Is There Value in Medical Home Implementation Beyond the Electronic Health Record?
Authors: Robert J. Reid, Michael L. Parchman
Journal: Annals of Internal Medicine (2014)

Editorials3 June 2014Is There Value in Medical Home Implementation Beyond the Electronic Health Record?Robert J. Reid, MD, PhD and Michael L. Parchman, MD, MPHRobert J. Reid, MD, PhDFrom Group Health Research Institute, Seattle, Washington.Search for more papers by this author and Michael L. Parchman, MD, MPHFrom Group Health Research Institute, Seattle, Washington.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M14-0863 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The patient-centered medical home (PCMH) movement has become firmly entrenched in contemporary U.S. health care as an approach to improve quality, affordability, and patient experience. The early evidence on success is mixed (1), however, leading some to question the value of this complex practice redesign that requires tremendous effort from physicians and clinical staff. The PCMH reorganizes primary care to improve its core attributes: access, continuity, comprehensiveness, and coordination. The emphasis is on evidence-based quality improvements and team care, use of electronic health records (EHRs) to facilitate change, and a payment system that rewards these activities. Because many practices implement ...References1. Jackson GL, Powers BJ, Chatterjee R, Bettger JP, Kemper AR, Hasselblad V, et al. The patient-centered medical home: a systematic review. Ann Intern Med. 2013;158:169-78. LinkGoogle Scholar2. Kern LM, Edwards A, Kaushal R. The patient-centered medical home, electronic health records, and quality of care. Ann Intern Med. 2014;160:741-9. LinkGoogle Scholar3. Solberg LI, Asche SE, Fontaine P, Flottemesch TJ, Anderson LH. Trends in quality during medical home transformation. Ann Fam Med. 2011;9:515-21. [PMID: 22084262] CrossrefMedlineGoogle Scholar4. Nutting PA, Crabtree BF, Miller WL, Stange KC, Stewart E, Jaén C. Transforming physician practices to patient-centered medical homes: lessons from the national demonstration project. Health Aff (Millwood). 2011;30:439-45. [PMID: 21383361] CrossrefMedlineGoogle Scholar5. Nutting PA, Crabtree BF, Stewart EE, Miller WL, Palmer RF, Stange KC, et al. Effect of facilitation on practice outcomes in the National Demonstration Project model of the patient-centered medical home. Ann Fam Med. 2010;8 Suppl 1 S33-44, S92. [PMID: 20530393] CrossrefMedlineGoogle Scholar6. Solberg LI, Crain AL, Tillema J, Scholle SH, Fontaine P, Whitebird R. Medical home transformation: a gradual process and a continuum of attainment. Ann Fam Med. 2013;11 Suppl 1 S108-14. [PMID: 23690379] CrossrefMedlineGoogle Scholar7. Buntin MB, Burke MF, Hoaglin MC, Blumenthal D. The benefits of health information technology: a review of the recent literature shows predominantly positive results. Health Aff (Millwood). 2011;30:464-71. [PMID: 21383365] CrossrefMedlineGoogle Scholar8. Sittig DF, Singh H. A new sociotechnical model for studying health information technology in complex adaptive healthcare systems. Qual Saf Health Care. 2010;19 Suppl 3 i68-74. [PMID: 20959322] CrossrefMedlineGoogle Scholar9. Unertl KM, Weinger MB, Johnson KB, Lorenzi NM. Describing and modeling workflow and information flow in chronic disease care. J Am Med Inform Assoc. 2009;16:826-36. [PMID: 19717802] CrossrefMedlineGoogle Scholar10. Peikes D, Zutshi A, Genevro J, Smith K, Parchman M, Meyers D. Early Evidence on the Patient-Centered Medical Home. Final Report. AHRQ publication no. 12-0020-EF. (Prepared by Mathematica Policy Research under contracts HHSA290200900019I/HHSA29032002T and HHSA290200900019I/HHSA29032005T.). Rockville, MD: Agency for Healthcare Research and Quality; 2012. Google Scholar Author, Article, and Disclosure InformationAuthors: Robert J. Reid, MD, PhD; Michael L. Parchman, MD, MPHAffiliations: From Group Health Research Institute, Seattle, Washington.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-0863.Corresponding Author: Robert J. Reid, MD, PhD, Senior Investigator, Group Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101; e-mail, reid.[email protected]org.Current Author Addresses: Drs. Reid and Parchman: Group Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Patient-Centered Medical Home, Electronic Health Records, and Quality of Care Lisa M. Kern , Alison Edwards , and Rainu Kaushal The Patient-Centered Medical Home, Electronic Health Records, and Quality of Care Lisa M. Kern , Alison Edwards , and Rainu Kaushal Metrics Cited byThe Patient-Centered Medical Home and Associations With Health Care Quality and Utilization A 5-Year Cohort StudyLisa M. Kern, MD, MPH, Alison Edwards, MStat, and Rainu Kaushal, MD, MPH 3 June 2014Volume 160, Issue 11Page: 802-803KeywordsChildrenDisclosureElectronic medical recordsHealth care qualityInformation technologyLipidsPatientsPharyngitisQuality improvementUpper respiratory tract infections ePublished: 3 June 2014 Issue Published: 3 June 2014 Copyright & PermissionsCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...