Implementation of Medical Homes in Federally Qualified Health Centers

Impact of a pharmacist–physician collaborative care model on patient outcomes and health services utilization

“…inpatient admissions and as well as Medicare Part B expenditures. 5 Team-based pharmacist interventions in hospital and community settings have contributed to improved clinical outcomes for patients with many acute and chronic diseases, [6][7][8][9][10][11][12] including diabetes mellitus, [9][10][11] hypertension, [10][11][12][13] and hyperlipidemia, 14 through the provision of medication therapy management (MTM), 15 comprehensive medication management (CMM), 16 and/or chronic disease state management (CDSM). 17 Several recent meta-analyses and systematic reviews have indicated marked improvements in the attainment of clinical goals with these care management models.…”

“…Several PCMH demonstration projects and studies have demonstrated improvements in population health, disease prevention, access to care, and patient satisfaction. [1][2][3][4][5] Although the PCMH model holds promise for improving patient experiences and improving care processes, current evidence has not consistently substantiated beneficial effects on many clinical and economic outcomes. [1][2][3][4][5] In fact, recent evidence from the Federally Qualified Health Center Advanced Primary Care Practice Demonstration revealed significant increases in the number of emergency department (ED) visits,…”

Primary Care Visit Regularity and Patient Outcomes: an Observational Study

“…The sample for this retrospective cohort study was drawn from a broader study of Medicare fee-for-service (FFS) beneficiaries who used services from one of 1330 federally qualified health centers (FQHCs) that participated in the Centers for Medicare & Medicaid Services' (CMS's) FQHC Advanced Primary Care Practice (APCP) Demonstration from November 2011 through October 2014. 8,9 The present study also used data from the prior year (November 2010 through October 2011) as a baseline period. Throughout this manuscript, we refer to the baseline year as year 0, and the 3 years of the demonstration project as years 1-3.…”

“…8,9 For the analyses of total Medicare expenditures, we used a gamma generalized linear model with a log link to accommodate the non-linear nature of cost data. 8,9 For the beneficiary-level analyses, we adjusted for the beneficiary characteristics listed in Table 2 (all variables were modeled as categorical variables). For site-level analyses, we did not adjust for beneficiary characteristics because they were already reflected in O-E score calculations.…”

Impact of a mental health trainee interdisciplinary program on a veteran population

“…While considerable evidence is available across multiple treatment settings regarding the impact of collaborative or interdisciplinary care models such as the patient‐centered medical home (PCMH) and primary care‐based collaborative medication‐therapy management (MTM), the diversity of these care teams in regards to their participants and emphasis makes generalizability difficult . Throughout the recent past, interdisciplinary care has become the standard throughout the VA health care system.…”