title: Patient-Centered Medical Home Adoption: Results From Aligning Forces For Quality.
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.
authors.affiliation: Megan McHugh (megan-mchugh@northwestern.edu) is a research assistant professor in the Center for Healthcare Studies and Department of Emergency Medicine, Feinberg School of Medicine, at Northwestern University, in Chicago, Illinois.
authors.forename: Megan
authors.initials: M
authors.lastname: McHugh
authors.affiliation: Yunfeng Shi is an assistant professor in the Department of Health Policy and Administration at Pennsylvania State University, in University Park.
authors.forename: Yunfeng
authors.initials: Y
authors.lastname: Shi
authors.affiliation: Patricia P. Ramsay is a policy analyst in the School of Public Health and administrative director of the Center for Healthcare Organizational and Innovation Research at the University of California, Berkeley.
authors.forename: Patricia P
authors.initials: PP
authors.lastname: Ramsay
authors.affiliation: Jillian B. Harvey is an assistant professor of healthcare leadership and management at the Medical University of South Carolina, in Charleston.
authors.forename: Jillian B
authors.initials: JB
authors.lastname: Harvey
authors.affiliation: Lawrence P. Casalino is the Livingston Farrand Professor and chief of the Division of Health Policy and Research at Weill Cornell Medical College, in New York City.
authors.forename: Lawrence P
authors.initials: LP
authors.lastname: Casalino
authors.affiliation: Stephen M. Shortell is dean emeritus of the School of Public Health, the Blue Cross of California Distinguished Professor of Health Policy and Management in both the School of Public Health and the Haas School of Business, and faculty director of the Center for Healthcare Organizational and Innovation Research, all at the University of California, Berkeley.
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Shortell
authors.affiliation: Jeffrey A. Alexander is a professor emeritus of health management and policy at the University of Michigan, in Ann Arbor.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Alexander
mesh_terms: D003299:Cooperative Behavior; D016208:Databases, Factual; D003695:Delivery of Health Care / Q000458:organization & administration; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000458:organization & administration*; D010818:Practice Patterns, Physicians' / Q000639:trends*; D011320:Primary Health Care / Q000458:organization & administration*; D011787:Quality of Health Care; D014481:United States
keywords: Primary Care; Quality Of Care