Using an Expanded Outcomes Framework and Continuing Education Evidence to Improve Facilitation of Patient-Centered Medical Home Recognition and Transformation

• Published in: Teaching and learning in medicine 2014-01, Vol.26 (1), p.27-33
• Main Authors: Van Hoof, Thomas J., Kelvey-Albert, Michele, Katz, Matthew, Lalime, Ken, Sacks, Ken, Meehan, Thomas P.
• Format: Article
• Language: English
• Subjects: Connecticut; continuing education; Diffusion of Innovation; Education, Medical, Continuing - methods; Education, Medical, Continuing - standards; Evidence-Based Practice; Female; Humans; Male; Models, Organizational; Patient-Centered Care; patient-centered medical home; primary care; Primary Health Care; Program Evaluation; Quality of Health Care
• ISSN: 1040-1334; 1532-8015
• DOI: 10.1080/10401334.2013.857331

Background: The patient-centered medical home is a model for delivering primary care in the United States. Primary care clinicians and their staffs require assistance in understanding the innovation and in applying it to practice. Purposes: The purpose of this article is to describe and to critique a continuing education program that is relevant to, and will become more common in, primary care. Methods: A multifaceted educational strategy prepared 20 primary care private practices to achieve National Committee for Quality Assurance Level 3 recognition as Patient-Centered Medical Homes. Results: Eighteen (90%) practices submitted an application to the National Committee for Quality Assurance. On the first submission attempt, 13 of 18 (72%) achieved Level 3 recognition and 5 (28%) achieved Level 1 recognition. Conclusion: An interactive multifaceted educational strategy can be successful in preparing primary care practices for Patient-Centered Medical Homes recognition, but the strategy may not ensure transformation. Future educational activities should consider an expanded outcomes framework and the evidence of effective continuing education to be more successful with recognition and transformation.