Patient-centered Medical Home capability and clinical performance in HRSA-supported health centers

Medical Care
Leiyu ShiAlek Sripipatana

Abstract

To evaluate the relationship between Patient-centered Medical Home (PCMH) model adoption in health centers (HCs) and clinical performance measures and to determine if adoption of PCMH characteristics is associated with better clinical performance. Data came from the Health Resources and Services Administration's 2009 Uniform Data System and the 2009 Commonwealth Fund National Survey of Federally Qualified Health Centers. Clinical performance measures included 2 process measures (childhood immunization and cervical cancer screening) and 2 outcome measures (hypertension control and diabetes control). Total and subscale PCMH scores were regressed on the clinical performance measures, adjusting for patient, provider, financial, and institutional characteristics. The findings showed different directional relationships, with some PCMH domains (care management, test/referral tracking, quality improvement, and external coordination) showing little or no effect on outcome measures of interest, 1 domain (access/communication) associated with improved outcomes, and 1 domain (patient tracking/registry) associated with worse outcomes. This study is among the first to examine the association between PCMH transformation and clinical performan...Continue Reading

References

May 15, 2010·Journal of General Internal Medicine·Asaf BittonBruce E Landon
Mar 16, 2011·Pediatrics·Bonnie B StricklandPaul W Newacheck
Aug 13, 2011·Journal of General Internal Medicine·Jonathan M BirnbergMarshall H Chin
May 19, 2012·Health Services Research·Leiyu ShiQuyen Ngo-Metzger
Jun 26, 2012·JAMA : the Journal of the American Medical Association·Robert S NoconMarshall H Chin

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Citations

Sep 24, 2016·Journal of Community Health·Kathryn E GunterMarshall H Chin
Jun 22, 2017·The New England Journal of Medicine·Justin W TimbieKatherine L Kahn
May 3, 2016·Inflammatory Bowel Diseases·Miguel D RegueiroEva Szigethy
Dec 2, 2017·Health Services Research·Robert S NoconMarshall H Chin
Dec 15, 2017·The Journal of School Nursing : the Official Publication of the National Association of School Nurses·Abbey GreggMelissa Tibbits
Jan 26, 2018·Journal of the American Medical Informatics Association : JAMIA·G Talley HolmanTosha B Wetterneck
Jun 3, 2016·Journal of General Internal Medicine·Marilyn M SchapiraUNKNOWN PROSPR consortium
Nov 26, 2015·Medical Care·Nadine Reibling, Meredith B Rosenthal
Nov 21, 2019·Journal of General Internal Medicine·Carlos Irwin A Oronce, Robert J Fortuna
Jul 19, 2020·Journal of Health Organization and Management·Seongwon ChoiThomas Powers
Mar 17, 2020·Applied Ergonomics·John W BeasleyTosha B Wetterneck

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