scholarly journals Patient Outcomes at 26 Months in the Patient-Centered Medical Home National Demonstration Project

2010 ◽  
Vol 8 (Suppl_1) ◽  
pp. S57-S67 ◽  
Author(s):  
C. R. Jaen ◽  
R. L. Ferrer ◽  
W. L. Miller ◽  
R. F. Palmer ◽  
R. Wood ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Medical Home ◽  
Demonstration Project ◽  
Patient Centered Medical Home ◽  
Patient Centered

scholarly journals Summary of the National Demonstration Project and Recommendations for the Patient-Centered Medical Home

2010 ◽  
Vol 8 (Suppl_1) ◽  
pp. S80-S90 ◽  
Author(s):  
B. F. Crabtree ◽  
P. A. Nutting ◽  
W. L. Miller ◽  
K. C. Stange ◽  
E. E. Stewart ◽  
...  
Keyword(s):  
Medical Home ◽  
Demonstration Project ◽  
Patient Centered Medical Home ◽  
Patient Centered

scholarly journals Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home

2009 ◽  
Vol 7 (3) ◽  
pp. 254-260 ◽  
Author(s):  
P. A. Nutting ◽  
W. L. Miller ◽  
B. F. Crabtree ◽  
C. R. Jaen ◽  
E. E. Stewart ◽  
...  
Keyword(s):  
Medical Home ◽  
Demonstration Project ◽  
Patient Centered Medical Home ◽  
Patient Centered

scholarly journals Patient Centered Medical Home transformation at an academic medical center

2015 ◽  
Vol 5 (1) ◽  
pp. 34
Author(s):  
Randy Wexler ◽  
Jennifer Lehman ◽  
Mary Jo Welker
Keyword(s):  
Family Medicine ◽  
Patient Outcomes ◽  
Medical Home ◽  
Medical Center ◽  
Academic Medical Center ◽  
Lessons Learned ◽  
Patient Centered Medical Home ◽  
Model Of Care ◽  
Patient Centered ◽  
Academic Medical

Background: Primary care is playing an ever increasing role in the design and implementation of new models of healthcare focused on achieving policy ends as put forth by government at both the state and federal level. The Patient Centered Medical Home (PCMH) model is a leading design in this endeavor.Objective: We sought to transform family medicine offices at an academic medical center into the PCMH model of care with improvements in patient outcomes as the end result.Results: Transformation to the PCMH model of care resulted in improved rates of control of diabetes and hypertension and improved prevention measures such as smoking cessation, mammograms, Pneumovax administration, and Tdap vaccination. Readmission rates also improved using a care coordination model.Conclusions: It is possible to transform family medicine offices at academic medical centers in methods consistent with newer models of care such as the PCMH model and to improve patient outcomes. Lessons learned along the way are useful to any practice or system seeking to undertake such transformation.

scholarly journals Context for Understanding the National Demonstration Project and the Patient-Centered Medical Home

2010 ◽  
Vol 8 (Suppl_1) ◽  
pp. S2-S8 ◽  
Author(s):  
K. C. Stange ◽  
W. L. Miller ◽  
P. A. Nutting ◽  
B. F. Crabtree ◽  
E. E. Stewart ◽  
...  
Keyword(s):  
Medical Home ◽  
Demonstration Project ◽  
Patient Centered Medical Home ◽  
Patient Centered

Can a Patient-Centered Medical Home Lead to Better Patient Outcomes? The Quality Implications of Geisinger’s ProvenHealth Navigator

2011 ◽  
Vol 27 (3) ◽  
pp. 210-216 ◽  
Author(s):  
Daniel D. Maeng ◽  
Thomas R. Graf ◽  
Duane E. Davis ◽  
Janet Tomcavage ◽  
Frederick J. Bloom
Keyword(s):  
Patient Outcomes ◽  
Medical Home ◽  
Care Delivery ◽  
Quality Care ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Care Delivery Model ◽  
Short Period ◽  
Patients With Diabetes ◽  
Stage Renal Disease

