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Medical Homes

Report
Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration: Final Report
This report contains an independent evaluation of the Federally Qualified Health Center Advanced Primary Care Practice Demonstration for the Centers for Medicare and Medicaid.
Jun 26, 2017
Journal Article
Patient Experiences with Care Differ with Chronic Care Management in a Federally Qualified Community Health Center
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.
May 23, 2017
Journal Article
Synthesis Of Research On Patient-Centered Medical Homes Brings Systematic Differences Into Relief
To evaluate the impact of PCMH initiatives on utilization, cost, and quality, we conducted a metaanalysis of methodologically standardized findings from evaluations of eleven major PCMH initiatives.
Mar 28, 2017
Journal Article
Strategies to Reduce Hospitalizations of Children with Medical Complexity Through Complex Care: Expert Perspectives
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.
Mar 14, 2017
Journal Article
Attitudes, Practices, and Experiences with Implementing a Patient-Centered Medical Home for Women Veterans
Strengthening positive attitudes toward female veterans may matter more than changing women’s health practice characteristics alone.
Mar 14, 2017
Journal Article
Implementation and Sequencing of Practice Transformation in Urban Practices with Underserved Patients
The comprehensiveness of the patient centered medical home model requires coordination among many care components as well as time and effort for thorough and systematic changes in delivering care.Â
Feb 7, 2017
Journal Article
Fostering Evidence-Based Quality Improvement for Patient-Centered Medical Homes: Initiating Local Quality Councils to Transform Primary Care
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.
Jan 10, 2017
Journal Article
Evaluating the Impact of Parent-Reported Medical Home Status on Children's Health Care Utilization, Expenditures, and Quality: A Difference-In-Differences Analysis with Causal Inference Methods
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.
Jul 5, 2016
Journal Article
Impact of Medical Home Implementation Through Evidence-Based Quality Improvement on Utilization and Costs
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.
Jun 27, 2016
Journal Article
Early Changes in VA Medical Home Components and Utilization
We evaluated changes in reported implementation of PCMH components in all VA primary care clinics, and patients' utilization of acute and non-acute care and total costs after 2 years.
Feb 3, 2016
Journal Article
Association of Medical Home Team-Based Care Functions and Perceived Improvements in Patient-Centered Care at VHA Primary Care Clinics
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.
Jan 26, 2016
Journal Article
Significant Costs Involved with Converting Primary Care Medical Practices to 'Medical Homes'
While there are financial incentives available to primary care practices that transform into medical homes, such investments might be especially challenging for small practices and those not associated with a larger health network. The costs include one-time startup costs and ongoing costs, the greatest being adding new staff to help better coordinate patients' care.
Jan 22, 2016
News Release
Significant Costs Involved with Converting Primary Care Medical Practices to 'Medical Homes'
While there are financial incentives available to primary care practices that transform into medical homes, such investments might be especially challenging for small practices and those not associated with a larger health network. The costs include one-time startup costs and ongoing costs, the greatest being adding new staff to help better coordinate patients' care.
Jan 11, 2016
Journal Article
Impact of the Cincinnati Aligning Forces for Quality Multi-Payer Patient Centered Medical Home Pilot on Health Care Quality, Utilization, and Costs
To evaluate the potential for a patient-centered medical home initiative to reduce utilization and cost while improving quality, we examined a natural experiment involving 11 primary care practices in Cincinnati, Ohio.
Dec 2, 2015
Journal Article
The Medical Home and Hospital Readmissions
This study sought to test the hypothesis that patients with medical homes are less likely to have early postdischarge hospital or emergency department (ED) encounters.
Nov 20, 2015
Journal Article
Availability of Primary Care Team Members Can Improve Teamwork and Readiness for Change
This study conducted a survey of 766 adult primary care providers and staff in 34 California safety net practices to assess primary care team structure (team size, team member availability, and access to interdisciplinary expertise), teamwork, and readiness for change.
Nov 20, 2015
Journal Article
Innovative Approach to Patient-Centered Care Coordination in Primary Care Practices
Embedding non-licensed care coordinators in primary care practices significantly reduced emergency department visits.
Nov 13, 2015
Report
Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration: Final Second Annual Report
This second of three reports follows the progress of a three-year project intended to support the transformation of federally qualified health centers into advanced primary care practices in support of Medicare beneficiaries.
Jul 29, 2015
Commentary
Nature and Nurture: What's Behind the Variation in Recent Medical Home Evaluations?
As demonstrated in Pennsylvania, conveners of medical home pilots are drawing from their early experiences to refine their intervention designs and improve their effectiveness. Such a learning process is likely to be a critical part of successfully implementing any new model of payment and care delivery.
Jun 19, 2015
Journal Article
Medical Home Intervention with Shared Savings Shows Quality and Utilization Improvements
A medical home intervention that paid bonuses to physician practices based on financial savings showed significant improvements in quality and use of some medical services relative to comparison practices.
Jun 10, 2015

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RAND Topic:
Medical Homes