| Study/PI |
Chronic Disease |
Clinical Measures |
Reported Results |
A Study of the Patient-Centered Medical Home: Lessons From a New York State Community Health Center
Neil Calman, MD |
Diabetes |
HbA1c |
- Overall 0.5% decrease in mean annual HbA1c from baseline to end of the 6-year transformation period.
- Results by baseline HbA1c:
- ≥9%: 2.38% decrease
- <9%: 0.34% increase
|
Transforming Primary Care Practice in North Carolina
Katrina E. Donahue, MD, MPH |
Diabetes |
- HbA1c <9%
- LDL cholesterol <100 mg/dL
- Blood pressure <130/80 mm Hg
|
Percent of practices that increased the proportion of patients achieving the target value in the first year of PCMH transformation:
- HbA1c: 50% of practices
- LDL cholesterol: 55% of practices
- Blood pressure: 73% of practices
|
Transforming Primary Care: Evaluating the Spread of Group Health's Medical Home
Robert Reid, MD, MPH, PhD |
Diabetes
Cardiovascular disease
|
Diabetes:
- HbA1c <9%
- LDL cholesterol ≤100 mg/dL
Cardiovascular:
- Blood pressure <140/90 mm Hg
|
Diabetes:
- Statistically significant increase in the proportion of patients with diabetes who achieved HbA1c or LDL cholesterol target.
Cardiovascular:
- Statistically significant increase in the proportion of patients who achieved blood pressure target.
|
TransforMN Study
Leif Solberg, MD |
Diabetes
Cardiovascular disease
|
Diabetes:
- HbA1c ≤7%
- Blood pressure ≤130/80 mm Hg
- LDL cholesterol ≤100 mg/dL
Cardiovascular disease:
- Blood pressure ≤130/80 mm Hg
- LDL cholesterol ≤100 mg/dL
|
Diabetes:
- 2.1% increase (p<0.001) in the proportion of PCMH clinics in which all patients achieved all target diabetes measures (optimal care).
- 24.6% of patients in PCMH clinics vs. 16.6% in nonPCMH clinics achieved all target diabetes measures.
Cardiovascular:
- 4.4% increase (p<0.001) in the proportion of health care home clinics in which all patients achieved all target cardiovascular measures (optimal care).
- 41.6% of patients in PCMH clinics vs. 31.4% in nonPCMH clinics achieved all target cardiovascular measures.
|
A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania
Robert A. Gabbay, MD, PhD |
Diabetes |
- HbA1c <7%
- Blood pressure <130/80 mm Hg
- LDL cholesterol <100 mg/dL
|
- Percent of patients achieving the target values increased slightly following PCMH transformation.
- Level of improvement varied by practice:
- In the five most-improved practices, the percent of patients meeting the target values for HbA1c, LDL cholesterol, and blood pressure increased by 8.8%, 14.9%, and 19.4%, respectively.
- In the five least-improved practices, the percent of patients meeting the target values for HbA1c, LDL cholesterol, and blood pressure decreased by 11.8%, 8.3%, and 13.2%, respectively.
|
