title: Using an expanded outcomes framework and continuing education evidence to improve facilitation of patient-centered medical home recognition and transformation.
abstract: BACKGROUND
  The patient-centered medical home is a model for delivering primary care in the United States. Primary care clinicians and their staffs require assistance in understanding the innovation and in applying it to practice.
  
  
  OBJECTIVE
  The purpose of this article is to describe and to critique a continuing education program that is relevant to, and will become more common in, primary care.
  
  
  METHODS
  A multifaceted educational strategy prepared 20 primary care private practices to achieve National Committee for Quality Assurance Level 3 recognition as Patient-Centered Medical Homes.
  
  
  RESULTS
  Eighteen (90%) practices submitted an application to the National Committee for Quality Assurance. On the first submission attempt, 13 of 18 (72%) achieved Level 3 recognition and 5 (28%) achieved Level 1 recognition.
  
  
  CONCLUSIONS
  An interactive multifaceted educational strategy can be successful in preparing primary care practices for Patient-Centered Medical Homes recognition, but the strategy may not ensure transformation. Future educational activities should consider an expanded outcomes framework and the evidence of effective continuing education to be more successful with recognition and transformation.
authors.affiliation: a School of Nursing , University of Connecticut , Storrs , Connecticut , USA.
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Van Hoof
authors.forename: Michele
authors.initials: M
authors.lastname: Kelvey-Albert
authors.forename: Matthew
authors.initials: M
authors.lastname: Katz
authors.forename: Ken
authors.initials: K
authors.lastname: Lalime
authors.forename: Ken
authors.initials: K
authors.lastname: Sacks
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Meehan
mesh_terms: D003237:Connecticut; D004059:Diffusion of Innovation; D004502:Education, Medical, Continuing / Q000379:methods* / Q000592:standards; D055317:Evidence-Based Practice; D005260:Female; D006801:Humans; D008297:Male; D017146:Models, Organizational; D018802:Patient-Centered Care; D011320:Primary Health Care; D015397:Program Evaluation; D011787:Quality of Health Care