Committee on Core Metrics for Better Health at Lower Cost;
David Blumenthal, Elizabeth Malphrus, and J. Michael McGinnis, Editors, IOM
Study: Quality of Care Higher in Medical Homes Compared with Other Practices
Physician practices that become patient-centered medical homes can expect to achieve modest improvements in health care quality compared with traditional practices, according to a new Commonwealth Fund–supported study in Annals of Internal Medicine. The researchers, led by Lisa M. Kern, M.D., of Weill Cornell Medical College, compared medical home practices with two types of traditional practices, one using paper records and one using electronic health records (EHRs). All medical homes also have an EHR system.
In addition, the study found that the new roles and relationships of providers and staff working in medical homes may be at least as important as EHR usage in driving quality improvement. Defining team members’ roles and responsibilities, establishing a culture of population management, and becoming accountable for performance are also critical to successful medical home transformation—though the latter two are greatly enabled by EHRs, the researchers say.
Read more about this important new study: 1753_kern_pcmhs_ehrs_quality_care_annintmed_06_2014_itl
Geiger Gibson/RCHN Community Health Foundation Research Collaborative Policy Research Brief # 36; Peter Shin, PhD, MPH; Jessica Sharac, MSc, MPH; Sara Rosenbaum, JD
This report provides updated estimates of the number of community health center patients who are expected to gain insurance coverage under health reform. Our original report that estimated the impact of the ACA on uninsured health center patients was based on 2011 Uniform Data System data, while this updated analysis uses 2012 data and includes New Hampshire among the Medicaid expansion states. We estimate that were all states to expand Medicaid, 5.2 million uninsured health center patients would gain coverage nationally. But because 24 states have not done so, nearly 1.1 million patients will remain uninsured. Health center patients living in southern states are disproportionately affected. Among health center patients denied Medicaid, approximately 71 percent live in the South.
2014 Update Report – Full Report