Table 3

Primary Data Sources Analyzed Across Essential Medical Home Attributes

Essential Medical Home AttributePrimary Data Source
MHIaClinician Staff QuestionnairebSemistructured Interviews
Continuous QIMHI domain of QI was most improved theme between precollaborative time point (3.16) and current time point (5.79)AR mean score was 0.75; of 23 AR items, 12 relate to QI functionsInterviews emphasized QI as ongoing and enduring (rather than rapid, time-limited transformation)
FCCMHI question about “practice knowledge and application” of FCC principles; 100% of cohort knowledgeable and sometimes (25%) or regularly (75%) apply FCCMean score for CMHI question on practice team “value of family engagement” was 0.80Interviews emphasized value of family involvement in the MHLC; this emphasis continues today; practice actions and materials emphasized FCC
Team-based care/teamworkMHI scores converted to a 100-point scale improved overall between precollaborative and current time points (34%); concept of “team” integrated across the MHIAR mean score was 0.75; AR is a measure of the team’s ability to make and sustain changesInterviews highly emphasized teamwork and team attitude
CC (team-based CC)MHI domain of CC improved between precollaborative time point (3.82) and current time point (6.39)AR mean score was 0.75; combines and averages lead PCP and CC scores (as key team members)Interviews of highest emphasis included quotes referencing CC, teamwork, and attitude (of 47% characteristic quotes 50% address)
  • AR = adaptive reserve; CC = care coordination; CMHI = Center for Medical Home Improvement; FCC = family-centered care; MHI = Medical Home Index; MHLC = medical home learning collaborative; PCP = primary care provider; QI = quality improvement.

  • a MHI scale ranged from 1 to 8. Total MHI scores are expressed as a percentage of a maximum of 100.

  • b AR scores were transformed to a 100-point scale to allow comparison with MHI scores. AR scale ranged from 0.0 to 1.0.