The New York City Research and Improvement Networking Group (NYC RING)

Effect of Implementing Patient Centered Medical Home (PCMH) Care Model on the Patient's Experience

This project is a prospective cohort study using surveys and methods of assessment to identify and measure changes in outcome and patient experience following the implementation of a Patient Centered Medical Home (PCMH) care model.

Participating Practices
Montefiore Medical Group sites in Bronx, NY: Family Health Center, Bronx East, Grand Concourse, Williamsbridge, Co-Op City, Comprehensive Health Care Center

Principal Investigator
Diane McKee, MD, MS

Project Timeline
Launch: August 2010
Data Collection: Beginning Summer 2011
Current through December 2013

Study Overview
The implementation of PCMH has sought to reorganize care in an effort to improve health outcomes. The main goals of the PCMH initiative are 1) to improve the quality of preventative and chronic disease care; 2) to improve patients' experiences; 3) to increase associate and physician satisfaction; and 4) to remain cost neutral across the care delivery system. Changes in patient satisfaction and their perceptions of medical providers' teamwork and communication from pre-implementation of PCMH care model to the years following implementation will be assessed through on site distribution of surveys. Patients in waiting rooms will be randomly selected and asked to fill out a survey and upon completion, they will then be asked to continue their participation as a prospective cohort and fill out additional quantitative surveys to be completed 9-12 and 21-24 months later. The project will identify which care processes have the most impact on outcomes of interest and will inform both payers and practices as local and national care continues to be transformed.

Contact information:
Program Coordinator: Claudia Lechuga, MS,, (718) 430-2023
Research Assistants: Stephanie Neves, MA; Nick Licciardello, MPH

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