Patient-centered medical home adoption: Results from aligning forces for quality

Megan McHugh*, Yunfeng Shi, Patricia P. Ramsay, Jillian B. Harvey, Lawrence P. Casalino, Stephen M. Shortell, Jeffrey A. Alexander

*Corresponding author for this work

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

To improve health care quality within communities, increasing numbers of multistakeholder alliances-groups of payers, purchasers, providers, and consumers-have been created. We used data from two rounds (conducted in July 2007-March 2009 and January 2012- November 2013) of a large nationally representative survey of small and medium-size physician practices. We examined whether the adoption of patient-centered medical home processes spread more rapidly in fourteen Robert Wood Johnson Foundation Aligning Forces for Quality communities, where multistakeholder health care alliances promoted their use, than in other communities. We found no difference in the overall growth of adoption of the processes between the two types of communities. However, improvement on a care coordination subindex was 7.17 percentage points higher in Aligning Forces for Quality communities than in others. Despite the enthusiasm for quality improvement led by multistakeholder alliances, such alliances may not be a panacea for spreading patient-centered medical home processes across a community.

Original languageEnglish (US)
Pages (from-to)141-149
Number of pages9
JournalHealth Affairs
Volume35
Issue number1
DOIs
StatePublished - Jan 1 2016

ASJC Scopus subject areas

  • Health Policy

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    McHugh, M., Shi, Y., Ramsay, P. P., Harvey, J. B., Casalino, L. P., Shortell, S. M., & Alexander, J. A. (2016). Patient-centered medical home adoption: Results from aligning forces for quality. Health Affairs, 35(1), 141-149. https://doi.org/10.1377/hlthaff.2015.0495