Impact of Case Mix Severity on Quality Improvement in a Patient-centered Medical Home (PCMH) in the Maryland Multi-Payor Program

From the Department of Family and Community Medicine, University of Maryland School of Medicine, Baltimore (NK); the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore (FTS, VVC); the Center for Health Information Technology and Innovative Care Delivery, Department of Health and Mental Hygiene, Baltimore, MD (DS); and the Maryland Health Care Commission, Department of Health and Mental Hygiene, Baltimore (BS).

From the Department of Family and Community Medicine, University of Maryland School of Medicine, Baltimore (NK); the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore (FTS, VVC); the Center for Health Information Technology and Innovative Care Delivery, Department of Health and Mental Hygiene, Baltimore, MD (DS); and the Maryland Health Care Commission, Department of Health and Mental Hygiene, Baltimore (BS).

From the Department of Family and Community Medicine, University of Maryland School of Medicine, Baltimore (NK); the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore (FTS, VVC); the Center for Health Information Technology and Innovative Care Delivery, Department of Health and Mental Hygiene, Baltimore, MD (DS); and the Maryland Health Care Commission, Department of Health and Mental Hygiene, Baltimore (BS).

From the Department of Family and Community Medicine, University of Maryland School of Medicine, Baltimore (NK); the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore (FTS, VVC); the Center for Health Information Technology and Innovative Care Delivery, Department of Health and Mental Hygiene, Baltimore, MD (DS); and the Maryland Health Care Commission, Department of Health and Mental Hygiene, Baltimore (BS).

From the Department of Family and Community Medicine, University of Maryland School of Medicine, Baltimore (NK); the Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore (FTS, VVC); the Center for Health Information Technology and Innovative Care Delivery, Department of Health and Mental Hygiene, Baltimore, MD (DS); and the Maryland Health Care Commission, Department of Health and Mental Hygiene, Baltimore (BS).