Organizational factors and change strategies associated with medical home transformation.
There is limited information about how to transform primary care practices into medical homes. The research team surveyed leaders of the first 132 primary care practices in Minnesota to achieve medical home certification. These surveys measured priority for transformation, the presence of medical home practice systems, and the presence of various organizational factors and change strategies. Survey response rates were 98% for the Change Process Capability Questionnaire survey and 92% for the Physician Practice Connections survey. They showed that 80% to 100% of these certified clinics had 15 of the 18 organizational factors important for improving care processes and that 60% to 90% had successfully used 16 improvement strategies. Higher priority for this change (P = .001) and use of more strategies (P = .05) were predictive of greater change in systems. Clinics contemplating medical home transformation should consider the factors and strategies identified here and should be sure that such a change is indeed a high priority for them.
HealthPartners Institute for Education and Research, Minneapolis, MN Leif.I.Solberg@HealthPartners.com.
Leif I
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Solberg
HealthPartners Institute for Education and Research, Minneapolis, MN.
Logan H
LH
Stuck
HealthPartners Institute for Education and Research, Minneapolis, MN.
A Lauren
AL
Crain
HealthPartners Institute for Education and Research, Minneapolis, MN.
Juliana O
JO
Tillema
HealthPartners Institute for Education and Research, Minneapolis, MN.
Thom J
TJ
Flottemesch
HealthPartners Institute for Education and Research, Minneapolis, MN.
Robin R
RR
Whitebird
HealthPartners Institute for Education and Research, Minneapolis, MN.
Patricia L
PL
Fontaine
D004059:Diffusion of Innovation; D008910:Minnesota; D009936:Organizational Innovation; D018802:Patient-Centered Care; D011320:Primary Health Care; D011787:Quality of Health Care
diffusion of innovation; organizational innovation; patient-centered care; primary health care; quality of health care