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
Research ArticleOriginal Research

Journey to the Patient-Centered Medical Home: A Qualitative Analysis of the Experiences of Practices in the National Demonstration Project

Paul A. Nutting, Benjamin F. Crabtree, William L. Miller, Elizabeth E. Stewart, Kurt C. Stange and Carlos Roberto Jaén
The Annals of Family Medicine May 2010, 8 (Suppl 1) S45-S56; DOI: https://doi.org/10.1370/afm.1075
Paul A. Nutting
MD, MSPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Benjamin F. Crabtree
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
William L. Miller
MD, MA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Elizabeth E. Stewart
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kurt C. Stange
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Carlos Roberto Jaén
MD, PhD
  • 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

Article Figures & Data

Tables

  • Additional Files
    • View popup
    Table 1.

    Qualitative Data Collected From Practices and Participants

    Collector and SourceFacilitated Practice GroupSelf-Directed Practice Group
    NDP=National Demonstration Project.
    Collected by evaluation team from practiceField notes from 2- to 3-day site visits with depth interviews and observationField notes from 2- to 3-day site visits with depth interviews and observation
    Full text of e-mails between facilitator and various members of practice–
    Field notes from observation and informal interviews at 4 learning sessionsField notes from observation and informal interviews at 1 learning session and 1 self-organized retreat
    Field notes by evaluation team observer from monthly conference calls (6 practices with their facilitator)–
    Field notes from telephone interview at end of NDP to recap progress and challengesField notes from telephone interview at end of NDP to recap progress and challenges
    Access to practice listservAccess to practice listserv
    Collected by evaluation team from facilitatorField notes from evaluation team interview with facilitator after site visits and other eventful times–
    Intermittent conference calls and in-person discussion with facilitators about specific practices at eventful times–
    Collected by the facilitatorsField notes from initial site visits and selected follow-up site visits–
    Other materialAgendas, Microsoft PowerPoint material, and handouts from NDP consultants from 4 learning sessionsAgendas and handouts from 1 learning session and 1 self-organized retreat
    • View popup
    Table 2.

    Evaluation Template for Ongoing Analysis

    NDP=National Demonstration Project.
    a Model described by Cohen et al.21
    What are the unique organizing/distinguishing constructs for this practice (ie, images, features, metaphors)? What immediately comes to mind that is necessary for us to understand who these people are?
    What are the initial conditions that are important in retrospect?
    Describe the change process, particularly in relation to the practice change and development model.a How has leadership facilitated/hindered the process? Describe any relationship pat- terns among key stakeholders. Describe the internal and external motivators relative to the NDP model (may be positive or negative).
    Which components of the new model of care are in place in the practice? How did they get in place? Which components are not in place and why?
    What are the key features of the facilitation process that have been used in this practice?
    What is the evidence for a personal transformation among the physicians? How did this unfold?
    What is the evidence for a transformation at the practice level? Did they move toward becoming a learning organization? How did this unfold?
    What are the emerging/current issues that are likely to impact on the NDP?
    What did the NDP do for the practice?
    What does the emerging model look like in this practice at the end of NDP?
    Lessons learned:

Additional Files

  • Tables
  • Supplemental Appendix and Figure

    Supplemental Appendix. Data Collection, Management, and Analysis; Supplemental Figure. The original �New Model� of practice as conceptualized by TransforMED.

    Files in this Data Supplement:

    • Supplemental data: Appendix - PDF file, 3 pages, 1MB
    • Supplemental data: Figure - PDF file, 1 page, 1MB
PreviousNext
Back to top

In this issue

The Annals of Family Medicine: 8 (Suppl 1)
The Annals of Family Medicine: 8 (Suppl 1)
Vol. 8, Issue Suppl 1
1 May 2010
  • Table of Contents
  • Index by author
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.
Journey to the Patient-Centered Medical Home: A Qualitative Analysis of the Experiences of Practices in the National Demonstration Project
(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
Journey to the Patient-Centered Medical Home: A Qualitative Analysis of the Experiences of Practices in the National Demonstration Project
Paul A. Nutting, Benjamin F. Crabtree, William L. Miller, Elizabeth E. Stewart, Kurt C. Stange, Carlos Roberto Jaén
The Annals of Family Medicine May 2010, 8 (Suppl 1) S45-S56; DOI: 10.1370/afm.1075

