RT Journal Article
SR Electronic
T1 Medical Home Implementation in Small Primary Care Practices: Provider Perspectives
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 767
OP 774
DO 10.3122/jabfm.2016.06.160077
VO 29
IS 6
A1 Gimm, Gilbert
A1 Want, Jay
A1 Hough, Dan
A1 Polk, Treniese
A1 Rodan, Margaret
A1 Nichols, Len M.
YR 2016
UL http://www.jabfm.org/content/29/6/767.abstract
AB Background: CareFirst BlueCross BlueShield of Maryland implemented a voluntary patient-centered medical home (PCMH) program in 2011 that did not require formal certification to participate. This study assessed attitudes and awareness of PCMH programs among participating providers in Maryland and Northern Virginia.Methods: This qualitative study used information from 13 focus groups. In addition, 39 telephone interviews were conducted. An experienced facilitator moderated the focus groups. Written transcripts were analyzed using NVivo software.Results: Several cross-cutting themes emerged. First, the payment bump of 12% was a motivating factor to participate but did not have long-term effects on participation. Second, nurse care coordinators were perceived as the key element of the PCMH program. Third, providers had limited awareness of an external data portal. Finally, small practices were generally receptive to the externally supported program elements.Conclusions: Implementation of PCMH program elements can be facilitated in small primary care practices even if third-party certification is not a requirement. Participating providers viewed having an external nurse care coordinator as the key element of the PCMH program. Small practices were receptive to external supports, but a lack of trust was viewed as a barrier to implementing a payer-based medical home program.