RT Journal Article
SR Electronic
T1 Assessment and Measurement of Patient-Centered Medical Home Implementation: The BCBSM Experience
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP S74
OP S81
DO 10.1370/afm.1472
VO 11
IS Suppl 1
A1 Alexander, Jeffrey A.
A1 Paustian, Michael
A1 Wise, Christopher G.
A1 Green, Lee A.
A1 Fetters, Michael D.
A1 Mason, Margaret
A1 El Reda, Darline K.
YR 2013
UL http://www.annfammed.org/content/11/Suppl_1/S74.abstract
AB PURPOSE Our goal was to describe an approach to patient-centered medical home (PCMH) measurement based on delineating the desired properties of the measurement relative to assumptions about the PCMH and the uses of the measure by Blue Cross Blue Shield of Michigan (BCBSM) and health services researchers. METHODS We developed and validated an approach to assess 13 functional domains of PCMHs and 128 capabilities within those domains. A measure of PCMH implementation was constructed using data from the validated self-assessment and then tested on a large sample of primary care practices in Michigan. RESULTS Our results suggest that the measure adequately addresses the specific requirements and assumptions underlying the BCBSM PCMH program—ability to assess change in level of implementation; ability to compare across practices regardless of size, affiliation, or payer mix; and ability to assess implementation of the PCMH through different sequencing of capabilities and domains. CONCLUSIONS Our experience illustrates that approaches to measuring PCMH should be driven by the measures’ intended use(s) and users, and that a one-size-fits-all approach may not be appropriate. Rather than promoting the BCBSM PCMH measure as the gold standard, our study highlights the challenges, strengths, and limitations of developing a standardized approach to PCMH measurement.