Physicians, nurses and other staff members at medical clinics that care for people from lower-income communities are increasingly dissatisfied with their jobs, adding to evidence that the health care workforce is under stress.
Adults receiving primary care at federally qualified health centers were more likely to positively rate their patient experience if their health center scored highly on adoption of chronic care management.
Children with medical complexity (CMC) account for disproportionately high hospital use. Researchers developed a structured, reproducible process for the creation of intervention strategies to reduce hospitalizations among CMC.
Primary care quality councils – consisting of local leaders from medicine, nursing, administration, and a local Veteran patient representative – successfully cultivated quality improvement leadership in 6 VA patient-centered medical homes.
Having a medical home may lead to higher perceived quality of care for children; however, children who lost medical home status may have more ER visits, compared with children whose status was not interrupted.
Use of the evidence-based quality improvement approach to enhance medical home implementation in Veterans Affairs practices reduced ambulatory care and increased telephone-based care, but did not affect total costs relative to comparison practices.
Team-based care is central to the patient-centered medical home (PCMH), but most PCMH evaluations measure team structure exclusively. We assessed team-based care in terms of team structure, process and effectiveness, and the association with improvements in teams' abilities to deliver patient-centered care.