title: Effects of Hospital Systems on Medical Home Transformation in Primary Care Residency Training Practices.
abstract: Most primary care residency training practices have close financial and administrative relationships with teaching hospitals and health systems. Many residency practices have begun integrating the core principles of the patient-centered medical home (PCMH) into clinical workflows and educational experiences. Little is known about how the relationships with hospitals and health systems affect these transformation efforts. Data from the Colorado Residency PCMH Project were analyzed. Results show that teaching hospitals and health systems have significant opportunities to influence residency practices' transformation, particularly in the areas of supporting team-based care, value-based payment reforms, and health information technology.
authors.affiliation: Department of Family Medicine, University of Colorado School of Medicine, Aurora (Drs Knierim and Dickinson, Ms Hall, and Mr Fernald); University of Colorado Family Medicine Residency Program, Denver Health Track, University of Colorado School of Medicine, Aurora (Dr Staff); HealthTeamWorks, Golden, Colorado (Ms Buscaj); St. Mary's Family Medicine Residency, Grand Junction, Colorado (Dr Allen); and University of Wyoming School of Pharmacy, Swedish Family Medicine Residency, Littleton, Colorado (Dr Onysko).
authors.forename: Kyle
authors.initials: K
authors.lastname: Knierim
authors.forename: Tristen
authors.initials: T
authors.lastname: Hall
authors.forename: Douglas
authors.initials: D
authors.lastname: Fernald
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Staff
authors.forename: Emilie
authors.initials: E
authors.lastname: Buscaj
authors.forename: Jessica Cornett
authors.initials: JC
authors.lastname: Allen
authors.forename: Mary
authors.initials: M
authors.lastname: Onysko
authors.forename: W Perry
authors.initials: WP
authors.lastname: Dickinson
mesh_terms: D003120:Colorado; D004282:Documentation; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D009096:Multi-Institutional Systems; D018802:Patient-Centered Care; D011320:Primary Health Care; D015397:Program Evaluation / Q000379:methods; D011795:Surveys and Questionnaires