Donna M. Daniel, Edward H. Wagner, Katie Coleman, Judith K. Schaefer, Brian T. Austin, Melinda K. Abrams, Kathryn E. Phillips, Jonathan R. Sugarman
To describe the properties of the Patient‐Centered Medical Home Assessment (‐A) as a tool to stimulate and monitor progress among primary care practices interested in transforming to patient‐centered medical homes (s).
Sixty‐five safety net practices from five states participating in a national demonstration program for transformation.
Longitudinal analyses of ‐A scores were performed. Scores were reviewed for agreement and sites were categorized over time into one of five categories by external facilitators. Comparisons to key activity completion rates and recognition status were completed.
Data Collection/Extraction Methods
Multidisciplinary teams at each practice completed the 33‐item self‐assessment tool every 6 months between arch 2010 and eptember 2012.
Mean overall ‐A scores increased (7.2, arch 2010, to 9.1, eptember 2012; [ < .01]). Increases were statistically significant for each of the change concepts ( < .05). Facilitators agreed with scores 82% of the time. ‐recognized sites had higher ‐A scores than sites that were not yet recognized. Sites that completed more transformation activities and progressed over defined tiers reported higher ‐A scores. Scores improved most in areas where technical assistance was provided.
The ‐A was sensitive to change over time and provided an accurate reflection of practice transformation.
