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 patientsâ 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 leadersâ 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 practiceâs 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 âPCMH-nessâ 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 practicesâ CAHPS patient experience trends and associations with PCMH implementation during practicesâ 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