Moving Ahead with the PCMH: Some Progress, but More Testing Needed

Physician Practice Participation in Accountable Care Organizations: The Emergence of the Unicorn

“…Size was included because larger practices may have more capabilities in areas such as care management and electronic health record functionality while smaller practices may need more assistance (Robinson and Casalino ; Casalino et al. ; Landon ; Ryan et al. ).…”

“…Although evidence to date about the success of patient‐centered medical homes has been mixed (Jackson, Powers, and Chatterjee ; Landon ), the adoption of patient‐centered medical home processes may nonetheless provide physician organizations with important capabilities to succeed within ACOs (Davis, Schoenbaum, and Audet ; American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic Association ; Berenson et al. ; Rittenhouse, Shortell, and Fisher ).…”

“…Patient-Centered Medical Home Processes. Although evidence to date about the success of patient-centered medical homes has been mixed ( Jackson, Powers, and Chatterjee 2013;Landon 2013), the adoption of patient-centered medical home processes may nonetheless provide physician organizations with important capabilities to succeed within ACOs (Davis, Schoenbaum, and Audet 2005; American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic Association 2007; Berenson et al 2008;Rittenhouse, Shortell, and Fisher 2009). Thus, we included in the study an index of 25 items of patient-centered medical home processes used in previous research focusing on care management, quality and patient safety, patient engagement, and related capabilities (Rittenhouse et al 2008(Rittenhouse et al , 2011.…”

“…We examined several practice characteristics related to practices' capabilities to proved high-value care. Size was included because larger practices may have more capabilities in areas such as care management and electronic health record functionality while smaller practices may need more assistance (Robinson and Casalino 1996;Landon 2013;). We measured the mix of primary care and specialist physicians in each organization through three indicators: all primary care, all specialist, and multispecialty (i.e., practice had both primary care and specialist physicians).…”

Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers

“…1,2 To be successful, primary care providers practicing in medical homes must simultaneously develop strategies to provide patient-centered, preventative, acute, and chronic disease care in an accessible way. [3][4][5][6] In 2010, the Veterans Health Administration (VHA) began implementing the medical home model throughout its primary care clinics. 2,7 VHA's initiative represents the nation's largest effort to fundamentally redesign the delivery of primary care.…”