How to Scale Up Primary Care Transformation: What We Know and What We Need to Know?
- Charles J. HomerAffiliated withNational Initiative for Children’s Healthcare QualityHarvard Medical School and School of Public Health Email author
- , Richard J. BaronAffiliated withGreenhouse Internists, P.C.
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Becoming a medical home is a radical change, requiring both a new mental model for primary care and the skills and resources to accomplish it. Although numerous reports indicate practice change is feasible—particularly with technical support and either insulation from or alignment with financial incentives—sustained transformation appears difficult. We identified the following critical success factors: leadership, financial resources, personal and organizational relationships, engagement with patients and families, competence in management, improvement methods and coaching, health information technology properly applied, care coordination support, and staff development. Each factor raises researchable questions about what policies can facilitate achieving success so that transformation becomes mainstream rather than the province of the innovative few.
Key wordsmedical home primary care transformation patient centered medical home
- How to Scale Up Primary Care Transformation: What We Know and What We Need to Know?
Journal of General Internal Medicine
Volume 25, Issue 6 , pp 625-629
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- medical home
- primary care
- patient centered medical home
- Industry Sectors
- Author Affiliations
- 1. National Initiative for Children’s Healthcare Quality, 30 Winter St, 6th Floor, Boston, MA, 02108-4720, USA
- 2. Harvard Medical School and School of Public Health, Boston, MA, USA
- 3. Greenhouse Internists, P.C., Philadelphia, PA, USA