Measuring physician quality and efficiency in an era of practice transformation: PCMH as a case study

Annals of Family Medicine

Volumn 13, Issue 3, 2015, Pages 264-268

  Sandy, Lewis G ^a   Haltson, Heidi ^b   Metfessel, Brent A ^a   Reese, Conway ^b  

^a UNITEDHEALTH GROUP   (United States)

^b OPTUM   (United States)

Author keywords

Benchmarks; Efficiency; Health care; Measurement; Patient centered medical home; Practice change; Practice based research; Primary care; Quality

Indexed keywords

ACCOUNTABLE CARE ORGANIZATION; CROSS-SECTIONAL STUDY; HEALTH CARE QUALITY; HEALTH SERVICES RESEARCH; HUMAN; LONGITUDINAL STUDY; PATIENT CARE; PHYSICIAN; STANDARDS;

ACCOUNTABLE CARE ORGANIZATIONS; CROSS-SECTIONAL STUDIES; HUMANS; LONGITUDINAL STUDIES; ORGANIZATIONAL CASE STUDIES; PATIENT-CENTERED CARE; PHYSICIANS; QUALITY ASSURANCE, HEALTH CARE;

EID: 84929161234     PISSN: 15441709     EISSN: 15441717     Source Type: Journal    
DOI: 10.1370/afm.1784     Document Type: Article

References (12)

1. Berenson RA, Pronovost PJ, Krumholz HM. Achieving the potential of health care performance measures. Timely Anal Immed Health Pol Iss. 2013;issue 2. http://www.rwjf.org/content/dam/farm/reports/reports/2013/rwjf406195. Accessed Feb 5, 2015.
2. Kern LM, Malhotra S, Barrón Y, et al. Accuracy of electronically reported “meaningful use” clinical quality measures: a cross-sectional study. Ann Intern Med. 2013;158(2):77-83.
3. Berenson RA, Rich EC. US approaches to physician payment: the deconstruction of primary care. J Gen Intern Med. 2010;25(6):613-618.
4. National Committee for Quality Assurance. Patient-Centered Medical Home. http://www.ncqa.org/Programs/Recognition/Practices/PatientCenteredMedicalHomePCMH.aspx. Published 2011. Accessed Feb 6, 2015.
5. Fifield J, Forrest DD, Burleson JA, Martin-Peele M, Gillespie W. Quality and efficiency in small practices transitioning to patient centered medical homes: a randomized trial. J Gen Intern Med. 2013;28(6):778-786.
6. Friedberg MW, Schneider EC, Rosenthal MB, Volpp KG, Werner RM. Association between participation in a multipayer medical home intervention and changes in quality, utilization, and costs of care. JAMA. 2014;311(8):815-825.
7. Van Hasselt M, McCall N, Keyes V, Wensky SG, Smith KW. Total cost of care lower among Medicare fee-for-service beneficiaries receiving care from patient-centered medical homes. Health Serv Res. 2015;50(1):253-272.
8. Peikes D, Zutshi A, Genevro J, Smith K, Parchman M, Meyers D. Early Evidence on the Patient-Centered Medical Home. Final Report. Prepared by Mathematica Policy Research, under Contract Nos. HHSA290200900019I/HHSA29032002T and HHSA290200900019I/ HHSA29032005T. AHRQ Publication No. 12-0020-EF. Rockville, MD: Agency for Healthcare Research and Quality; 2012.
9. UnitedHealth Premium® Physician Designation Program: Detailed Methodology. https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Assets/ProviderStaticFiles/ProviderStaticFilesPdf/Unitedhealth%20Premium/Detailed_Methodology_2013-2014.pdf. Published 2014. Accessed Feb 5, 2015.
10. UnitedHealth Center for Health Reform & Modernization. Advancing Primary Care Delivery. Practical, Proven, and Scalable Approaches. http://www.unitedhealthgroup.com/~/media/UHG/PDF/2014/UNH-Primary-Care-Report-Advancing-Primary-CareDelivery.ashx. Published Sep 2014. Accessed Feb 5, 2015.
11. Fleming NS, Becker ER, Culler SD, et al. The impact of electronic health records on workflow and financial measures in primary care practices. Health Serv Res. 2014;49(1 Pt 2):405-420.
12. Nguyen L, Bellucci E, Nguyen LT. Electronic health records implementation: an evaluation of information system impact and contingency factors. Int J Med Inform. 2014 Jul 22. [Epub ahead of print].