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Effects of Hospital Systems on Medical Home Transformation in Primary Care Residency Training Practices

Kyle KnierimUniversity of Wyoming School of Pharmacy, Swedish Family Medicine Residency, Littleton, Colorado (Dr Onysko)Tristen HallDepartment of Family Medicine, University of Colorado School of Medicine, Aurora (Drs Knierim and Dickinson, Ms Hall, and Mr Fernald)Douglas H. FernaldHealthTeamWorks, Golden, Colorado (Ms Buscaj)Thomas StaffThe authors acknowledge The Colorado Health Foundation for its funding of the Colorado Residency PCMH Collaborative Project.The authors have no conflicts of interest to reportEmilie BuscajStaff)Jessica Cornett AllenDepartment of Family Medicine, University of Colorado School of Medicine, Aurora (Drs Knierim and Dickinson, Ms Hall, and Mr Fernald)Mary OnyskoBuscaj)W. Perry DickinsonUniversity of Wyoming School of Pharmacy, Swedish Family Medicine Residency, Littleton, Colorado (Dr Onysko)

Journal of Ambulatory Care Managementjournal2016en

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Annotatsiya

Most primary care residency training practices have close financial and administrative relationships with teaching hospitals and health systems. Many residency practices have begun integrating the core principles of the patient-centered medical home (PCMH) into clinical workflows and educational experiences. Little is known about how the relationships with hospitals and health systems affect these transformation efforts. Data from the Colorado Residency PCMH Project were analyzed. Results show that teaching hospitals and health systems have significant opportunities to influence residency practices' transformation, particularly in the areas of supporting team-based care, value-based payment reforms, and health information technology.

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Mavzular

Primary Care and Health Outcomes Healthcare Systems and Technology Healthcare Policy and Management

Identifikatorlar

DOI: 10.1097/jac.0000000000000161

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