Estimating the staffing infrastructure for a patient-centered medical home

American Journal of Managed Care

Volumn 19, Issue 6, 2013, Pages 509-516

  Patel, Mitesh S ^a,b,c   Arron, Martin J ^d   Sinsky, Thomas A ^e   Green, Eric H ^f   Baker, David W ^g   Bowen, Judith L ^h   Day, Susan ^c  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b Robert Wood Johnson Clinical Scholars Program   (United States)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

^d BETH ISRAEL MEDICAL CENTER   (United States)

^e Medical Associates   (United States)

^f MERCY CATHOLIC MEDICAL CENTER   (United States)

^g NORTHWESTERN UNIVERSITY   (United States)

^h OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADMINISTRATIVE PERSONNEL; ARTICLE; CLINICAL PRACTICE; COMPENSATION; HEALTH CARE COST; HEALTH CARE FACILITY; HUMAN; INTERVIEW; MEDICAL LITERATURE; MEDICAL STAFF; NORMAL HUMAN; PATIENT CARE; PATIENT CENTERED MEDICAL HOME; PHYSICIAN; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; SENSITIVITY ANALYSIS;

HEALTH FACILITY ADMINISTRATORS; HUMANS; MODELS, ORGANIZATIONAL; PATIENT-CENTERED CARE; PERSONNEL STAFFING AND SCHEDULING; PHYSICIANS, PRIMARY CARE; PRIMARY HEALTH CARE; QUALITATIVE RESEARCH; UNITED STATES;

EID: 84880482060     PISSN: 10880224     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (47)

