AHRQ Identifies Themes for Successful Transformation to Patient-Centered Medical Home
Five common themes have been identified among primary care practices that have successfully transformed into patient-centered medical homes (PCMHs), according to an AHRQ-funded supplement to the May issue of Annals of Family Medicine. AHRQ funded 14 studies of diverse U.S. primary care practices from 2010-2012 to identify common approaches and methods for successful transformation to the PCMH model. The five themes, identified among approximately 3,800 practices reviewed, are: a strong structural capacity such as having a functional electronic health record, as well as operational management systems and broad organizational support; an understanding that PCMH transformation takes time and is challenging; the ability to integrate more team-based care, which allows for new team members, expanded roles and cross training; visionary leadership and a supportive culture to facilitate change; and, contextual factors such as state and local policies that are closely linked to outcomes. These themes are detailed in an editorial titled “Lessons Learned from the Study of Primary Care Transformation,” which is co-authored by AHRQ’s Robert J. McNellis, M.P.H., P.A., Janice L. Genevro, Ph.D., M.S.W. and David S. Meyers, M.D. Select to access the Annals of Family Medicine supplement.