Patient-centered medical home and quality measurement in small practices

Jason J. Wang, Chloe H. Winther, Jisung Cha, Colleen M. McCullough, Amanda S. Parsons, Jesse Singer, Sarah C. Shih

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objectives: To assess performance on quality measures among small primary care practices that recently adopted an electronic health record (EHR), and how performance differs between practices that have achieved patient-centered medical home (PCMH) recognition and those that have not. Study Design: Retrospective cohort study. Methods: Comparison of practice characteristics and performance on quality measures across 150 independent practices from 2009 to 2011 by recognition status for Physician Practice Connections-PCMH. Results: PCMH-recognized practices performed significantly better than nonrecognized practices on 5 out of 7 clinical quality measures at baseline, and the differences were maintained over the 2-year study period. Both groups improved on all clinical quality measures. Though the magnitude of differences was small, PCMHrecognized practices had a higher number of patients diagnosed with hypertension and proportionally more black patients. A significant difference in PCMH-recognized practices is that they received, on average, 4 additional quality improvement visits compared with nonrecognized practices. Conclusions: Among small practices that have adopted EHRs, practices with PCMH recognition consistently outperformed practices without recognition on most clinical quality measures. With adequate assistance, small, resource-strapped practices can continue to have higher performance on clinical quality measures.

Original languageEnglish (US)
Pages (from-to)481-489
Number of pages9
JournalAmerican Journal of Managed Care
Volume20
Issue number6
StatePublished - 2014
Externally publishedYes

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Patient-Centered Care
Electronic Health Records
Quality Improvement
Primary Health Care
Cohort Studies
Retrospective Studies
Hypertension
Physicians

ASJC Scopus subject areas

  • Health Policy

Cite this

Wang, J. J., Winther, C. H., Cha, J., McCullough, C. M., Parsons, A. S., Singer, J., & Shih, S. C. (2014). Patient-centered medical home and quality measurement in small practices. American Journal of Managed Care, 20(6), 481-489.

Patient-centered medical home and quality measurement in small practices. / Wang, Jason J.; Winther, Chloe H.; Cha, Jisung; McCullough, Colleen M.; Parsons, Amanda S.; Singer, Jesse; Shih, Sarah C.

In: American Journal of Managed Care, Vol. 20, No. 6, 2014, p. 481-489.

Research output: Contribution to journalArticle

Wang, JJ, Winther, CH, Cha, J, McCullough, CM, Parsons, AS, Singer, J & Shih, SC 2014, 'Patient-centered medical home and quality measurement in small practices', American Journal of Managed Care, vol. 20, no. 6, pp. 481-489.
Wang JJ, Winther CH, Cha J, McCullough CM, Parsons AS, Singer J et al. Patient-centered medical home and quality measurement in small practices. American Journal of Managed Care. 2014;20(6):481-489.
Wang, Jason J. ; Winther, Chloe H. ; Cha, Jisung ; McCullough, Colleen M. ; Parsons, Amanda S. ; Singer, Jesse ; Shih, Sarah C. / Patient-centered medical home and quality measurement in small practices. In: American Journal of Managed Care. 2014 ; Vol. 20, No. 6. pp. 481-489.
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