Organizational Processes and Patient Experiences in the Patient-centered Medical Home

Aysola, Jaya; Schapira, Marilyn M.; Huo, Hairong; Werner, Rachel M.

doi:10.1097/mlr.0000000000000910

Cited by 9 publications

(7 citation statements)

References 42 publications

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“…Prior work supports the need for the patient voice and feedback on organizational processes in our primary care redesign efforts. (8,9] Moreover, we found that patient experience with their primary care provider did appear to influence no show rates. Practices should make efforts to minimize appointment no shows, which have shown to result in significant financial costs for practices and decreased value of care for patients.…”

Section: Discussionmentioning

confidence: 79%

“…Goldman et al evaluated this and found that a patient’s visit experience, if negative, strongly predicted future no shows ( 25 ). There is also prior evidence that patient overall experience with visit is dictated by their experience with their primary care provider ( 8 , 9 ). Future work should consider developing and implementing initiatives that improve provider–patient relationships and communications and evaluate the effects on appointment no shows.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have highlighted the critical role of providers as drivers of overall patient experiences with care as well as care quality (8, 9, 22, 23). Building on those findings, this study demonstrates that the experience patients have with their providers may also influence subsequent uptake of and adherence to ambulatory services.…”

Section: Discussionmentioning

confidence: 99%

“…Sites that were deemed eligible were health system-affiliated sites that provided (patients 18 and older) primary care services to adults (age 18 and older) and had completed the process for National Care Quality Assurance recognition as a patient-centered medical home. ( 8 , 9 ) Of 27 affiliated health system primary care clinics, 22 met those criteria. These sites were a diverse group of 22 urban and suburban primary care practices in New Jersey and Pennsylvania.…”

Section: Methodsmentioning

confidence: 99%

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The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services

Aysola

Huo

et al. 2020

Journal of Patient Experience

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We lack knowledge on how patient-reported experience relates to both quality of care services and visit attendance in the primary care setting. Therefore, in a cross-sectional analysis of 8355 primary care patients from 22 primary care practices, we examined the associations between visit-triggered patient-reported experience measures and both (1) quality of care measures and (2) number of missed primary care appointment (no shows). Our independent variables included both overall patient experience and its subdomains. Our outcomes included the following measures: smoking cessation discussion, diabetes eye examination referral, mammography, colonoscopy screening, current smoking status (nonsmoker vs smoker), diabetes control Hemoglobin A1c (HbA1c [<8]), blood pressure control, cholesterol control Low Density Lipoprotein (LDL) among patients with diabetes (LDL < 100), and visit no shows 2 and 5 years after the index visit that triggered the completed patient-experience survey. We found that patient experience, while an important stand-alone metric of care quality, may not relate to clinical outcomes or process measures in the outpatient setting. However, patient-reported experiences with their primary care provider appear to influence their future visit attendance.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services

Aysola

Huo

et al. 2020

Journal of Patient Experience

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“…Data review is one of the critical factors that leads to practice success in health system redesign and contributes to cost savings. 4,[10][11][12] Larger practices are more likely to have personnel dedicated to data generation and interpretation, whereas smaller practices are most likely to lack resources to review, interpret, and act on data that are mailed or placed on web servers for use. 13 For effective engagement and action by practices, use of practice transformation tools to engage practices in quick reviews of actionable data is critical.…”

Section: Discussionmentioning

confidence: 99%

Practice Transformation Analytics Dashboard for Clinician Engagement

et al. 2019

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PURPOSE Practice transformation in primary care is a movement toward datadriven redesign of care, patient-centered care delivery, and practitioner activation. A critical requirement for achieving practice transformation is availability of tools to engage practices. METHODS A total of 48 practices with 109 practice sites participate in the Garden Practice Transformation Network in Maryland (GPTN-Maryland) to work together toward practice transformation and readiness for the Quality Payment Program implemented by the Centers for Medicare & Medicaid Services. Practice-specific data are collected in GPTN-Maryland by practices themselves and by practice transformation coaches, and are provided by the Centers for Medicare & Medicaid Services. These data are overwhelming to practices when presented piecemeal or together, a barrier to practices taking action to ensure progress on the transformation spectrum. The GPTN-Maryland team therefore created a practice transformation analytics dashboard as a tool to present data that are actionable in care redesign. RESULTS When practices reviewed their data provided by the Centers for Medicare & Medicaid Services using the dashboard, they were often seeing, for the first time, cost data on their patients, trends in their key performance indicator data, and their practice transformation phase. Overall, 72% of practices found the dashboard engaging, and 48% found the data as presented to be actionable. CONCLUSIONS The practice transformation analytics dashboard encourages practices to advance in practice transformation and improvement of patient care delivery. This tool engaged practices in discussions about data, care redesign, and costs of care, and about how to develop sustainable change within their practices. Research is needed to study the impact of the dashboard on costs and quality of care delivery.

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Patient-Centered Medical Home

Al-Deek¹,

Bruce²,

Stewart³

et al. 2020

Family Medicine

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Organizational Processes and Patient Experiences in the Patient-centered Medical Home

Abstract: Although some organizational processes relate to patients' experiences with care irrespective of the background of the patient, further efforts are needed to align practice efforts with patient experience.

Cited by 9 publications

References 42 publications

The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services

The Relationships Between Patient Experience and Quality and Utilization of Primary Care Services

Practice Transformation Analytics Dashboard for Clinician Engagement

Patient-Centered Medical Home

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