Through qualitative interviews we will assess the impact of the WellMed PCMH on patient care and health outcomes over the last 10 years (1997-2006). We will evaluate the clinical outcomes, economic expenditures, and patient and provider satisfaction for a medium-sized primary care health system that has implemented a robust, long-term, patient-centered medical home (PCMH).
Our specific aims are:
This study will be conducted from July 2009 through December 2010.
This project is currently closed. Please see below for key findings and publications.
For additional information about this study, please contact:
David West, PhD
University of Colorado at Denver
WellMed Inc (San Antonio, Texas) implemented many patient-centered services, experimenting to find which belong within clinics and which operate best as system functions. The adjusted mortality rate is half that of the state for people older than 65 years. Hospitalization and readmission rates and emergency 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.
Access the complete manuscripts:
Off the Hamster Wheel? Qualitative Evaluation of a Payment-Linked Patient Centered Medical Home (PCMH) Pilot(32 page PDF). Bitton A, Schwartz G, Stewart EE, et al. Milbank Q. Sept 2012; 90(3): 484-515
Case Study of a Primary Care-Based Accountable Care Systems Approach to Medical Home Transformation(11 page PDF). Phillips RL, Bronnikov S, Petterson S, et al. J Ambulatory Care Manage. 2011; 34(1):67-77
This project is funded by a grant from Agency for Healthcare Research and Quality (AHRQ) (HHSA290200710008).
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Patient-Centered Medical Home (PCMH) - Assessing the Impact