Literature DB >> 24415504

A collaborative approach to achieving NCQA PCMH recognition within family medicine residency practices.

Carina M Brown1, Peter F Cronholm, Jessica Wright, William J Warning, Lee Radosh, Robert Gabbay.   

Abstract

BACKGROUND AND OBJECTIVES: The Pennsylvania Academy of Family Physicians (PAFP) developed a statewide Residency Program Collaborative (RPC) to facilitate family medicine residency practices in Pennsylvania becoming recognized patient-centered medical homes (PCMHs). This report outlines the methods and a brief evaluation of the RPC, which included 20 residency practices. Participants attended tri-annual learning sessions and monthly conference calls, received physician faculty mentorship, and reported clinical quality data monthly on diabetes and ischemic vascular disease.
METHODS: Two years after the start of the RPC, surveys were sent to residents, staff, providers, and administrators at participating practices to measure attendance and usefulness of collaborative sessions, mentors, and monthly reports. Evaluators also mapped the RPC curriculum to the Accreditation Council of Graduate Medical Education (ACGME) Core Competencies.
RESULTS: All 20 participating practices achieved National Committee for Quality Assurance (NCQA) PCMH recognition, with 17 attaining Level 3 recognition. A total of 295 surveys were collected (92 residents, 71 faculty, and 132 office staff/administrators). Survey data showed higher collaborative attendance for residents and faculty compared to office staff/administrators (~84% versus 45%). No differences were noted between resident and faculty respondents regarding perceived helpfulness of collaborative sessions (6.3 and 6.5, respectively), mentors (6.6 and 6.2) and monthly reports (6.4 and 6.5), with both groups rating these components more highly than staff/administrators (5.3, 5.3, and 5.4 for each category).
CONCLUSIONS: Learning collaboratives can assist residency practices in achieving PCMH recognition while concurrently providing an educational framework aligned with residency program Core Competencies. The RPC intervention, including learning sessions, monthly conference calls, data reporting, and faculty mentors, also can effectively guide residency practices in the PCMH transformation process and can serve as a means to experientially imbue future family physicians with the attitudes and skills to create and effectively operate their practices under PCMH principles.

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Year:  2014        PMID: 24415504

Source DB:  PubMed          Journal:  Fam Med        ISSN: 0742-3225            Impact factor:   1.756


  4 in total

1.  Continuity of Care as an Educational Goal but Failed Reality in Resident Training: Time to Innovate.

Authors:  Matthew S Ellman; Daniel G Tobin; Jadwiga Stepczynski; Benjamin Doolittle
Journal:  J Grad Med Educ       Date:  2016-05

2.  Patient-Centered Medical Home Knowledge and Attitudes of Residents and Faculty: Certification Is Just the First Step.

Authors:  Fadya El Rayess; Roberta Goldman; Christopher Furey; Rabin Chandran; Arnold R Goldberg; Gowri Anandarajah
Journal:  J Grad Med Educ       Date:  2015-12

3.  Patient-Centered Medical Home Status and Preparedness to Assess Resident Milestones: A CERA Study.

Authors:  Thad Wilkins; Wonsuk Yoo; Ralph A Gillies; Julie Dahl-Smith; Jacqueline Dubose; Joseph Hobbs; Selina Smith; Dean A Seehusen
Journal:  PRiMER       Date:  2018-05

4.  Effects of adding a new PCMH block rotation and resident team to existing longitudinal training within a certified PCMH: primary care residents' attitudes, knowledge, and experience.

Authors:  Gowri Anandarajah; Christopher Furey; Rabin Chandran; Arnold Goldberg; Fadya El Rayess; David Ashley; Roberta E Goldman
Journal:  Adv Med Educ Pract       Date:  2016-08-04
  4 in total

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