Document Detail


Physician practices and readiness for medical home reforms: policy, pitfalls, and possibilities.
MedLine Citation:
PMID:  22091559     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 practice's infrastructure score, dividing its cumulative total by the number of available points. We identified practices that would be recognized as a medical home (Level 1 [25-49 percent], Level 2 [50-74 percent], or Level 3 [infrastructure score ≥75 percent]) and examined characteristics associated with NCQA recognition.
RESULTS: Forty-six percent (95 percent confidence interval [CI], 42.5-50.2) of all practices lack sufficient medical home infrastructure. While 72.3 percent (95 percent CI, 64.0-80.7 percent) of multi-specialty groups would achieve recognition, only 49.8 percent (95 percent CI, 45.2-54.5 percent) of solo/partnership practices meet NCQA standards. Although better prepared than specialists, 40 percent of primary care practices would not qualify as a medical home under present criteria.
CONCLUSION: Almost half of all practices fail to meet NCQA standards for medical home recognition.
Authors:
John M Hollingsworth; Sanjay Saint; Joseph W Sakshaug; Rodney A Hayward; Lingling Zhang; David C Miller
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2011-10-18
Journal Detail:
Title:  Health services research     Volume:  47     ISSN:  1475-6773     ISO Abbreviation:  Health Serv Res     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-13     Completed Date:  2012-03-02     Revised Date:  2014-01-16    
Medline Journal Info:
Nlm Unique ID:  0053006     Medline TA:  Health Serv Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  486-508     Citation Subset:  IM    
Copyright Information:
© Health Research and Educational Trust.
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MeSH Terms
Descriptor/Qualifier:
Health Care Surveys / statistics & numerical data
Health Policy
Humans
Patient-Centered Care / standards*,  statistics & numerical data*
Physicians*
Primary Health Care / standards,  statistics & numerical data
Professional Practice / standards*,  statistics & numerical data*
Quality Indicators, Health Care / statistics & numerical data
United States
Grant Support
ID/Acronym/Agency:
DK020572/DK/NIDDK NIH HHS; K08 HS018346-01A1/HS/AHRQ HHS; P60 DK020572/DK/NIDDK NIH HHS
Comments/Corrections

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