates understanding specific transformation challenges.
- Tailored strategies may be required to support smaller practices in PCMH dissemination.
- Further research is needed to optimize PCMH transformation across diverse practice settings.
More Related Videos
Related Concept Videos
01:13Patient-centered Care
3.2K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.2K
01:30Primary Healthcare Services
2.6K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
2.6K
01:18Introduction To Health Care Delivery System
4.4K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.4K
01:15Methods of Documentation VI: Case Management Model
993
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
993
01:26Methods Of Healthcare Delivery System
4.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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...
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...
4.2K
01:29Documentation in Long-Term and Home Healthcare Setting
1.6K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.6K