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Study finds coordinated approach improves quality of primary care
Date:6/3/2014

NEW YORK (June 2, 2014) -- Primary care doctors practicing in a model of coordinated, team-based care that leverages health information technology are more likely to give patients recommended preventive screening and appropriate tests than physicians working in other settings, according to research published today in the Annals of Internal Medicine. The study comparing quality of care by physicians using a delivery model known as the patient-centered medical home (PCMH) to care from physicians in non-PCMH practices provides evidence that the previously unproven but popular model effectively provides care for patients.

"The study showed that primary care physicians participating in PCMHs improved their quality of care over time at a significantly higher rate than their non-PCMH peers," said lead author Dr. Lisa Kern, an associate professor of healthcare policy and research at Weill Cornell Medical College. "The PCMH model combines electronic health records (EHRs) with organizational changes, including changes in the roles and responsibilities of clinicians and staff. It was the combination of EHRs plus organizational changes that was associated with the greatest quality improvement; EHRs alone were not enough."

The PCMH is an organizational model that has attracted increased attention since the Affordable Care Act encouraged and in some cases incentivized providers to improve the quality of care they deliver while reducing its cost. It is based on an ongoing, personal relationship between a patient, doctor and the patient's care team, which coordinates care across the entire health system, from specialty practices to hospitals, skilled nursing facilities, community and home-health services. Electronic health records (EHRs) and other technologies track patients' health over time to ensure that patients receive appropriate and necessary care. In 2012, there were more than 90 commercial health plans, 42 states, and three federal initiati
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Contact: Jennifer Gundersen
jeg2034@med.cornell.edu
646-317-7402
Weill Cornell Medical College
Source:Eurekalert

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