Background/Aims: The patient-centered medical home (PCMH) has emerged as a key strategy to redesign and improve primary care in the United States. Many demonstrations are underway, including those in HMORN sites. However, little is known about whether different operational models and implementation strategies will improve health outcomes, patient and staff experience, and financial performance. The aims of this presentation are to highlight 3 PCMH demonstrations and their accompanying evaluations in the HMORN. We propose to take a fresh, comparative look at these evaluations that will include some work that has been previously presented and published. We will emphasize lessons learned in order to facilitate the development of better research and implementation strategies at other sites.
Results: We propose a panel discussion of three case-studies of PCMH evaluations underway in the HMORN - at HealthPartners, Group Health, and Geisinger health systems. Presenters will focus on describing the PCMH implementation strategies and evaluation results at their sites, as well as the study designs and measurement issues. They will also discuss lessons learned from their evaluations.
Conclusions: We hope to use this presentation of these demonstrations and emerging results to develop an ongoing collaboration among investigators at all HMORN organizations involved in evaluating PCMH demonstrations. The session will begin the important need to identify common implementation and evaluation concerns and to propose potential solutions.