Optimizing Quality in Home-Centered Primary Care, Phase 2

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Some 4 million adults are unable to visit their primary care doctor’s office because they are too frail and have too many functional limitations. As care delivery systems seek to lower the high costs of treating complex, vulnerable patients such as the homebound, many are exploring the provision of care right in the patient’s home. To develop incentives, ensure provider accountability, and foster the spread of home-based primary care, it will be necessary to have ways to measure the quality of care delivered by these providers. With prior Commonwealth Fund support, researchers developed an initial set of measures covering 10 key performance domains for home-based primary care. In phase 2, the team will test the feasibility of the proposed measures with a group of home-based providers and develop new measures as needed. The tested measures will enhance national health care quality measurement sets and contribute to future incentive programs targeting this patient population. Cofunding will be provided by the California HealthCare Foundation and the Retirement Research Foundation.

Grant Details

Grantee Organization:
Regents of the University of California
Principal Investigator:
Christine Ritchie, M.D., M.S.P.H.
Award Amount:
$280,130.00
Approval Date:
April 8, 2014

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