Contract No. 290-2010-00004-I, Task Order No. 10
Prepared by: Jessie Gerteis, MPH, Abt Associates, Inc.; Beth Kantz, RN, MS, Corrigan/Kantz Consulting
Contents
Acknowledgments
Copyright and Source Information
Executive Summary
Introduction
Methods
Overview of the 14 Transforming Primary Care Grants
Approaches to Transformation
Methods Used to Study Transformation
Key Themes Across Grants
Transformation is an Ongoing Process, and Does Not End With PCMH Recognition
Motivation and Readiness to Transform Vary Across Practices
Changes in Practice Culture and Mental Models Are Often Required
Contextual Factors Play an Important Role in the Success of Transformation Efforts
Care Coordination and Team-Based Care Are Key Elements of Transformation
Practice Transformation Involves Inherent Tradeoffs
Transformation Requires Supplemental Funding, and Sustainability Will Require Payment Reform
Key Study Outcomes Across Grants
Access
Quality
Health Outcomes
Utilization
Health Care Costs
Provider and Patient Satisfaction
Conclusions and Implications
References
Appendices
Appendix A. Key Characteristics of Transforming Primary Care Grants
Appendix B. Health Outcomes Reported in Transforming Primary Care Studies
Acknowledgments
The authors thank the investigators from the Transforming Primary Care Practice grants for their contributions to this field of research.
Copyright and Source Information
Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 5600 Fishers Lane, Rockville, MD 20857. www.ahrq.gov
Source: This report was prepared by Abt Associates and Corrigan/Kantz Consulting under contract with the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD, U.S. Department of Health and Human Services (Contract No. HHSA-290-2010-00004-I, Task Order No. 10).
Disclaimer: The findings and conclusions in this document are those of the authors, who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Copyright Information: This document is in the public domain and may be used and reprinted without permission.
