Contrasting trajectories of change in primary care clinics: Lessons from New Orleans safety net

Annals of Family Medicine

Volumn 11, Issue SUPPL. 1, 2013, Pages

  Rittenhouse, Diane R ^a,b   Schmidt, Laura ^b   Wu, Kevin ^a   Wiley, James ^a,b  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Organizational change; Patient centered medical home; Practice based research; Primary care; Safety nets; Vulnerable populations

Indexed keywords

COMMUNITY CARE; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HUMAN; HURRICANE; MANAGEMENT; MEDICAID; MEDICALLY UNINSURED; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PRIMARY HEALTH CARE; UNITED STATES; ARTICLE; ORGANIZATIONAL CHANGE; PATIENT-CENTERED MEDICAL HOME; PRACTICE-BASED RESEARCH; PRIMARY MEDICAL CARE; SAFETY NETS; VULNERABLE POPULATION;

COMMUNITY NETWORKS; CYCLONIC STORMS; DELIVERY OF HEALTH CARE; HEALTH CARE REFORM; HEALTH SERVICES ACCESSIBILITY; HUMANS; MEDICAID; MEDICALLY UNINSURED; NEW ORLEANS; ORGANIZATIONAL INNOVATION; PATIENT-CENTERED CARE; PRACTICE MANAGEMENT; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE; UNITED STATES;

ORGANIZATIONAL CHANGE; PATIENT-CENTERED MEDICAL HOME; PRACTICE-BASED RESEARCH; PRIMARY CARE; SAFETY NETS; VULNERABLE POPULATIONS;

EID: 84878389659     PISSN: 15441709     EISSN: 15441717     Source Type: Journal    
DOI: 10.1370/afm.1493     Document Type: Article

References (22)

1. Ndumele CD, Russell BE, Ayanian JZ, et al. Strategies to improve chronic disease management in seven metro Boston community health centers. Prog Community Health Partnersh. 2009;3(3):203-211.
2. Crabtree BF, Nutting PA, Miller WL, et al. Primary care practice transformation is hard work: insights from a 15-year developmental program of research. Med Care. 2011;49(Suppl):S28-S35.
3. Birnberg JM, Drum ML, Huang ES, et al. Development of a safety net medical home scale for clinics. J Gen Intern Med. 2011;26(12): 1418-1425.
4. Lewis SE, Nocon RS, Tang H, et al. Patient-centered medical home characteristics and staff morale in safety net clinics. Arch Intern Med. 2012;172(1):23-31.
5. Arar NH, Noel PH, Leykum L, Zeber JE, Romero R, Parchman ML. Implementing quality improvement in small, autonomous primary care practices: implications for the patient-centred medical home. Qual Prim Care. 2011;19(5):289-300.
6. Solberg LI, Asche SE, Fontaine P, Flottemesch TJ, Anderson LH. Trends in quality during medical home transformation. Ann Fam Med. 2011;9(6):515-521.
7. Chin MH, Kirchhoff AC, Schlotthauer AE, et al. Sustaining quality improvement in community health centers: perceptions of leaders and staff. J Ambul Care Manage. 2008;31(4):319-329.
8. Rittenhouse DR, Schmidt LA, Wu KJ, Wiley J. The post-Katrina conversion of clinics in New Orleans to medical homes shows change is possible, but hard to sustain. Health Aff (Millwood). 2012;31(8):1729-1738.
9. Centers for Medicare & Medicaid Services. Details for Demonstration Project Name: Federally Qualifi ed Health Center Advanced Primary Care Practice Demonstration. Washington, DC: Centers for Medicare & Medicaid Services; 2010. http://www.cms.gov/Medicare/Demonstration-Projects/DemoProjectsEvalRpts/Medicare-Demonstrations-Items/CMS1230557.html. Accessed May 31, 2012.
10. Desalvo KB, Muntner P, Fox CE. Community-based health care for "the city that care forgot." J Urban Health. 2005;82(4):520-523.
11. Pub. L. No. 109-171, § 6201(a)(4), 120 Stat. 4, 133 (2006). Notice of Single Source Grant Award, 72 Fed. Reg. 51,230 (Sep 9, 2007).
12. Louisiana Public Health Institute (LPHI). Louisiana Public Health Institute, Primary Care Access and Stabilization Grant (PCASG), Quality Improvement Program. New Orleans, LA: LPHI; 2008. http://www.lphi.org/LPHIadmin/uploads/PCASG-QI-Plan-June-23-2008-07-10-08-23170.pdf. Accessed Jun 23, 2012.
13. Stevens GC. The latitudinal gradient in geographical range: how so many species coexist in the tropics. Am Nat. 1989;133:240-256.
14. Hannan MT, Freeman J. Organizational Ecology. Cambridge, MA: First Harvard University Press; 1989.
15. Rittenhouse DR, Casalino LP, Shortell SM, et al. Small and mediumsize physician practices use few patient-centered medical home processes. Health Aff (Millwood). 2011;30(8):1575-1584.
16. National Committee for Quality Assurance. Patient-Centered Medical Home. Washington, DC: National Committee for Quality Assurance; 2011. http://www.ncqa.org/tabid/631/default.aspx. Accessed Jun 30, 2012.
17. Schmidt LA, Rittenhouse DR, Wu KJ, Wiley JA. Transforming primary care in the New Orleans safety-net: the patient experience. Med Care. 2013;51(2):158-164.
18. Rittenhouse DR, Casalino LP, Gillies RR, Shortell SM, Lau B. Measuring the medical home infrastructure in large medical groups. Health Aff (Millwood). 2008;27(5):1246-1258.
19. Glaser B, Strauss A. The Discovery of Grounded Theory: Strategies for Qualitative Research. Piscataway, NJ: Aldine Transaction; 1967.
20. Nutting PA, Miller WL, Crabtree BF, Jaén CR, Stewart EE, Stange KC. Initial lessons from the fi rst national demonstration project on practice transformation to a patient-centered medical home. Ann Fam Med. 2009;7(3):254-260.
21. Atlas SJ, Grant RW, Ferris TG, Chang Y, Barry MJ. Patient-physician connectedness and quality of primary care. Ann Intern Med. 2009; 150(5):325-335.
22. Friedberg MW, Safran DG, Coltin KL, Dresser M, Schneider EC. Readiness for the patient-centered medical home: structural capabilities of Massachusetts primary care practices. J Gen Intern Med. 2009;24(2):162-169