Managed Care

 

Evaluating the Tools Used to Assess the Medical Home

MANAGED CARE June 2009. © MediMedia USA
Peer-Reviewed

Evaluating the Tools Used to Assess the Medical Home

Nine instruments were reviewed based on the extent that they measured the four attributes of primary care. Only one fully met the recommended criteria.
Rebecca A. Malouin, PhD, MPH
Department of Family Medicine and Department of Pediatrics and Human Development, Michigan State University
Barbara Starfield, MD, MPH
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health
Martin Jose Sepulveda, MD
Integrated Health Services, IBM Corp.
MANAGED CARE June 2009. ©MediMedia USA

Nine instruments were reviewed based on the extent that they measured the four attributes of primary care. Only one fully met the recommended criteria.

Rebecca A. Malouin, PhD, MPH

Department of Family Medicine and Department of Pediatrics and Human Development, Michigan State University

Barbara Starfield, MD, MPH

Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health

Martin Jose Sepulveda, MD

Integrated Health Services, IBM Corp.

Abstract

Purpose: The patient-centered medical home is evolving as an approach to providing primary care. Primary care is defined by four main characteristics: comprehensive, coordinated, continuous, and accessible care, all of which are measurable. This analysis identifies tools for determining whether a patient-centered medical home achieves high level primary care.

Design: Instruments for measuring primary care were reviewed.

Method: Tools were reviewed for population coverage, format, testing of validity and reliability, and inclusion of the attributes of primary care.

Principal findings: Only one tool, the Primary Care Assessment Tool (PCAT), scored highly on primary care features, as it was designed to assess both structural and process features of primary care and is available in multiple user formats.

Conclusion: Based on the evidence supporting the relationship between primary care, improved population health, and reduced health care costs, measurement of primary care transformation approaches such as the medical home can and should include specific measurement of the services associated with the four core attributes of primary care.

Meetings

2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
6th Semi-Annual Diagnostic Coverage and Reimbursement Conference Boston December 4–5, 2014
Customer Analytics & Engagement in Health Insurance Chicago December 4–5, 2014
Pharmaceutical and Biotech Clinical Quality Assurance Conference Alexandria, VA December 4–5, 2014
9th Semi-Annual Medical Device Coverage and Reimbursement Conference San Diego December 5, 2014
8th Annual Medical Device Clinical Trials Conference Chicago December 8–9, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015