Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patien

Authors, Primary Nutting,Paul A.;Miller,William L.;Crabtree,Benjamin F.;Jaen,Carlos Roberto;Stewart,Elizabeth E.;Stange,Kurt C.
Title Primary Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home
Periodical Full Annals of Family Medicine
Pub Year 2009
Volume 7
issue 3
Start Page 254-260
Abstract The patient-centered medical home (PCMH) is emerging as a potential catalyst for multiple health care reform efforts. Demonstration projects are beginning in nearly every state, with a broad base of support from employers, insurers, state and federal agencies, and professional organizations. A sense of urgency to show the feasibility of the PCMH, along with a 3-tiered recognition process of the National Committee on Quality Assurance, are influencing the design and implementation of many demonstrations. In June 2006, the American Academy of Family Physicians launched the first National Demonstration Project (NDP) to test a model of the PCMH in a diverse national sample of 36 family practices. The authors make up an independent evaluation team for the NDP that used a multimethod evaluation strategy, including direct observation, in-depth interviews, chart audit, and patient and practice surveys. Early lessons from the real-time qualitative analysis of the NDP raise some serious concerns about the current direction of many of the proposed PCMH demonstration projects and point to some positive opportunities. We describe 6 early lessons from the NDP that address these concerns and then offer 4 recommendations for those assisting the transformation of primary care practices and 4 recommendations for individual practices attempting transformation.
Publisher Annals of Family Medicine
Place of Publication Not Available
Author/Address Not Available
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;Demonstrations;Implementation
Special Population(s) Not Available
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article Yes
Literature Review No
Article Rating No
Summary of Article Rating No