Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers

Samantha L Solimeo; Kenda R Stewart; Gregory L Stewart; Gary Rosenthal

doi:10.1016/j.hjdsi.2014.07.004

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Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers

Journal article

Peer reviewed

Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers

Samantha L Solimeo, Kenda R Stewart, Gregory L Stewart and Gary Rosenthal

Healthcare : the journal of delivery science and innovation, Vol.2(4), pp.245-250

12/2014

DOI: 10.1016/j.hjdsi.2014.07.004

PMID: 26250631

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Abstract

Implementation of a patient centered medical home challenges primary care providers to change their scheduling practices to enhance patient access to care as well as to learn how to use performance metrics as part of a self-reflective practice redesign culture. As medical homes become more commonplace, health care administrators and primary care providers alike are eager to identify barriers to implementation. The objective of this study was to identify non-technological barriers to medical home implementation from the perspective of primary care providers. We conducted qualitative interviews with providers implementing the medical home model in Department of Veterans Affairs clinics—the most comprehensive rollout to date. Primary care providers reported favorable attitudes towards the model but discussed the importance of data infrastructure for practice redesign and panel management. Respondents emphasized the need for administrative leadership to support practice redesign by facilitating time for panel management and recognizing providers who utilize non-face-to-face ways of delivering clinical care. Health care systems considering adoption of the medical home model should ensure that they support both technological capacities and vertically aligned expectations for provider performance.

Qualitative research

Leadership

Telemedicine

Primary health care

Organizational culture

Patient aligned care team

Patient-centered care

Veterans health

Health care quality, access, and evaluation

Empanelment

Details

Title: Subtitle: Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers
Creators: Samantha L Solimeo - US Department of Veterans Affairs, VISN 23 Patient Aligned Care Team Demonstration Lab, Iowa City VA Health Care System, Iowa City, IA 52246, United States
Kenda R Stewart - US Department of Veterans Affairs, VISN 23 Patient Aligned Care Team Demonstration Lab, Iowa City VA Health Care System, Iowa City, IA 52246, United States
Gregory L Stewart - US Department of Veterans Affairs, VISN 23 Patient Aligned Care Team Demonstration Lab, Iowa City VA Health Care System, Iowa City, IA 52246, United States
Gary Rosenthal - US Department of Veterans Affairs, VISN 23 Patient Aligned Care Team Demonstration Lab, Iowa City VA Health Care System, Iowa City, IA 52246, United States
Resource Type: Journal article
Publication Details: Healthcare : the journal of delivery science and innovation, Vol.2(4), pp.245-250
DOI: 10.1016/j.hjdsi.2014.07.004
PMID: 26250631
NLM abbreviation: Healthc (Amst)
ISSN: 2213-0764
eISSN: 2213-0772
Publisher: Elsevier Inc
Grant note: name: Office of Patient Care Services; name: Center for Comprehensive Access & Delivery Research and Evaluation (CADRE) (Grant no. CIN 13-412)
Language: English
Date published: 12/2014
Academic Unit: Management and Entrepreneurship ; General Internal Medicine; Internal Medicine
Record Identifier: 9984094377302771

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