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Showing papers by "Lee A. Green published in 2012"



Journal ArticleDOI
TL;DR: Using a framework of organizational integration, this work investigated the changing relationship between POs and practices through qualitative interviews and identified new areas of engagement that are proving integral to the broad-scale practice change of patient-centered medical home implementation.
Abstract: The patient-centered medical home is being promoted as a cornerstone for transforming primary care. Physician organizations (POs) are playing a more prominent role by facilitating practices' transformation to the patient-centered medical home. Using a framework of organizational integration, we investigated the changing relationship between POs and practices through qualitative interviews. Through increased integration, POs can support both the big picture and day-to-day activities of practice transformation. Most PO-practice unit connections we identified reflected new areas of engagement-competencies that POs were not developing in the past-that are proving integral to the broad-scale practice change of patient-centered medical home implementation.

9 citations


01 Jan 2012
TL;DR: The Patient-Centered Medical Home model is designed to address the current model of primary care in the United States and improve quality of care, increase satisfaction with care, and lower cost of care.
Abstract: “Implementing the PCMH model can be a major challenge, and many primary care practices may not be ready to undertake such a significant change in care delivery.” _______________ The current model of primary care in the United States is poorly designed and in need of repair (Grol and Grimshaw 2003; IOM 2001; McGlynn et al. 2003; Rosenthal 2008). It is designed to treat acute, episodic illness and limits physicians’ ability to provide proactive, preventive and consistent care over time. The Patient-Centered Medical Home (PCMH) model is designed to address these limitations in several ways:  Enhance outreach and engagement of patients  Better documentation and coordination of care (e.g., use of electronic medical records)  Increase use of population-based disease management (e.g., use of disease registries)  Improve quality of care, increase satisfaction with care, and lower cost of care