ArticleHealth services research2014
Incentivizing primary care providers to innovate: building medical homes in the post-Katrina New Orleans safety net.
Article in Health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements in visit summary design.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Characteristics Associated with Patient-Centered Medical Home Capability in Health Centers: A Cross-Sectional Analysis.Journal of general internal medicine · 2016Article
- Estimating the costs of supporting safety-net transformation into patient-centered medical homes in post-Katrina New Orleans.Medicine · 2016Observational
- Trust and Reflection in Primary Care Practice Redesign.Health services research · 2016Article
- Minnesota's Early Experience with Medical Home Implementation: Viewpoints from the Front Lines.Journal of general internal medicine · 2015Article
- Implementation and Sequencing of Practice Transformation in Urban Practices with Underserved Patients.Quality management in health careArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate safety-net clinics' responses to a novel community-wide Patient-Centered Medical Home (PCMH) financial incentive program in post-Katrina New Orleans. DATA SOURCES/STUDY
settingBetween June 2008 and June 2010, we studied 50 primary care clinics in New Orleans receiving federal funds to expand services and improve care delivery. STUDY
designMultiwave, longitudinal, observational study of a local safety-net primary care system. DATA COLLECTION: Clinic-level data from a semiannual survey of clinic leaders (89.3 percent response rate), augmented by administrative records. PRINCIPAL
findingsOverall, 62 percent of the clinics responded to financial incentives by achieving PCMH recognition from the National Committee on Quality Assurance (NCQA). Higher patient volume, higher baseline PCMH scores, and type of ownership were significant predictors of achieving NCQA recognition. The steepest increase in adoption of PCMH processes occurred among clinics achieving the highest, Level 3, NCQA recognition. Following NCQA recognition, 88.9 percent stabilized or increased their use of PCMH processes, although several specific PCMH processes had very low rates of adoption overall.
conclusionsFindings demonstrate that widespread PCMH implementation is possible in a safety-net environment when external financial incentives are aligned with the goal of practice innovation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.