Title

Organizational Factors and Change Strategies Associated With Medical Home Transformation

Department/School

Social Work

Date of this version

2015

Document Type

Article

DOI

https://doi.org/10.1177/1062860614532307

Abstract

There is limited information about how to transform primary care practices into medical homes. The research team surveyed leaders of the first 132 primary care practices in Minnesota to achieve medical home certification. These surveys measured priority for transformation, the presence of medical home practice systems, and the presence of various organizational factors and change strategies. Survey response rates were 98% for the Change Process Capability Questionnaire survey and 92% for the Physician Practice Connections survey. They showed that 80% to 100% of these certified clinics had 15 of the 18 organizational factors important for improving care processes and that 60% to 90% had successfully used 16 improvement strategies. Higher priority for this change (P = .001) and use of more strategies (P = .05) were predictive of greater change in systems. Clinics contemplating medical home transformation should consider the factors and strategies identified here and should be sure that such a change is indeed a high priority for them.

Volume

30

Issue

4

Published in

American Journal of Medical Quality

Citation/Other Information

Solberg, L. I., Stuck, L. H., Crain, A. L., Tillema J. O., Flottemesch, T. J., Whitebird, R. R., & Fontaine, P. L. (2015). Organizational factors and change strategies associated with medical home transformation. American Journal of Medical Quality, 30(4), 337-344. https://doi.org/10.1177/1062860614532307

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