Patient-Centered Medical Home Adoption: Lessons Learned and Implications for Health Care System Reform. Issue 3 (July 2016)

• Record Type: Journal Article
• Authors: Gurewich, Deborah; Cabral, Linda; Sefton, Laura
• Is Part Of: Journal of ambulatory care management. Volume 39:Issue 3(2016)
• Page Start: 264
• Page End: 271
• Publication Date: 2016-07
• Subjects: health care delivery -- medical home transformation -- patient-centered care -- practice management -- program evaluation -- qualitative research -- quality improvement; Ambulatory medical care -- Administration -- Periodicals; Ambulatory medical care -- United States -- Administration -- Periodicals; Community health services -- Administration -- Periodicals; Community health services -- United States -- Administration -- Periodicals; Health planning -- Periodicals; Health planning -- United States -- Periodicals; 362.12
• DOI: 10.1097/JAC.0000000000000118
• Languages: English
• ISSNs: 0148-9917

Abstract

Abstract : Case studies of 8 primary care medical homes participating in a Massachusetts-based initiative were conducted to understand the approaches they used to operationalize medical home standards and associated barriers. All sites received their National Committee on Quality Assurance recognition as medical homes, yet varied considerably in how components were implemented. Despite this variation, they faced similar challenges to implementing and sustaining medical home standards. Variations and challenges strongly emerged in 4 areas: team-based care, scheduling and online access, identifying and managing high-risk patients, and organizing follow-up care. Our study offers insight into various pathways to medical home success, and notes areas for further study.