Article Figures & Data
Figures
- Figure 1.
Patient-centered medical home framing typology: types 1 to 4. EMR, electronic medical record.
- Figure 2.
Radar graphs showing 6 outcomes measures—cost reductions, decreased emergency department/hospital utilization, improved quality/disease metrics, improved access to care, increased preventive services, and improved patient satisfaction—based on type of patient-centered medical home.
Tables
- Table 1.
Practice Characteristics Extracted from Published Patient-Centered Medical Home (PCMH) Data and How These Characteristics Overlay to Create the Four Types of PCMHs
Practice Characteristics Extracted from Data Clinic/Practice Typologies Add-on (Type 1) Renovated (Type 2) Hybrid (Type 3) Integrated (Type 4) 1. Added care manager for specific disease 1, 3; sometimes may see 6 or 8, specifically around 1 disease type being managed, (eg, DM care management) Must include some of 2, 3, 4, 5, 6, 7, and 8 Must include 1, plus some of 2, 3, 4, 5, 6, 7, and 8 May include 1 to 8
Must include either 9 or 102. Care managers for team 3. Registry capabilities 4. Scheduling updates 5. EMR/electronic updates 6. Care teams 7. Doctor-task redesign 8. Payer redesign 9. Integrated mental health 10. Community input/community resource network DM, diabetes mellitus; EMR, electronic medical record.
- Table 2.
Outcomes Measures Extracted from the Published Patient-Centered Medical Home Data for Each Practice Site
• Cost reductions • Decreased ED/hospital utilization • Improved health/quality • Improved access to care • Increased preventive services • Improved patient satisfaction ED, emergency department.
Cost Reductions Decreased ED/Hospital Utilization Improved Quality • 0: Little, no, or negative reductions in cost • 0: No or worse utilization reduction • 0: No improvement noted • 1: Some improvement noted in cost reductions • 1: 1–10% utilization (ED or admits) reduction noted • 1: Some improved quality measures noted • 2: Major improvement in cost reductions noted (>$1 million or an ROI >2 or a PMPM or PMPY reduction >10% or a >10% reduction in total costs) • 2: >10% utilization reduction noted • 2: Health improved dramatically or all HEDIS measures improved by at least 10% Improved Access to Care Increased Preventive Services Improved Patient Satisfaction • 0: No change noted • 0: No change noted • 0: No change noted • 1: The site described a significant change • 1: The site described any increase in preventive services • 1: The site described a significant improvement in patient satisfaction • 2: The site described a significant change and provided meaningful numbers or data showing improvement • 2: The site documented a >10% increase in preventive services • 2: The site described a documented >8% increase in patient satisfaction ED, emergency department; PMPM, per-member, per-month; PMPY, per-member, per-year; ROI, return on investment.
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