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  • Title: Are primary care practices ready to become patient-centered medical homes?
    Author: Ullrich FA, MacKinney AC, Mueller KJ.
    Journal: J Rural Health; 2013; 29(2):180-7. PubMed ID: 23551648.
    Abstract:
    PURPOSE: To measure the readiness of rural primary care practices to qualify as patient-centered medical homes (PCMHs), one step toward participating in changes underway in health care finance and delivery. METHODS: We used the 2008 Health Tracking Physician Survey to compare PCMH readiness scores among metropolitan and nonmetropolitan primary care practices. The National Committee on Quality Assurance (NCQA) assessment system served as a framework to assess the PCMH capabilities of primary care practices based on their services, processes, and policies. FINDINGS: We found little difference between urban and rural practices. Approximately 41% of all primary care practices offer minimal or no PCMH services. We also found that large practices score higher on standards primarily related to information technology and care management. CONCLUSIONS: Achieving the benefits of the PCMH model in small rural practices may require additional national promotion, technical assistance, and financial incentives.
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