1. Larson EB, Reid R. The patient-centered medical home movement: why now? JAMA. 2010;303(16):1644-1645.
2. Flores L, Margolis JW. The patient centered medical home: 2011 status and needs study: reestablishing primary care in an evolving healthcare marketplace. Medical Group Management Association. 2011:1-21.
3. Berra A. PCMH staff data: benchmarks suggest transformation in staff model, site functions. The Blueprint blog. The Advisory Board Company. http://www.advisory.com/Research/Health-Care-Advisory-Board/Blogs/The-Blueprint/ 2011/03/PCMH-Staff-Data-Benchmarks- Suggest-Transformation-in-Staff-Model-Site- Functions. Published March 7, 2011. Accessed August 31, 2011.
4. Reid RJ, Coleman K, Johnson EA, et al. The Group Health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood). 2010;29(5):835-843.
5. Klein S. The Veterans Health Administration: Implementing Patient-Centered Medical Homes in the Nation's Largest Integrated Delivery System. Case Study: High-Performing Health Care Organization. The Commonwealth Fund. http://www.commonwealthfund.org/~/media/Files/Publications/Case%20Study/ 2011/Sep/1537-Klein-veterans-hlt-admin-case%20study.pdf. Published September 2011. Accessed September 30, 2011.
6. Fields D, Leshen E, Patel K. Analysis & commentary. Driving quality gains and cost savings through adoption of medical homes. Health Aff (Millwood). 2010;29(5):819-826.
7. Joint principles of the patient-centered medical home. American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic Association. http://www.acponline.org/ running-practice/delivery-and-payment-models/pcmh/demonstrations/ jointprinc-05-17.pdf. Published March 2007. Accessed August 31, 2011.
8. Paulus RA, Davis K, Steele GD. Continuous innovation in health care: implications of the Geisinger experience. Health Aff (Millwood). 2008;27(5):1235-1245.
9. Steele GD, Haynes JA, Davis DE, et al. How Geisinger's advanced medical home model argues the case for rapid cycle innovation. Health Aff (Millwood). 2010;29(11):2047-2053.
10. Griswold KS, Servoss TJ, Leonard KE, et al. Connections to primary medical care after psychiatric crisis. J Am Board Fam Pract. 2005;18(3):166-172.
11. Katon WJ, Lin EH, Von Korff M, et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363(27):2611-2620.
12. Hazlett SB, McCarthy ML, Londner MS, Onyike CU. Epidemiology of adult psychiatric visits to US emergency departments. Acad Emerg Med. 2004;11(2):193-195.
13. Craven MA, Bland R. Better practices in collaborative mental health care: an analysis of the evidence base. Can J Psychiatry. 2006;51(6)(suppl 1):7S-72S.
14. Amiel JM, Pincus HA. The medical home model: new opportunities for psychiatric services in the United States. Curr Opin Psychiatry. 2011;24(6):562-568.
15. Alakeson V, Frank RG, Katz RE. Specialty care medical homes for people with severe, persistent mental disorders. Health Aff (Millwood).2010;29(5):867- 873.
16. Smith M, Bates DW, Bodenheimer T, Cleary PD. Why pharmacists belong in the medical home. Health Aff (Millwood). 2010;29(5):906-913.
17. Johnson KA, Chen S, Cheng IN, et al. The impact of clinical pharmacy services integrated into medical homes on diabetes-related clinical outcomes. Ann Pharmacother. 2010;44(12):1877-1886.
18. Renders CM, Valk GD, Griffin SJ, Wagner EH, Van Eijk JT, Assendelft WJ. Interventions to improve the management of diabetes in primary care, outpatient and community settings: a systematic review. Diabetes Care. 2001;24(10):1821- 1833.
19. Moczygemba LR, Goode JV, Gatewood SB, et al. Integration of collaborative medication therapy management in a safety net patientcentered medical home. J Am Pharm Assoc (2003). 2011;51(2):167-172.
20. Scott DM, Boyd ST, Stephan M, Augustine SC, Reardon TP. Outcomes of pharmacist-managed diabetes care services in a community health center. Am J Health Syst Pharm. 2006;63(21):2116-2122.
21. Murray M, Davies M, Boushon B. Panel size: how many patients can one doctor manage? Fam Pract Manag. 2007;14(4):44-51.
22. Mehrotra A, Keehl-Markowitz L, Ayanian JZ. Implementing openaccess scheduling of visits in primary care practices: a cautionary tale. Ann Intern Med. 2008;148(12):915-922.
23. Finkelstein J, Barr MS, Kothari PP, Nace DK, Quinn M. Patient-centered medical home cyberinfrastructure current and future landscape. Am J Prev Med. 2001;40(5)(suppl 2):S225-S233.
24. Meyers D, Quinn M, Clancy CM. Health information technology: turning the patient-centered medical home from concept to reality. Am J Med Qual. 2011;26(2):154-156.
25. Philis-Tsimikas A, Fortmann A, Lleva-Ocana L, Walker C, Gallo LC. Peer-led diabetes education programs in high-risk Mexican Americans improve glycemic control compared with standard approaches: a Project Dulce promotora randomized trial. Diabetes Care. 2011;34(9):1926-1931.
