PCMH Qualitative Observational Evaluation Methods
| Method | Domains | Source, Version, Purpose, Availability |
|---|---|---|
| Direct observation within the practice environment (example: medical practice waiting room observation guide) | Examples: use of space, people flow, and interpersonal interactions in waiting rooms, nurses’ stations and other back areas; décor and tone of each area; communication among clinicians, staff, and patients | BPCTI. Participant observation sessions conducted throughout the practice at varying times and days of the week Flexibly structured field note template Supplemental Appendix 6, http://www.annfammed.org/content/13/2/168/suppl/DC1 |
| Pathway observations with staff | Staff experience of work. Observe work tasks and workflow for specific staff person and during interactions with coworkers: type of tasks, redundancy, efficiency, demeanor, behaviors, interactions | BPCTI. Observation template guide Supplemental Appendix 7, http://www.annfammed.org/content/13/2/168/suppl/DC1 |
| Pathway observations with adult and pediatric patients | Patient (or parent or guardian) experience of visit. Observe workflow, patient data collection, confidentiality procedures, observation of clinician and staff communication with patient, parent, or guardian, time duration for visit segments | BPCTI. Observation template guide. Researcher takes notes while accompanying patients from check-in through checkout. Informal interviewing during wait times Supplemental Appendix 8, http://www.annfammed.org/content/13/2/168/suppl/DC1 |
BPCTI = Brown Primary Care Transformation Initiative; PCMH = patient-centered medical home.