The Medical Home: What Do We Know, What Do We Need to Know? A Review of the Earliest Evidence on the Effectiveness of the Patient-Centered Medical Home Model

March 2013
AHRQ Publication No. 12(14)-0020-1-EF
Prepared For:
Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 540 Gaither Road, Rockville, MD 20850, www.ahrq.gov

Contract Numbers: HHSA290200900019I/HHSA29032002T, HHSA290200900019I/HHSA29032005T
Prepared By: Mathematica Policy Research, Princeton, NJ; Aparajita Zutshi, Ph.D., Deborah Peikes, Ph.D., M.P.A., Kimberly Smith, Ph.D., M.P.A., Melissa Azur, Ph.D. (Mathematica Policy Research),  Janice Genevro, Ph.D., Michael Parchman, M.D., David Meyers, M.D. (Agency for Healthcare Research and Quality).
Table 15. Snapshot of findings
 Statistically SignificantInconclusive
InterventionFavorableUnfavorableNot Statistically SignificantUncertain Statistical Significance
Processes of Care
Geriatric Resources for Assessment and Care of Elders  YesYes
Care Management Plus  YesYes
Improving Mood–Promoting Access to Collaborative Treatment for Late-Life DepressionYes Yes 
Health Outcomes
Geriatric Resources for Assessment and Care of EldersYes Yes 
Improving Mood–Promoting Access to Collaborative Treatment for Late-Life DepressionYes Yes 
Veterans Affairs Team-Managed Home-Based Primary Care YesYes 
Mortality
Care Management Plus  YesYes
Geriatric Resources for Assessment and Care of Elders  Yes 
Cost
Geriatric Resources for Assessment and Care of EldersYesYesYes 
Guided Care  Yes 
Improving Mood–Promoting Access to Collaborative Treatment for Late-Life Depression  Yes 
Veterans Affairs Team-Managed Home-Based Primary Care Yes  
Hospital Use
Care Management Plus  YesYes
Geisinger Health System ProvenHealth NavigatorYes   
Geriatric Resources for Assessment and Care of EldersYes Yes 
Guided Care  Yes 
Veterans Affairs Team-Managed Home-Based Primary CareYes Yes 
Emergency Department Use
Care Management Plus  YesYes
Geriatric Resources for Assessment and Care of EldersYes Yes 
Guided Care  Yes 
Patient Experience
Guided Care  YesYes
Improving Mood–Promoting Access to Collaborative Treatment for Late-Life DepressionYes   
Veterans Affairs Team-Managed Home-Based Primary Care<Yes Yes 
Caregiver Experience
Guided Care  YesYes
Veterans Affairs Team-Managed Home-Based Primary CareYes Yes 
Health Care Professional Experience
Guided Care  YesYes