26. Ghorob A, Vivas MM, DeVore D, et al. The effectiveness of peer health coaching in improving glycemic control among low-income patients with diabetes: protocol for a randomized controlled trial. BMC Public Health. 2011;11:208.
27. Barg FK, Weiner MG, Joseph S, Pandit K, Turner BJ. Qualitative analysis of peer coaches' experiences with counseling African Americans about reducing heart disease risk. J Gen Intern Med. 2012;27(2):167-172.
28. Spencer MS, Rosland AM, Kieffer EC, et al. Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: a randomized controlled trial. Am J Public Health. 2011;101(12):2253-2260.
29. Turner BJ, Weiner M, Berry SD, Lillie K, Fosnocht K, Hollenbeak CS. Overcoming poor attendance to first scheduled colonoscopy: a randomized trial of peer coach or brochure support. J Gen Intern Med. 2008;23(1):58-63.
30. Kumanyika SK, Fassbender JE, Sarwer DB, et al. One-year results of the Think Health! study of weight management in primary care practices. Obesity (Silver Spring). 2012;20(6):1249-1257.
31. Medical Group Management Association. Cost Survey for Single Specialty Practices: 2010 Report Based on 2009 Data. Englewood, CO: Medical Group Management Association. http://www.mgma.com/store/Surveys-and- Benchmarking/Cost-Survey-for-Single-Specialty-Practices-2010-Report-Based-on- 2009-Data-Print-Edition/. Published 2010. Accessed June 21, 2011.
32. Kenexa. CompAnalyst Market Data. http://www.kenexa.com/Solutions/ Compensation/CompensationMarketData. Accessed June 21, 2011.
33. Economic Research Institute. Geographic AssessorR-Professional (North America). Data as of April 1, 2011. http://www.erieri.com/GeographicAssessor. Accessed August 31, 2011.
34. Gilfillan RJ, Tomcavage J, Rosenthal MB, et al. Value and the medical home: effects of transformed primary care. Am J Manag Care. 2010;16(8):607-614.
35. McCarthy D, Nuzum R, Mika S, Wrenn J, Wakefield M. The North Dakota Experience: Achieving High Performance Health Care Through Rural Innovation and Cooperation. Commission on a High Performance Health System. The Commonwealth Fund. http://www.commonwealthfund.org/usr-doc/1130-McCarthy-North-Dakota- experience.pdf?section=4039. Published May 2008. Accessed August 31, 2011.
36. Keckley PH. Medical home: disruptive innovation for a new primary care model. Deloitte Center for Health Solutions. 2008:1-19.
37. Goroll AH, Berenson RA, Schoenbaum SC, Gardner LB. Fundamental reform of payment for adult primary care: comprehensive payment for comprehensive care. J Gen Intern Med. 2007;22(3):410-415.
38. Sinsky CA, Sinsky TA, Althaus D, Tranel J, Thiltgen M. Practice profile. 'Core teams': nurse-physician partnerships provide patient-centered care at an Iowa practice. Health Aff (Millwood). 2010;29(5):966-968.
39. Bohmer RM. Managing the new primary care: the new skills that will be needed. Health Aff (Millwood). 2010;29(5):1010-1014.
40. Balit M. Payment Brief. Patient-Centered Primary Care Collaborative. http://www.pcpcc.net/sites/default/files/media/payment-brief-2011.pdf. Published March 2011. Accessed August 31, 2011.
41. Bitton A, Martin C, Landon BE. A nationwide survey of patient centered medical home demonstration projects. J Gen Intern Med. 2010;25(6):584-592.
42. Burke C, Weller W. Patient-Centered Medical Home Pilot Demonstrations in New York: No Longer a Leap of Faith. Health Policy Research Center, Nelson A. Rockefeller Institute of Government. http://www.rockinst.org/pdf/health-care/ 2011-02-03-Patient-Centered-Medical5.pdf. Published January 2011. Accessed August 31, 2011.
43. Raskas RS, Latts LM, Hummel JR, Wenners D, Levine H, Nussbaum SR. Early results show WellPoint's patientscentered medical home pilots have met some goals for cost, utilization, and quality. Health Aff (Millwood). 2012;31(9):2002-2009.
44. published correction appears in Health Aff (Millwood). 2012;31(10):2831
45. Maeng DD, Graham J, Graf TR, et al. Reducing long-term cost by transforming primary care: evidence from Geisinger's medical home model. Am J Manag Care. 2012;18(3):149-155.
46. DeVries A, Li CW, Sridhar G, et al. Impact of medical homes on quality, healthcare utilization, and cost. Am J Manag Care. 2012;18(9):534-544.
47. McCarthy D, Mueller K. Community Care of North Carolina: Building Community Systems of Care Through State and Local Partnerships. The Commonwealth Fund. http://www.commonwealthfund.org/Publications/Case-Studies/2009/Jun/ Community-Care-of-North-Carolina-Building-Community-Systems-of-Care-Through- State-and-Local-Partner.aspx. Published June 22, 2009. Accessed August 31, 2011.