Funding: This research was funded through a Cooperative Agreement with the federal Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services (Grant # U1C RH20419). The funding agency reviewed this manuscript prior to submission; no substantive changes were made as a result of the review. For further information, contact: Keith J. Mueller, PhD, Department of Health Management and Policy, College of Public Health, University of Iowa, 105 River Street, N232A, CPHB; Iowa City, Iowa 52242; e-mail: firstname.lastname@example.org.
Are Primary Care Practices Ready to Become Patient-Centered Medical Homes?
Article first published online: 24 SEP 2012
© 2012 National Rural Health Association
The Journal of Rural Health
Volume 29, Issue 2, pages 180–187, Spring 2013
How to Cite
Ullrich, F. A., MacKinney, A. C. and Mueller, K. J. (2013), Are Primary Care Practices Ready to Become Patient-Centered Medical Homes?. The Journal of Rural Health, 29: 180–187. doi: 10.1111/j.1748-0361.2012.00433.x
- Issue published online: 2 APR 2013
- Article first published online: 24 SEP 2012
- family medicine;
- medical home;
Purpose: To measure the readiness of rural primary care practices to qualify as patient-centered medical homes (PCMHs), one step toward participating in changes underway in health care finance and delivery.
Methods: We used the 2008 Health Tracking Physician Survey to compare PCMH readiness scores among metropolitan and nonmetropolitan primary care practices. The National Committee on Quality Assurance (NCQA) assessment system served as a framework to assess the PCMH capabilities of primary care practices based on their services, processes, and policies.
Findings: We found little difference between urban and rural practices. Approximately 41% of all primary care practices offer minimal or no PCMH services. We also found that large practices score higher on standards primarily related to information technology and care management.
Conclusions: Achieving the benefits of the PCMH model in small rural practices may require additional national promotion, technical assistance, and financial incentives.