One of the primary goals of the patient-centered medical home (PCMH) is to provide higher quality care that leads to better patient outcomes. Currently, there is only limited evidence regarding the ability of PCMHs to achieve this goal. This article demonstrates the effect of PCMHs in improving certain clinical outcomes, as shown by the ProvenHealth Navigator (PHN), an advanced PCMH model developed and implemented by Geisinger Health System. In this study, the authors examined the claims data from Geisinger Health Plan between 2005 and 2009 and estimated the effect of PHN on reducing amputation rates among patients with diabetes, end-stage renal disease, myocardial infarction, and stroke. The results show that, despite its relatively short period of existence, PHN has led to significant improvements in certain outcomes, further illustrating its potential as a care delivery model to be adopted on a wider scale.

scholarly journals Implementing the Patient-Centered Medical Home: Observation and Description of the National Demonstration Project

2010 ◽  
Vol 8 (Suppl_1) ◽  
pp. S21-S32 ◽  
Author(s):  
E. E. Stewart ◽  
P. A. Nutting ◽  
B. F. Crabtree ◽  
K. C. Stange ◽  
W. L. Miller ◽  
...  
Keyword(s):  
Medical Home ◽  
Demonstration Project ◽  
Patient Centered Medical Home ◽  
Patient Centered

scholarly journals Journey to the Patient-Centered Medical Home: A Qualitative Analysis of the Experiences of Practices in the National Demonstration Project

2010 ◽  
Vol 8 (Suppl_1) ◽  
pp. S45-S56 ◽  
Author(s):  
P. A. Nutting ◽  
B. F. Crabtree ◽  
W. L. Miller ◽  
E. E. Stewart ◽  
K. C. Stange ◽  
...  
Keyword(s):  
Qualitative Analysis ◽  
Medical Home ◽  
Demonstration Project ◽  
Patient Centered Medical Home ◽  
Patient Centered

scholarly journals Training Residents to Work in a Patient-Centered Medical Home: What Are the Outcomes?

2016 ◽  
Vol 8 (2) ◽  
pp. 226-231 ◽  
Author(s):  
Peggy B. Hasley ◽  
Deborah Simak ◽  
Elan Cohen ◽  
Raquel Buranosky
Keyword(s):  
Patient Outcomes ◽  
Medical Home ◽  
Resident Training ◽  
Patient Centered Medical Home ◽  
Resident Satisfaction ◽  
Patient Centered ◽  
Telephone Medicine ◽  
Blood Pressures ◽  
Explicit Training ◽  
The Impact

ABSTRACT  The patient-centered medical home (PCMH) provides a setting to enhance resident training in systems-based practice. Few studies have addressed the impact of PCMHs on resident knowledge and confidence.Background  The goal of this study was to evaluate resident knowledge, confidence, behavior, and patient outcomes in a PCMH.Objective  Our curriculum emphasized patient panel report card interpretation, a telephone medicine curriculum, and interdisciplinary team-based care of chronic medical conditions. We measured resident satisfaction, knowledge, and confidence. Patient outcomes included hemoglobin A1c (HbA1c) and blood pressures. Prescores and postscores were compared using paired t tests for continuous measures and McNemar's test for binary measures.Methods  A total of 154 residents were eligible for the curriculum. All residents participated in the curriculum, though not all residents completed the evaluation. Completion rates for paired pre-post knowledge and confidence surveys were 38% and 37%, respectively. Nearly 80% (69 of 87) of residents indicated that the curriculum was above average or outstanding. Our evaluation revealed very small immediate improvements in knowledge and confidence. No significant improvement in patients' HbA1cs or blood pressures occurred after the curriculum.Results  Explicit training to work in a PCMH was feasible and resulted in high levels of resident satisfaction and immediate small improvements in knowledge and confidence.Conclusions

scholarly journals Effect of Facilitation on Practice Outcomes in the National Demonstration Project Model of the Patient-Centered Medical Home

2010 ◽  
Vol 8 (Suppl_1) ◽  
pp. S33-S44 ◽  
Author(s):  
P. A. Nutting ◽  
B. F. Crabtree ◽  
E. E. Stewart ◽  
W. L. Miller ◽  
R. F. Palmer ◽  
...  
Keyword(s):  
Medical Home ◽  
Demonstration Project ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Project Model
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