A 2009 Commonwealth Fund survey found that federally qualified health centers provide timely care on site but often face problems in ensuring ready access to external specialists for their predominantly Medicaid and uninsured patients. This project will support a second national survey of health centers’ executive directors to monitor trends in medical home and accountable care activities, including patient population management, team-based care, care coordination, information technology, and quality improvement. New questions will examine participation in accountable care organizations, use of financial incentives to reward high-value care, and efforts to integrate care across multiple providers. In addition, the survey results will be linked with a federal data set to investigate the relationship among access to care, clinical performance, and organizational measures of high performance.
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