Readiness of primary care practices for medical home certification.

Assessing and Increasing Readiness for Patient-Centered Medical Home Implementation

PCMH is being implemented in many settings, and the concept even appears in the Patient Protection and Affordable Care Act. 6 However, implementing the PCMH model can be a major challenge, and many primary care practices may not be ready to undertake such a significant change in care delivery. This study evaluates the readiness of primary care practices for implementing PCMH and provides guidel...

Journey toward a patient-centered medical home: readiness for change in primary care practices.

CONTEXT Information is limited regarding the readiness of primary care practices to make the transformational changes necessary to implement the patient-centered medical home (PCMH) model. Using comparative, qualitative data, we provide practical guidelines for assessing and increasing readiness for PCMH implementation. METHODS We used a comparative case study design to assess primary care pr...

Future Directions for the Organizational Readiness for Knowledge Translation (OR4KT) Tool: Response to Recent Commentaries

Association between participation in a multipayer medical home intervention and changes in quality, utilization, and costs of care.

IMPORTANCE Interventions to transform primary care practices into medical homes are increasingly common, but their effectiveness in improving quality and containing costs is unclear. OBJECTIVE To measure associations between participation in the Southeastern Pennsylvania Chronic Care Initiative, one of the earliest and largest multipayer medical home pilots conducted in the United States, and...

Physician practices and readiness for medical home reforms: policy, pitfalls, and possibilities.

OBJECTIVE To determine the proportion of physician practices in the United States that currently meets medical home criteria. DATA SOURCE/STUDY SETTING 2007 and 2008 National Ambulatory Medical Care Survey. STUDY DESIGN We mapped survey items to the National Committee on Quality Assurance's (NCQA's) medical home standards. After awarding points for each "passed" element, we calculated a pra...