doi: 10.1097/JAC.0b013e3181ffc342.
Case study of a primary care-based accountable care system approach to medical home transformation
Affiliations
- PMID: 21160354
- DOI: 10.1097/JAC.0b013e3181ffc342
Item in Clipboard
Case study of a primary care-based accountable care system approach to medical home transformation
J Ambul Care Manage.
2011 Jan-Mar.
Abstract
We report a case study of a mature primary care-based accountable care organization that is both a health plan and a network of medical homes. Over 20 years, WellMed Inc (San Antonio, Texas) implemented many patient-centered services, experimenting to find which belong within clinics and which operate best as system functions. The adjusted mortality rate is half that of the state for people older than 65 years. Hospitalization and readmission rates and emergency department visits have not changed over time, but preventive services have improved. Phased implementation across the network makes it difficult to link improvements to specific processes but they seem to have improved outcomes collectively.
Similar articles
-
Impact of patient-centered medical home assignment on emergency room visits among uninsured patients in a county health system.Med Care Res Rev. 2010 Aug;67(4):412-30. doi: 10.1177/1077558710368682. Epub 2010 Jun 2. Med Care Res Rev. 2010. PMID: 20519430
-
Southside medical homes network: linking emergency department patients to community care.Prehosp Disaster Med. 2008 May-Jun;23(3):282-4. Prehosp Disaster Med. 2008. PMID: 18702276
-
Case studies profile experiences of diverse patient centered Medical home practices.Mich Med. 2011 Jan-Feb;110(1):8-15. Mich Med. 2011. PMID: 21409886 No abstract available.
-
Integrative medicine and patient-centered care.Explore (NY). 2009 Sep-Oct;5(5):277-89. doi: 10.1016/j.explore.2009.06.008. Explore (NY). 2009. PMID: 19733814 Review.
-
The medical home: growing evidence to support a new approach to primary care.J Am Board Fam Med. 2008 Sep-Oct;21(5):427-40. doi: 10.3122/jabfm.2008.05.070287. J Am Board Fam Med. 2008. PMID: 18772297 Review.
Cited by
-
Analysis of Variation in Organizational Definitions of Primary Care Panels: A Systematic Review.JAMA Netw Open. 2022 Apr 1;5(4):e227497. doi: 10.1001/jamanetworkopen.2022.7497. JAMA Netw Open. 2022. PMID: 35426924 Free PMC article.
-
How Do Interventions That Exemplify the Joint Principles of the Patient Centered Medical Home Affect Hemoglobin A1C in Patients With Diabetes: A Review.Health Serv Res Manag Epidemiol. 2014 Oct 31;1:2333392814556153. doi: 10.1177/2333392814556153. eCollection 2014 Jan-Dec. Health Serv Res Manag Epidemiol. 2014. PMID: 28462247 Free PMC article.
-
New Roles for Medical Assistants in Innovative Primary Care Practices.Health Serv Res. 2017 Feb;52 Suppl 1(Suppl 1):383-406. doi: 10.1111/1475-6773.12602. Epub 2016 Nov 10. Health Serv Res. 2017. PMID: 27859097 Free PMC article.
-
Effects of New Funding Models for Patient-Centered Medical Homes on Primary Care Practice Finances and Services: Results of a Microsimulation Model.Ann Fam Med. 2016 Sep;14(5):404-14. doi: 10.1370/afm.1960. Ann Fam Med. 2016. PMID: 27621156 Free PMC article.
-
Primary care-public health linkages: Older primary care patients with prediabetes & type 2 diabetes encouraged to attend community-based senior centers.Prev Med Rep. 2016 Jun 29;4:283-8. doi: 10.1016/j.pmedr.2016.06.023. eCollection 2016 Dec. Prev Med Rep. 2016. PMID: 27462529 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
