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DiscussionReflections

The Dissenter’s Viewpoint: There Has to Be a Better Way to Measure a Medical Home

Lynn Ho and Jean Antonucci
The Annals of Family Medicine May 2015, 13 (3) 269-272; DOI: https://doi.org/10.1370/afm.1783
Lynn Ho
1Solo family physician, North Kingstown Family Practice, North Kingstown, Rhode Island
MD
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Jean Antonucci
2Solo family physician, Farmington, Maine
MD
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  • For correspondence: jnantonucci@gmail.com
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    Table 1

    Principles of the Idealized Design of the Clinical Office Practice1

    Paramount focus on the clinician-patient relationship
    Individualized access to care and information at all times
    Knowledge-based care is the standard
    Individuals control their own care to the extent that each individual desires
    Minimal waiting for all involved in the processes of care
    Seamless transfer and communication of information and coordination of care
    Financial performance sufficient to ensure unhindered viability
    Patient and practice management will be based on real-time data, including measures of process, satisfaction, finance, outcomes, and epidemiology
    Continual improvement and waste reduction in all processes and services
    Individual health linked to broader community health
    A model work environment
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The Annals of Family Medicine: 13 (3)
The Annals of Family Medicine: 13 (3)
Vol. 13, Issue 3
May/June 2015
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The Dissenter’s Viewpoint: There Has to Be a Better Way to Measure a Medical Home
Lynn Ho, Jean Antonucci
The Annals of Family Medicine May 2015, 13 (3) 269-272; DOI: 10.1370/afm.1783

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The Dissenter’s Viewpoint: There Has to Be a Better Way to Measure a Medical Home
Lynn Ho, Jean Antonucci
The Annals of Family Medicine May 2015, 13 (3) 269-272; DOI: 10.1370/afm.1783
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  • Article
    • Abstract
    • ARE WE MEDICAL HOMES?
    • THE MEDICAL HOME MODEL MAKES SENSE
    • COSTS IN TIME AND MONEY
    • NCQA DOCUMENTATION EXAMPLES: MEETING THE MEASURES
    • WERE THERE USEFUL CONSEQUENCES OF THIS EXERCISE?
    • SMALL PRACTICES ARE NOT PROTECTED
    • A BETTER WAY
    • Acknowledgments
    • Footnotes
    • References
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Cited By...

  • Costs of Transforming Established Primary Care Practices to Patient-Centered Medical Homes (PCMHs)
  • Medical Home Implementation in Small Primary Care Practices: Provider Perspectives
  • Modifying the Measurement Paradigm or Questioning its Very Assumptions
  • In This Issue: A Cry for Balance
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More in this TOC Section

  • When the Death of a Colleague Meets Academic Publishing: A Call for Compassion
  • Let’s Dare to Be Vulnerable: Crossing the Self-Disclosure Rubicon
  • Not Like They Used To: The Decline of Procedural Competency in Medical Training
Show more Reflections

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Subjects

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  • Other topics:
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    • Organizational / practice change
    • Patient-centered medical home

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