Skip to main content

Main menu

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
NewsFamily Medicine UpdatesF

ACHIEVING A PATIENT-CENTERED MEDICAL HOME AS DETERMINED BY THE NCQA—AT WHAT COST, AND TO WHAT PURPOSE?

Anton J. Kuzel and Elaine M. Skoch
The Annals of Family Medicine January 2009, 7 (1) 85-86; DOI: https://doi.org/10.1370/afm.956
Anton J. Kuzel
MD, MHPE
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Elaine M. Skoch
RN, MN, EMBA, CNAA, BC
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Published eLetters

If you would like to comment on this article, click on Submit a Response to This article, below. We welcome your input.

Submit a Response to This Article
Compose eLetter

More information about text formats

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.

Vertical Tabs

Jump to comment:

  • Cost-Benefit Nervous Breakdown in the Medical Home
    Richard D Iliff
    Published on: 09 March 2009
  • Published on: (9 March 2009)
    Page navigation anchor for Cost-Benefit Nervous Breakdown in the Medical Home
    Cost-Benefit Nervous Breakdown in the Medical Home
    • Richard D Iliff, Topeka

    The authors, in a back-of-the-napkin calculation, figure that access to care, electronic prescribing, and encouraging patient self-management are more than twice as cost-effective as the components devoted to tracking data.

    They are too modest. I would put the cost-benefit ratio as 100-to-1. Maybe 1000-to-1.

    I have a well-run private practice. Patients are seen the same day if necessary or desired--...

    Show More

    The authors, in a back-of-the-napkin calculation, figure that access to care, electronic prescribing, and encouraging patient self-management are more than twice as cost-effective as the components devoted to tracking data.

    They are too modest. I would put the cost-benefit ratio as 100-to-1. Maybe 1000-to-1.

    I have a well-run private practice. Patients are seen the same day if necessary or desired--always. Thorough executive-type physicals are scheduled next week, because it is a two-step process. In a recent audit of type 2 diabetics, my average A1c was 6.6; LDL-C was 91; BP was 123/75. Year after year, my cost-per-DRG runs 20% less than my family medicine peers.

    The PCMH scoring system makes me want to weep. It is so larded with bureaucratic data collection, which in the average practice will never be acted upon or maybe even looked at, that I wonder if its inventors have ever practiced medicine.

    And evidence-based? Where is the evidence for all this certitude?

    You'll never see me wasting my time in pursuit of Medical Home certification, unless the process reorients toward measurable, research- based outcomes, rather that a checklist of inputs.

    Confusion of means and ends is the root of the problem.

    Competing interests:   None declared

    Show Less
    Competing Interests: None declared.
PreviousNext
Back to top

In this issue

The Annals of Family Medicine: 7 (1)
The Annals of Family Medicine: 7 (1)
Vol. 7, Issue 1
1 Jan 2009
  • Table of Contents
  • Index by author
  • In Brief
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
ACHIEVING A PATIENT-CENTERED MEDICAL HOME AS DETERMINED BY THE NCQA—AT WHAT COST, AND TO WHAT PURPOSE?
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
1 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
ACHIEVING A PATIENT-CENTERED MEDICAL HOME AS DETERMINED BY THE NCQA—AT WHAT COST, AND TO WHAT PURPOSE?
Anton J. Kuzel, Elaine M. Skoch
The Annals of Family Medicine Jan 2009, 7 (1) 85-86; DOI: 10.1370/afm.956

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
ACHIEVING A PATIENT-CENTERED MEDICAL HOME AS DETERMINED BY THE NCQA—AT WHAT COST, AND TO WHAT PURPOSE?
Anton J. Kuzel, Elaine M. Skoch
The Annals of Family Medicine Jan 2009, 7 (1) 85-86; DOI: 10.1370/afm.956
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Successful Change Management Strategies for Improving Diabetes Care Delivery Among High-Performing Practices
  • Recognition as a Patient-Centered Medical Home: Fundamental or Incidental?
  • Defining the Medical Home: The Oregon Experience
  • Correlation of the Care by Design™ Primary Care Practice Redesign Model and the Principles of the Patient-Centered Medical Home
  • Summary of the National Demonstration Project and Recommendations for the Patient-Centered Medical Home
  • How Teams Work--Or Don't--In Primary Care: A Field Study On Internal Medicine Practices
  • Policy Challenges in Building the Medical Home: Do We Have a Shared Blueprint?
  • A Way Forward for Health Care and Healers
  • Google Scholar

More in this TOC Section

  • Resident Leadership Roles and Selection
  • New Advocacy Ambassadors Program Helps AAFP Members Engage With Their Legislators
  • STFM Announces New Point of Care Ultrasound Task Force and Initiative on POCUS Family Medicine Education
Show more Family Medicine Updates

Similar Articles

Content

  • Current Issue
  • Past Issues
  • Early Access
  • Plain-Language Summaries
  • Multimedia
  • Podcast
  • Articles by Type
  • Articles by Subject
  • Supplements
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Job Seekers
  • Media

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2025 Annals of Family Medicine