NCQA Scoring and Patient Experience

Patient experience, 1 of 3 aims for improving health care, is rarely included in studies of patient-centered medical home (PCMH) transformation. This study examines the association between patient experience and National Committee on Quality Assurance (NCQA) PCMH transformation.

This was a cross-sectional study of parent-reported child patient experience from PCMH and non-PCMH practices. It used randomly sampled experience surveys completed by 2599 patients at 29 pediatric and family medicine PCMH and non-PCMH practices in Vermont from 2011 to 2013. Patient experiences related to child development and prevention were assessed using the Consumer Assessment of Health Care Providers and Systems (CAHPS).

Our results suggest that PCMH recognition may improve child patient experience at pediatric practices and worsen experience at family medicine practices. These findings warrant further investigation into the differential influence of NCQA PCMH transformation on family medicine and pediatric practices.

Findings from this project were reported in an article published in the Journal of the American Board of Family Medicine.

Harder, V.S., Krulewitz, J., Jones, C., Wasserman, R.C., Shaw, J.S. (2014). Effects of Patient-centered Medical Home Transformation on Child Patient Experience. Journal of the American Board of Family Medicine, 29(1) 60-68.