Publications: Patient-Centered Care

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Putting Aside Preconceptions—Time for Dialogue Among Primary Care Clinicians

May 16, 2013 - An editorial by The Commonwealth Fund's David Blumenthal and Melinda Abrams explores one approach to addressing the primary care workforce shortage: using nurse practitioners to provide a wide range of primary care services.

In Brief

Survey of Five European Countries Suggests That More Elements of Patient-Centered Medical Homes Could Improve Primary Care

March 22, 2013 - This Commonwealth Fund–supported study surveyed patients with chronic illness and primary care providers in five European countries to assess the extent to which care delivery systems already have features of the patient-centered medical home and to identify gaps.

In Brief

Quality and Efficiency in Small Practices Transitioning to Patient-Centered Medical Homes: A Randomized Trial

March 18, 2013 - Providing small primary care practices with supports that include more robust electronic health records, on-site care managers, and increased reimbursement helps them become medical homes.

In Brief

Transforming Primary Care in the New Orleans Safety-Net: The Patient Experience

February 8, 2013 - In this Commonwealth Fund–supported study, researchers examine ratings of health care accessibility, care coordination, and confidence in the quality and safety of care as reported by patients served by New Orleans safety-net clinics—a majority of which have achieved PCMH recognition from the National Committee for Quality Assurance, an accrediting organization.

In Brief

Innovation in Patient-Centered Care: Lessons from a Qualitative Study of Innovative Health Care Organizations in Washington State

February 8, 2013 - There are several different approaches to promoting patient-centered care. Little is known, however, about how health care organizations choose their approach and set goals. In this Commonwealth Fund–supported study, researchers interviewed health plan leaders and providers in Washington State, a leader in patient-centered innovation.

In Brief

Care Coordination Agreements: Barriers, Facilitators, and Lessons Learned

January 7, 2013 - In this study, Commonwealth Fund–supported researchers learned that care coordination agreements increased efficiency and improved the quality of care, especially for patients with chronic conditions.

In Brief

Off the Hamster Wheel? Qualitative Evaluation of a Payment-Linked Patient-Centered Medical Home (PCMH) Pilot

November 13, 2012 - While there is broad agreement on the general concepts defining patient-centered medical homes, little is known about physician practices' on-the-ground experiences. In this Commonwealth Fund–supported study, researchers examined five practices engaged in efforts to become medical homes. All five practices received a risk-adjusted base payment per patient per month to support their efforts.

In Brief

Interpretations of Integration in Early Accountable Care Organizations

November 13, 2012 - In this qualitative study, supported by The Commonwealth Fund, researchers interviewed 114 physicians and managers in four nascent accountable care organizations (ACOs), conducted site visits, and reviewed documents to explore how those forming ACOs envision integration with other provider groups.

In Brief

About Half of the States Are Implementing Patient-Centered Medical Homes for Their Medicaid Populations

November 5, 2012 - Half of state Medicaid programs are taking new approaches to provider payment—focusing on chronically ill populations, using shared teams, aligning payments with national quality standards, and implementing shared-savings programs—to help primary care practices become patient-centered medical homes for their low-income patients.

In the Literature

A Randomized, Controlled Trial of Implementing the Patient-Centered Medical Home Model in Solo and Small Practices

September 10, 2012 - This Commonwealth Fund–supported evaluation tested the impact of providing small practices with external support for the transition to a medical home, including help with practice redesign and care management and increased reimbursement.

In the Literature

The Post-Katrina Conversion of Clinics in New Orleans to Medical Homes Shows Change Is Possible, But Hard to Sustain

August 6, 2012 - Given the right incentives, safety-net primary care clinics can make the transition to become patient-centered medical homes. The results of the New Orleans program, however, underscore that primary care transformation is a long process, and one difficult to achieve and sustain.

In the Literature

Patient-Centered Innovation in Health Care Organizations: A Conceptual Framework and Case Study Application

July 6, 2012 - Drawing on peer-reviewed research and organizational change theory, the authors of this Commonwealth Fund–supported study identified attributes associated with the successful implementation of patient-centered innovation in health care.

In Brief

The Cultural Complexity of Medical Groups

July 6, 2012 - Adapting to new models of care, like the patient-centered medical home, requires an understanding of the different types of cultures that are present in physician groups and how those varying cultures influence performance. This Commonwealth Fund–supported study examined eight multispecialty medical practices, looking for evidence of seven common cultures found in physician organizations.

In Brief

From Striving to Thriving: Systems Thinking, Strategy, and the Performance of Safety Net Hospitals

July 3, 2012 - By contrasting the characteristics of six high-performing safety-net hospitals with those of three low-performers, Commonwealth Fund–supported researchers found that the high-performers excelled at coordinating patients, engaging in partnerships, and investing in human capital.

In Brief

The Changes Involved in Patient-Centered Medical Home Transformation

July 3, 2012 - What are the necessary characteristics of a medical home, and what changes must physician practices make to their infrastructure, organization, and care delivery processes to fully transform? Commonwealth Fund–supported researchers reviewed the professional literature and convened a panel of experts to find out.

In Brief