Evaluating patient-centered medical homes transformation in broward county, Florida
Description: PCMH model was selected for focused evaluation based on its potential to transform care delivery among un/underinsured populations. We initially developed a comprehensive evaluation utilizing PCMH standards, clinical measures, and cost measures. As we learned more about the clinics and their disparate technology and preparedness for transformation, we discovered that our evaluation plan would produce findings of limited use. We reconstructed our evaluation to provide value for the community, and collaboratively developed a mixed-methods evaluation of PCMH readiness and implementation.
Lessons Learned: To better understand current-state PCMH and inform on future transformation activities, we revised our evaluation plan to incorporate organizational culture, patient experience, and identification of promising practices. In place of the intended quantitative evaluation, we developed a mixed-methods formative and process evaluation which incorporates semi-structured interviews, patient experience surveying and on-site observation. Conclusion: We will present a community-informed mixed-methods approach for evaluating PCMH transformation that provides useful information for safety-net clinics. We will present the tools and findings from our analysis underway.
Learning Areas:Administration, management, leadership
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Other professions or practice related to public health
Public health or related research
Formulate a community-informed mixed-methods evaluation of PCMH implementation and transformation activities. Identify best practices for evaluating opportunities and challenges facing providers implementing PCMH and transforming their practices. Assess potential organizational or systemic challenges to successfully implementing PCMH transformation in primary care clinics, particularly safety-net providers that serve disadvantaged and underserved communities.
Keyword(s): Community Health Centers, Health Care Reform
Qualified on the content I am responsible for because: I am an Assistant Professor of Public Health at Nova Southeastern University where I teaches epidemiology and works with the healthcare community on several ongoing projects related to community health. Prior to this, I was employed at Health Choice Network, a national network of FQHCs for eight years, where I led national, state and local initiatives in chronic disease management, behavioral health, school health, cancer prevention, technology-supported quality improvement and PCMH preparedness.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.