Are Primary Care Practices Ready to Become Patient-Centered Medical Homes?

Date
2013
Journal
The Journal of Rural Health
Description

Purpose:

To measure the readiness of rural primary care practices to qualify as patient-centered medical homes (PCMHs), one step toward participating in changes underway in healthcare finance and delivery.

Methods:

We used the 2008 Health Tracking Physician Survey to compare PCMH readiness scores among metropolitan and nonmetropolitan primary care practices. The National Committee on Quality Assurance (NCQA) assessment system served as a framework to assess the PCMH capabilities of primary care practices based on their services, processes, and policies.

Findings:

We found little difference between urban and rural practices. Approximately 41% of all primary care practices offer minimal or no PCMH services. We also found that large practices score higher on standards primarily related to information technology and care management.

Conclusions:

Achieving the benefits of the PCMH model in small rural practices may require additional national promotion, technical assistance, and financial incentives.

Center
RUPRI Center for Rural Health Policy Analysis
Authors
A. MacKinney, Fred Ullrich, Keith Mueller