Spreading a Patient-Centered Medical Home Redesign A Case Study

被引：20

作者：

Hsu, Clarissa ^{[1
,4
]}

Coleman, Katie ^{[2
]}

Ross, Tyler R. ^{[2
]}

Johnson, Eric ^{[2
]}

Fishman, Paul A. ^{[2
]}

Larson, Eric B. ^{[2
]}

Liss, David ^{[2
,4
]}

Trescott, Claire ^{[3
]}

Reid, Robert J. ^{[2
]}

机构：

[1] Grp Hlth Res Inst, Ctr Community Hlth & Evaluat, 1730 Minor Ave,Suite 1600, Seattle, WA 98101 USA

[2] Grp Hlth Res Inst, Seattle, WA USA

[3] Grp Hlth Cooperat Puget Sound, Seattle, WA USA

[4] Univ Washington, Dept Hlth Serv, Seattle, WA 98195 USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2012年 / 35卷 / 02期

基金：

美国医疗保健研究与质量局;

关键词：

innovation; Lean Management; patient-centered medical home; primary care; quality improvement;

D O I：

10.1097/JAC.0b013e318249e066

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Health care leaders and policymakers are turning to the patient-centered medical home (PCMH) model to contain costs, improve the quality of care, and create a more positive primary care work environment. We describe how Group Health, an integrated delivery system, developed and implemented a PCMH intervention that included standardized structural and practice level changes. This interventionwas spread to a diverse set of 26 primary care practices in 14 months using LeanManagement principles. Group Health's experience provides valuable insights that can be used to improve the design and implementation of future PCMH models.

引用

页码：99 / 108

页数：10

共 23 条

[1]

Joint Principles of A Patient-centered Medical Home Released by Organizations Representing More Than 300,000 Physicians., (2007)

[2]

Berenson R.A., Hammons T., Gans D.N., Zuckerman S., Merrell K., Underwood W.S., Williams A.F., A house is not a home: Keeping patients at the center of practice redesign, Health Affairs, 27, 5, pp. 1219-1230, (2008)

[3]

Bodenheimer T., Wagner E.H., Grumbach K., Improving primary care for patients with chronic illness: The chronic care model, Part 2, Journal of the American Medical Association, 288, 15, pp. 1909-1914, (2002)

[4]

Burton R.A., Devers K.J., Berenson R.A., Patient-centered Medical Home Recognition Tools: A Comparison of Ten Surveys' Content and Operational Details, (2011)

[5]

Cabana M.D., Rand C.S., Powe N.R., Wu A.W., Wilson M.H., Abboud P.-A.C., Rubin H.R., Why don't physicians follow clinical practice guidelines?: A framework for improvement, Journal of the American Medical Association, 282, 15, pp. 1458-1465, (1999)

[6]

Gilfillan R.J., Tomcavage J., Rosenthal M.B., Davis D.E., Graham J., Roy J.A., Steele Jr. G.D., Value and the medical home: Effects of transformed primary care, American Journal of Managed Care, 16, 8, pp. 607-614, (2010)

[7]

Graban M., Lean Hospitals: Improving Quality, Patient Safety, and Employee Satisfaction, (2009)

[8]

Grimshaw J., Eccles M., Tetroe J., Implementing clinical guidelines: Current evidence and future implications, Journal of Continuing Education in the Health Professions, 24, SUPPL. 1, (2004)

[9]

Grumbach K., Bodenheimer T., A primary care home for Americans: Putting the house in order, JAMA, 288, 7, pp. 889-893, (2002)

[10]

Crossing the Quality Chasm: A New Health System for the 21st Century/Committee on Quality Health Care in America, (2001)

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