Patient-centered medical homes: observable types derived from national recognition assessment scores.
The patient-centered medical home (PCMH) is a strategy to transform primary care delivery organizations. However, PCMHs take on many forms and can "look different." To better understand the activities of organizations undertaking this strategy, we sought to identify discernible PCMH types using cluster analyses. From a sample of level 3 National Committee for Quality Assurance PCMHs, We extracted 3 types of PCMHs: information-focused, efficiency-focused, and high-scoring. Our findings confirm that the PCMH is not a uniform intervention. Characterizing PCMHs with particular areas of focus has implications for understanding the transformation process, identifying areas for continued practice development, and advancing evaluation of this organizational model.
Center for Health Informatics & Policy (Drs Vest, Kern, Jung, Ancker, Richardson, and Kaushal and Mr Silver), Department of Healthcare Policy and Research (Drs Vest, Kern, Jung, Ancker, Richardson, and Kaushal and Mr Silver), Department of Medicine (Drs Kern and Kaushal), and Department of Pediatrics (Dr Kaushal), Weill Cornell Medical College, New York; and NewYork-Presbyterian Hospital, New York (Dr Kaushal).
Joshua R
JR
Vest
Lisa M
LM
Kern
Hye-Young
HY
Jung
Jessica S
JS
Ancker
Joshua E
JE
Richardson
Michael D
MD
Silver
Rainu
R
Kaushal
D016000:Cluster Analysis; D006801:Humans; D017146:Models, Organizational; D009518:New York; D018802:Patient-Centered Care / Q000145:classification*; D011320:Primary Health Care