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Patient-Centered Medical Home Adoption: Results From Aligning Forces For Quality.

TitlePatient-Centered Medical Home Adoption: Results From Aligning Forces For Quality.
Publication TypeJournal Article
Year of Publication2016
AuthorsMcHugh M, Shi Y, Ramsay PP, Harvey JB, Casalino LP, Shortell SM, Alexander JA
JournalHealth Aff (Millwood)
Volume35
Issue1
Pagination141-9
Date Published2016 Jan
ISSN1544-5208
KeywordsCooperative Behavior, Databases, Factual, Delivery of Health Care, Female, Health Care Surveys, Humans, Male, Organizational Innovation, Patient-Centered Care, Practice Patterns, Physicians', Primary Health Care, Quality of Health Care, United States
Abstract

To improve health care quality within communities, increasing numbers of multi-stakeholder alliances-groups of payers, purchasers, providers, and consumers-have been created. We used data from two rounds (conducted in July 2007-March 2009 and January 2012-November 2013) of a large nationally representative survey of small and medium-size physician practices. We examined whether the adoption of patient-centered medical home processes spread more rapidly in fourteen Robert Wood Johnson Foundation Aligning Forces for Quality communities, where multi-stakeholder health care alliances promoted their use, than in other communities. We found no difference in the overall growth of adoption of the processes between the two types of communities. However, improvement on a care coordination subindex was 7.17 percentage points higher in Aligning Forces for Quality communities than in others. Despite the enthusiasm for quality improvement led by multi-stakeholder alliances, such alliances may not be a panacea for spreading patient-centered medical home processes across a community.

DOI10.1377/hlthaff.2015.0495
Alternate JournalHealth Aff (Millwood)
PubMed ID26733712
Category: 
Faculty Publication