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
Journey to the Patient-Centered Medical Home: A Qualitative Analysis of the Experiences of Practices in the National Demonstration Project
Paul A. Nutting, Benjamin F. Crabtree, William L. Miller, Elizabeth E. Stewart, Kurt C. Stange, Carlos Roberto Jaén
The Annals of Family Medicine May 2010, 8 (Suppl 1) S45-S56; DOI: 10.1370/afm.1075
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • INTRODUCTION
    • METHODS
    • RESULTS
    • DISCUSSION
    • Acknowledgments
    • Footnotes
    • REFERENCES
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • Effective Facilitator Strategies for Supporting Primary Care Practice Change: A Mixed Methods Study
  • The Effects of Major Disruptions on Practice Participation in Facilitation During a Primary Care Quality Improvement Initiative
  • Interdisciplinary Primary Care Team Expertise and Diabetes Care Management
  • The 3 Cs of Content, Context, and Concepts: A Practical Approach to Recording Unstructured Field Observations
  • Differences in Team Mental Models Associated With Medical Home Transformation Success
  • A Randomized Trial of High-Value Change Using Practice Facilitation
  • Physicians In Medicare ACOs Offer Mixed Views Of Model For Health Care Cost And Quality
  • Outcomes For High-Needs Patients: Practices With A Higher Proportion Of These Patients Have An Edge
  • The Critical Role of Clerks in the Patient-Centered Medical Home
  • Maximizing the Patient-Centered Medical Home (PCMH) by Choosing Words Wisely
  • Lessons From Early Implementation of a Patient-Centered Care Model in Oncology
  • Challenges of Medical Home Transformation Reported by 118 Patient-Centered Medical Home (PCMH) Leaders
  • Strategies for Achieving Whole-Practice Engagement and Buy-in to the Patient-Centered Medical Home
  • Practice Facilitation to Improve Diabetes Care in Primary Care: A Report From the EPIC Randomized Clinical Trial
  • Natural History of Practice Transformation: Development and Initial Testing of an Outcomes-Based Model
  • Medical Home Transformation in Pediatric Primary Care--What Drives Change?
  • Cultivating Engaged Leadership Through a Learning Collaborative: Lessons From Primary Care Renewal in Oregon Safety Net Clinics
  • Enhancing the Primary Care Team to Provide Redesigned Care: The Roles of Practice Facilitators and Care Managers
  • Small Primary Care Practices Face Four Hurdles--Including A Physician-Centric Mind-Set--In Becoming Medical Homes
  • The Role of the Champion in Primary Care Change Efforts: From the State Networks of Colorado Ambulatory Practices and Partners (SNOCAP)
  • Typical Electronic Health Record Use in Primary Care Practices and the Quality of Diabetes Care
  • Trends in Quality During Medical Home Transformation
  • Successful Health Information Technology Implementation Requires Practice and Health Care System Transformation
  • Self-reported teamwork in family health team practices in Ontario: Organizational and cultural predictors of team climate
  • Transforming Physician Practices To Patient-Centered Medical Homes: Lessons From The National Demonstration Project
  • Google Scholar

More in this TOC Section

  • Teamwork Among Primary Care Staff to Achieve Regular Follow-Up of Chronic Patients
  • Shared Decision Making Among Racially and/or Ethnically Diverse Populations in Primary Care: A Scoping Review of Barriers and Facilitators
  • Convenience or Continuity: When Are Patients Willing to Wait to See Their Own Doctor?
Show more Original Research

Similar Articles

Subjects

  • Methods:
    • Mixed methods
  • Other research types:
    • Health policy
    • Professional practice
  • Other topics:
    • Quality improvement
    • Organizational / practice change
    • Patient-centered medical home

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