The patient-centered medical home
(PCMH) is a model for delivering primary care that is
patient-centered, comprehensive, coordinated, accessible, and
continuously improved through a systems-based approach to quality
and safety. As primary care practices across the United States seek
National Committee for Quality Assurance (NCQA) recognition as
patient-centered medical homes (PCMH), they can choose to
administer the Consumer Assessment of Healthcare Providers and
Systems (CAHPS®) Clinician and Group (CG-CAHPS) survey with or
without the PCMH supplemental item set (AHRQ, 2010; Hays et al,
2014; Ng et al., 2016; Scholle et al., 2012). NCQA offers a special
patient experience distinction to practices that opt to use the
PCMH CAHPS items set in their CG-CAHPS survey tool. While over
11,000 practices, representing an estimated 15-18% of primary care
physicians, are currently recognized for PCMH by NCQA (NCQA, 2015),
fewer than 3% of them submit patient experience surveys to NCQA
when applying for recognition under NCQA's PCMH recognition
program. Despite the rapid movement toward PCMH primary care
transformation and the increasing use of CAHPS PCMH items, little
is known about the ways in which practices are using these CAHPS
data and the PCMH supplemental item information (about access,
comprehensiveness, self-management, shared decision making,
coordination of care, and information about care and appointments)
to understand and improve their patients’ experiences during PCMH
transformation. The PCMH Items Demonstration Study will
investigate: • How practices across the U.S. use CAHPS and the PCMH
item set during PCMH transformation, • How practices assemble and
select items for inclusion in their patient experience surveys
(e.g. core, PCMH, supplemental, and custom items), • Primary care
practice leaders’ perspectives on NCQA PCMH Recognition and CAHPS
Patient Experience Distinction, • Effects of changes made during
PCMH transformation on patient experiences reported on CAHPS
surveys and any PCMH items, and • Associations between PCMH
transformation and patient experience scores To achieve the goals
of this project the following data collections will be implemented:
1) Office Manager Questions administered via phone about the
participating practice’s characteristics to describe the type of
practices in the study and to understand how practice
characteristics influence PCMH transformation and patient
experience (Attachment A and B). 2) Physician Interviews
administered via phone with the lead PCMH clinical expert about the
details, decisions and processes of PCMH transformation, NCQA PCMH
Recognition and CAHPS Patient Experience Distinction and their use
of patient of patient experience data during the transformation
process (Attachment C - G). 3) PCMH-A Assessment Tool to be
completed by the lead PCMH clinical expert (before or after the
interview on the standardized form via fax or email) to collect
validated metrics on the “PCMH-ness” of the practice (Attachment
H). 4) CAHPS Patient Experience Data Files, which are patient-level
de-identified CAHPS patient experience data covering the period of
PCMH transformation for the participating practice. These data are
collected independently of this study by the practice (or network)
via their current vendor. We will work with the PCMH clinical
expert (or a person they designate who handles their data) in each
of the participating practices to submit these CAHPS data files
securely to RAND to understand practices’ CAHPS patient experience
trends and associations with PCMH implementation during practices’
PCMH journey.
US Code:
42
USC 299 Name of Law: Healthcare Research and Quality Act of
1999
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
Form 5 PCMH-A Assessment Tool
PCMH Items Demonstration_OMB Statement A_05152017_FINAL_TC.doc
60 Day FRN.pdf
Attachment F-INFO SHEET_15May2017_FINAL.docx
PCMH-A Assessment Tool