Evaluating a patient centered medical home from the patient s perspective
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Evaluating A Patient-Centered Medical Home from the Patient’s Perspective. Betty M. Kennedy, PhD Community Outreach Specialist. Co-Authors. Sarah Moody-Thomas, PhD Peter T. Katzmarzyk, PhD Ronald Horswell, PhD Willene P. Griffin, MSW, LCSW. Mary T. Coleman, MD, PhD

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Evaluating A Patient-Centered Medical Home from the Patient’s Perspective

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Evaluating a patient centered medical home from the patient s perspective

Evaluating A Patient-Centered Medical Homefrom the Patient’s Perspective

Betty M. Kennedy, PhD

Community Outreach Specialist


Co authors

Co-Authors

  • Sarah Moody-Thomas, PhD

  • Peter T. Katzmarzyk, PhD

  • Ronald Horswell, PhD

  • Willene P. Griffin, MSW, LCSW

  • Mary T. Coleman, MD, PhD

  • Jane Herwehe, MPH

  • Kathleen H. Willis, MD

  • Jay A. Besse, BS


Background

Background

The medical home is an organizational approach to improve care, improve patient experience, and reduce medical costs. The patient-centered medical home seeks to address some of the widely recognized inadequacies of primary care delivery by facilitating partnerships among the patient, physician, and healthcare team.1,2

1Berckelaer et al. J Am Board Fam Med. 2012;25:192-198.

2American Academy of Family Physicians 2007: www.acponline.org


Purpose

Purpose

The purpose of this qualitative project was to receive input from patients to improve their experiences within the medical home for ongoing disease management and health improvement, and to obtain their recommendations for the most effective methods to involve patients in shaping system policies, procedures and practices consistent with patient and family-centered care principles.


Methods

Methods

A sample of 32 adult patients participated in cognitive interviews (n = 15) and structured focus groups (n = 17) using the Nominal Group Technique (NGT). Exit surveys collected demographic information and input from patients about opportunities for their involvement in shaping medical homes.


Results

Results

  • Both cognitive interviews and NGT sessions revealed patient-perceived strengths and inadequacies within the medical home. Better access to care including more efficient times for patients to schedule appointments, and reduced wait time to see a physician once patients arrive for scheduled appointments were perceived as needing improvements.

  • Despite inadequacies, equally as important were positive perceptions patients noted about how this medical home helps them reach their health goals, how concerned physicians and nurses are about providing them with high quality healthcare, and satisfaction overall with the care they receive within this clinic.


Conclusion

Conclusion

Cognitive interviewing, structured focus groups, and exit surveys with patients can be used to identify needed improvements in moving a healthcare system to be more responsive to patients’ preferences, needs, and values.


Acknowledgements

Acknowledgements

Thanks to all LSU HCSD clinics, faculty, staff, and others involved for supporting this qualitative work within LSU medical homes. [Ongoing]

Special thanks to all Medical Home sites and patients within the medical home for participating in this quality improvement project. [Ongoing]

This work was supported by Louisiana State University’s Improving Clinical Outcomes Network (LSU ICON).


Evaluating a patient centered medical home from the patient s perspective

Community Outreach Core ServicesExamples include:Focus groups, mini seminars & workshops Patient recruitment of high risk sub-groups


Questions

Questions?


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