Best of The 2013 AcademyHealth Annual Research Meeting
Assessing Progress toward Becoming a Patient-Centered Medical Home: An Assessment Tool for Practice Transformation
Article first published online: 21 OCT 2013
© 2013 Qualis Health, MacColl Center for Health Care Innovation (Group Health Cooperative), The Commonwealth Fund. Health Services Research published by Wiley Periodicals, Inc. on behalf of Health Research and Educational Trust.
This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Health Services Research
Volume 48, Issue 6pt1, pages 1879–1897, December 2013
How to Cite
Daniel, D. M., Wagner, E. H., Coleman, K., Schaefer, J. K., Austin, B. T., Abrams, M. K., Phillips, K. E. and Sugarman, J. R. (2013), Assessing Progress toward Becoming a Patient-Centered Medical Home: An Assessment Tool for Practice Transformation. Health Services Research, 48: 1879–1897. doi: 10.1111/1475-6773.12111
- Issue published online: 26 NOV 2013
- Article first published online: 21 OCT 2013
- Manuscript Accepted: 14 AUG 2013
- The Commonwealth Fund
- Process assessment;
- patient-centered care;
- primary health care
To describe the properties of the Patient-Centered Medical Home Assessment (PCMH-A) as a tool to stimulate and monitor progress among primary care practices interested in transforming to patient-centered medical homes (PCMHs).
Sixty-five safety net practices from five states participating in a national demonstration program for PCMH transformation.
Longitudinal analyses of PCMH-A scores were performed. Scores were reviewed for agreement and sites were categorized over time into one of five categories by external facilitators. Comparisons to key activity completion rates and NCQA PCMH recognition status were completed.
Data Collection/Extraction Methods
Multidisciplinary teams at each practice completed the 33-item self-assessment tool every 6 months between March 2010 and September 2012.
Mean overall PCMH-A scores increased (7.2, March 2010, to 9.1, September 2012; [p < .01]). Increases were statistically significant for each of the change concepts (p < .05). Facilitators agreed with scores 82% of the time. NCQA-recognized sites had higher PCMH-A scores than sites that were not yet recognized. Sites that completed more transformation activities and progressed over defined tiers reported higher PCMH-A scores. Scores improved most in areas where technical assistance was provided.
The PCMH-A was sensitive to change over time and provided an accurate reflection of practice transformation.