In 2008–2017, 15–18% of U.S. primary care practices sought or maintained patient-centered medical home recognition. We interviewed a sample of 105 of these practices to determine why patient experience surveys were chosen.
Evidence shows that leaders who implement the patient-centered medical home care model encounter challenges in driving change. Understanding which changes and quality improvement practices further implementation is essential.
We conducted a systematic search for English-language peer-reviewed articles after 2010 on differences in urban and rural care provided by U.S. HHAs. We screened 876 studies and conducted full-text abstraction and NOS quality review on 36 articles.
Our analyses provide evidence of the feasibility, reliability, and validity of proposed survey-based measures to assess the quality of home-based serious illness care from the perspective of patients and their families.
Primary Care Medical Home efforts necessitated support and assistance to practice leaders. Changes include financial incentives,leadership direction and support, and staff with experience with the PCMH application process, implementation, and QI.
In 2008, the Indian Health Service launched a patient-centered medical home (PCMH) initiative to improve the quality of care in its clinics. RAND researchers identified barriers and strategies to assist clinics on the path to PCMH recognition.
Practice leaders at a large urban Federally Qualified Health Center in California. regularly engaged and used CAHPS scores, trends, and benchmarks alongside other data while making changes related to QI and patient centered medical homes
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.