title: Do Patient-Centered Medical Home Access and Care Coordination Measures Reflect the Contribution of All Team Members? A Systematic Review.
abstract: Patient-Centered Medical Home (PCMH) evaluations have primarily focused on primary care providers and not on the primary care team. This systematic literature review examined the extent to which access and care coordination measures in PCMH reflect the involvement of associate care providers (ACPs), which include registered and licensed practical nurses, nursing and medical assistants, clerks, pharmacists, social workers, and dietitians. Among 42 studies, few measures specified ACP roles or linked ACP care to outcomes. Increasing attention on team-based care emphasizes a vital need to reframe measures within a team context.
authors.affiliation: University of Michigan School of Nursing (Drs Annis and Harris), Center for Clinical Management Research, VA Ann Arbor Healthcare System (Drs Annis and Krein and Ms Robinson), and Department of Internal Medicine, University of Michigan Medical School (Dr Krein), Ann Arbor, Michigan.
authors.forename: Ann M
authors.initials: AM
authors.lastname: Annis
authors.forename: Marcelline
authors.initials: M
authors.lastname: Harris
authors.forename: Claire H
authors.initials: CH
authors.lastname: Robinson
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Krein
mesh_terms: D003142:Communication; D003266:Continuity of Patient Care / Q000592:standards; D003299:Cooperative Behavior; D006297:Health Services Accessibility / Q000592:standards*; D006801:Humans; D010348:Patient Care Team / Q000592:standards*; D018802:Patient-Centered Care / Q000379:methods*; D011320:Primary Health Care / Q000592:standards*; D024382:Professional Role