VCHIP Patient-Centered Medical Home (PCMH) has been challenging for pediatric practices, in part due to the National Committee for Quality Assurance (NCQA). PCMH focus on conditions and processes specific to adult patients.
Realizing the potential challenges faces by pediatric practices, Vermont supported pediatric-informed facilitators to help practices during PCMH transformation.
This study characterizes the impact of pediatric-informed facilitators, provides benchmark data on NCQA scores, number of facilitation meetings and the time between facilitation start and end, and compares pediatric and adult-serving practices.
We found no difference between pediatric and matched adult-serving practices in NCQA score, number of facilitation meetings, or weeks to NCQA scoring. These results suggest that pediatric-informed facilitators can help pediatric practices achieve NCQA PCMH recognition on par whit practices serving adult patients. Supporting primary care practices whit specialty-informed facilitators can assist integration into healthcare reform efforts.
Harder, V.S., Long, W.E., Varni, S.E., Samuelson, J., Shaw, J.S. (2016). Pediatric-Informed Facilitation of Patient-Centered Medical Home Transformation. Sage Journals-Clinical Pediatrics 56(6) 564-570. https://doi.org/10.1177/0009922816669788