Understanding the Direct and Indirect Costs of Transformation to Medical Homes

了解医疗之家转型的直接和间接成本

• 批准号: 8628279
• 负责人: Jacqueline R Halladay
• 金额: $ 10万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2015-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8628279
• 关键词: Understanding; Direct; Indirect; Costs; Transformation

DESCRIPTION (provided by applicant): The Patient-Centered Medical Home (PCMH) model involves complete primary care practice redesign with the ultimate goal of improving the quality of patient care and at reduced cost. Detailed information regarding the practice level costs of performing transformative activities is needed to help the growing number of practices and practice organizations as they navigate this process. The overall objective of this study is to examine the direct and indirect practice level costs of supporting care transformation by evaluating costs within five small to medium sized primary care practices that have demonstrated improved clinical outcomes in diabetes or asthma measures within the North Carolina Practice Support Program and have also received PCMH recognition status by the National Committee for Quality Assurance. The aims of the study are to 1) analyze the overall costs of transformative activities that are supported by the NC AHEC practice support program that include the original and ongoing quality improvement activities defined by the NC IPIP program as well as the activities performed to qualify these practices as Medical homes by NCQA and 2) to disseminate our costs analysis results to stakeholders in health care and care transformation. This project will enhance understanding of the practice level costs of transformation which will be of value to policy makers, quality improvement organizations and primary care physicians. It is expected that products of this work could help practices streamline and anticipate costs when embarking on work related to practice transformation.

描述（由申请人提供）：以患者为中心的医疗之家（PCMH）模式涉及完整的初级保健实践的重新设计，其最终目标是提高患者护理的质量和降低成本。需要关于执行转换活动的实践级别成本的详细信息，以帮助越来越多的实践和实践组织驾驭这个过程。本研究的总体目标是通过评估五个中小型初级保健实践的成本来检查支持护理转变的直接和间接实践水平成本，这些实践在北卡罗莱纳州实践支持计划中证明了糖尿病或哮喘措施的临床结果得到改善，并且还获得了PCMH国家质量保证委员会的认可。本研究的目的是：1)分析NC AHEC实践支持计划支持的变革活动的总体成本，包括NC IPIP计划定义的原始和持续的质量改进活动，以及NCQA为使这些实践成为医疗之家而进行的活动；2)将我们的成本分析结果传播给医疗保健和护理转型的利益相关者。这个项目将加强对实践层面的成本的理解，这将对政策制定者、质量改进组织和初级保健医生有价值。在着手与实践转换相关的工作时，期望这项工作的产品可以帮助实践简化和预测成本。

项目成果

The Cost to Successfully Apply for Level 3 Medical Home Recognition.

成功申请 3 级医疗之家认证的费用。

• DOI: 10.3122/jabfm.2016.01.150211
• 发表时间: 2016
• 期刊: Journal of the American Board of Family Medicine : JABFM
• 作者: Halladay,JacquelineR;Mottus,Kathleen;Reiter,Kristin;Mitchell,CMadeline;Donahue,KatrinaE;Gabbard,WilsonM;Gush,Kimberly
• 通讯作者: Gush,Kimberly