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Results of first national demonstration project to implement patient-centered medical home released
Date:6/15/2010

(LEAWOOD, Kan.) In a special supplement, "Evaluation of the American Academy of Family Physicians' Patient-Centered Medical Home National Demonstration Project," Annals of Family Medicine reports on the results from the first large-scale national implementation of the patient-centered medical home concept in primary care practices.

Using a multimethod strategy to evaluate the change process in 36 diverse U.S. primary care practices, an independent evaluation team concludes it is possible to implement the technical aspects of the model in highly motivated practices. This implementation, conducted without larger health care system and payment reform, results in modest increases in disease-specific measures of quality of care, but also seems to worsen patients' experience of care, at least in the short term. Outside facilitation of the change process buffers some of these negative effects.

The evaluation also shows that understanding the process of developing practices' internal capabilities is critical to successfully managing change.

The authors conclude that as the PCMH continues to evolve, both practice and system reforms are needed to make it easier to integrate, personalize and prioritize care for whole people, communities and populations.

Launched in 2006, the two-year NDP, funded by the American Academy of Family Physicians and The Commonwealth Fund, was arguably the most ambitious of the early demonstration projects, attempting to implement within the current U.S. health care payment and organizational system nearly all of the medical home attributes outlined in the 2003 Future of Family Medicine Project Report and further articulated in the 2007 policy statement, Joint Principles of the Patient Centered Medical Home issued by the four major primary care professional organizations. The model includes elements of access, care management, information technology, quality improvement, team care, practice managemen
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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