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Patient-Centered Medical Home (PCMH) - Assessing the Impact
Study Description and Methods
Specific Aims and Objectives
- How WellMed developed their level 3 PCMH model—the facilitators, barriers, key components, history and leadership—using a qualitative methods approach;
- How implementation of the WellMed model impacted on patient/provider satisfaction, using a mixed methods approach;
- Determine using impact analysis methods if implementation of the WellMed level 3 PCMH improved:
- Care for all patients (prevention measures include: cancer screening, immunization, mammography; chronic disease care: aspirin/beta-blocker rates, HTN control, hyperlipidemia control, ACE for DM, ACE for CHF);
- Health outcomes for patients with three health conditions (ischemic heart disease (IHD), diabetes mellitus (DM), chronic obstructive pulmonary disease (COPD)). (Health outcome measures include: clinical outcome test values, hospitalization, mortality).
- Determine the incremental in-practice expenses per patient per month required to operate the WellMed patient-centered medical home, and each of the key components of the program.
David West, PhD
University of Colorado at Denver
Key Findings and Publications
department visits have not changed over time, but preventive services have improved. Phased implementation across the network makes it difficult to link improvements to specific processes but they seem to have improved outcomes collectively.
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