Khristy L. Kirk
Midwestern State University
How has the quality of patient care impacted patients and improved at PCMH recognized facilities compared to clinics not PCMH recognized?
1) Alexander, J., El Reda, D., Fetters, M., Green, L., Wise, C. (2014). Partial and Incremental PCMH Practice Transformation: Implications for Quality and Costs. Health Research and Educational Trust, 49(1) 52-74.
Objectives: The objective of this study was to examine the associations between partial and incremental implementations of the Patient Centered Medical Home (PCMH) model and measures of cost and quality of care (Alexander, 52).
Main Results: We examined 2,432 PCMH primary care practices measuring quality of care and cost from July 2009 to June 2010. The results show that quality of care and costs improved for the PCMH recognized clinics.
Conclusions: This study has shown to be not very effective regarding measuring the terms of degrees and potential error. PCMH clinics identified that medical homes are affiliated with higher levels of patient satisfaction (Alexander, 54). This study is comprised of four composite measurements of quality of care from July 2009 to June 2010.
Future Research Suggestions: Further research is necessary to prove whether these relationships include more quality measurements.
2) Angell, R., Berenson, R., Brook, R., Chassin, M., Davidson, E., Epstein, A., Galvin, R., Gaus, C., Harrington, C., Iglehart, J., James, B., Joseph, S., Karpatkin, R., Kizer, K., Laubach, G., McK Lawrence, D., O Angel, K., Roper, W., Taunton, D., Vladeck, B. (2013). Measuring the Quality of Health Care. Annuals of Internal Medicine, 160(11), 743-750.
Objectives: The objective of this study is to measure the improved quality of health care among primary care physicians that are PCMH recognized.
Main Results: Over 140,000 patients were studied during this three year span of concerted efforts required to research innovations in PCMH health care delivery. This study was conducted in a multi-payer, multi-provider community comprised of 675 physicians in over 300 practices with a median of 4 primary care physicians per practice (Angell, 748).
Conclusions: During this three year study findings show that those who implemented the PCMH improved their quality of care at a significantly higher rate over time. This study illustrates higher efficacy and performance among the PCMH setting.
Futures Research Suggestions: No future research suggestions were provided.
3.) Bates, B., Dillion, J., George, D., Kraschnewski, J., Morrison, K., Rovniak, L. (2013). Medical Center Farmers Markets: A Strategic Partner in the Patient-Centered Medical Home. U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 10, E127. doi: 10.5888/pcd10.130105.
Objectives: The objective of this study is to see how medical center based farmers markets’ has increased in the past decade and to see how this organization contributes to preventative health goals meeting the six standards of the 2011 National Committee for Quality Assurance’s report using descriptive data.
Main Results: Twenty-three inter-professional teams from 40 departments with 146 medical volunteers spent an average of 551 hours per season at the market speaking with customers about preventative health and providing health screenings. Results show that the market contributed to all 6 medical home standards defined by the National Committee for Quality Assurance (NCQA) and that the markets have potential to contribute to comprehensive patient-centered care.
Conclusions: Several ranges for clarification of its performance to improve meeting PCMH standards associated with PCMH priorities comprise establishing further comprehensive computer databases and capitalizing on electronic automation to improve tracking