Skip to content Skip to navigation

Study: Benefits to Interventions in Achieving PCMH Status for Small Practices

September 12, 2012
by Gabriel Perna
| Reprints

According to an 18-month study from researchers at the University of Connecticut (UConn) and EmblemHealth, a New York-based health insurance company, small practices can make an easier transition to patient-centered medical home (PCMH) status when they are provided with external support. The study, which defines a small practice as 10 or less physicians, says this support includes practice redesign, care management, and payment reform.

The study, called “A Randomized, Controlled Trial of Implementing the Patient-Centered Medical Home Model in Solo and Small Practices," says that without such support systems, change is slow and limited in scope. According to the study's authors, most primary care practices in the US are of small or medium size, and not part of an integrated health system.

The authors of the study looked at 18 practices for an intervention group and 14 practices for a control group. The study showed that small practices receiving intervention support improved significantly on eight of the nine National Committee for Quality Assurance (NCQA) standards for Medical Homes. Whereas 44 percent of the control physician practices accrued any points toward NCQA standards, 100 percent of the intervention practices accrued PCMH points.

After the 18-months were finished, 80 percent of the intervention group practices achieved Level  3 NCQA Patient-Centered Medical Home recognition, the highest designation, an additional five percent achieved Level 2 status, and 10 percent were at Level 1.

The study's findings are published in the Sept. 2012 in the Journal of General Internal Medicine.



EHNAC and HITRUST Combine HIPAA Security Criteria, CSF Framework

The Electronic Healthcare Network Accreditation Commission (EHNAC) and the Health Information Trust Alliance (HITRUST) announced plans to streamline their accreditation and certification programs.

Halamka on MACRA Final Rule: “CMS is Listening and I Thank Them”

Health IT notable expert John Halamka, M.D., CIO of Beth Israel Deaconess Medical Center in Boston, recently weighed in on the Medicare Access and CHIP Reauthorization Act (MACRA) final rule.

Texas Patient Care Clinic Hit with Ransomware Attack

Grand Prairie, Texas-based Rainbow Children's Clinic was the victim of a ransomware attack on its IT systems in August, affecting more than 33,000 patients, according to multiple news media reports this week.

Healthcare Organizations Again Go to Bat for AHRQ

Healthcare organizations are once again urging U.S. Senate and House leaders to protect the Department of Health and Human Services’ Agency for Healthcare Research and Quality (AHRQ) from more budget cuts for 2017.

ONC Pilot Projects Focus on Using, Sharing Patient-Generated Health Data

Accenture Federal Services (AFS) has announced two pilot demonstrations with the Office of the National Coordinator for Health Information Technology (ONC) to determine how patient-generated health data can be used by care teams and researchers.

Is it Unethical to Identify Patients as “Frequent Flyers” in Health IT Systems?

Several researchers from the University of Pennsylvania addressed the ethics of behavioral health IT as it relates to “frequent flyer” icons and the potential for implicit bias in an article published in JAMA.