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Evidence and Evaluation
About the Evidence:
Policy decisions concerning the PCMH must rest on sound evidence about whether this model of care improves patient outcomes and reduces cost. In this section, explore resources for evaluators when considering the design of medical home interventions.
PCMH Papers and Briefs
Explore AHRQ’s papers and briefs on designing strong evaluations and developing the evidence base for the medical home model.
| Title | Brief Description | HTML | |
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| Building the Evidence Base for the Medical Home: What Sample and Sample Size Do Studies Need? | Evaluations of the medical home should account for clustering of patients within practices. This paper describes why and how to do this and what samples of patients and practices are needed for studies to achieve adequate statistical power. | (PDF-368.48KB)
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| Improving Evaluations of the Medical Home | A concise description for decisionmakers of why and how to commission effective evaluations of medical home demonstrations. Learn what outcomes to assess, why to include control practices, and why not accounting for clustering can doom an evaluation. | (PDF-88.66KB)
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| The Medical Home: What Do We Know, What Do We Need to Know?: A Review of the Current State of the Evidence on the Effects of the Patient Centered Medical Home Model | Amid burgeoning efforts to create medical homes across the U.S., this paper describes the evidence we have so far on the effects of precursors to the medical home model on key outcomes, and how to improve studies in the future. |
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Evaluation Tools
Explore resources designed to assist researchers in evaluating care coordination and consumer experience, two crucial elements of the medical home.
| Evaluation Tools | Brief Description | HTML | |
|---|---|---|---|
| Care Coordination Measure Atlas | This resource lists existing measures of care coordination, with a focus on ambulatory care, and presents a framework for understanding care coordination measurement. The Atlas is useful for evaluators of projects aimed at improving care coordination and for quality improvement practitioners and researchers studying care coordination. | (PDF-2.2MB)
PDF Help | HTML |
| PCMH-CAHPS | The Consumer Assessment of Healthcare Providers and Systems (CAHPS) program develops and supports the use of a comprehensive and evolving family of standardized surveys that ask consumers and patients to report on and evaluate their experiences with health care. | HTML |
To learn more, select here for a search of our citations database.
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