Although leading medical professional societies have identified Patient Centered Medical Homes (PCMH) as a key to revive primary care in the United States, the PCMH model remains largely an aspiration nationwide. Based on the Palo Alto Medical Foundation’s (PAMF) years of experience in implementation of components of the Patient Centered Medical Home and a winning research proposal, researchers at the PAMF Research Institute (PAMFRI) have been awarded a competitive grant from the U.S. Department of Health and Human Service’s Agency for Healthcare Research and Quality (AHRQ) to conduct a study of PAMF as a Patient Centered Medical Home.
Researchers will gather qualitative (studying interviews) and quantitative (studying measures) information about the actual primary care transformation processes and outcomes. “Insights learned from the study will inform future PCMHs elsewhere and policymakers in need of empirical evidence in developing PCMH payment and administrative policies,” said Principal Investigator Ming Tai-Seale, Ph.D., MPH, Senior Investigator, Health Policy Research at PAMFRI. “Lessons learned from the transformation process, including understanding critical drivers; costs involved; and impact on frontline staff, physicians, and patients, will be informative to other primary care settings undergoing or thinking of undergoing transformation to PCMHs.” Read More about PAMF Researchers Awarded AHRQ Grant to Study PAMF as a Patient Centered Medical Home
Sutter Maternity & Surgery Center (SMSC) is proud to announce that Press Ganey Associates, Inc. has named it a 2010 Best Place to Practice Award winner. Press Ganey currently partners with more than 10,000 health care facilities—including 50 percent of U.S. hospitals—to measure and improve the quality of their care. TheBest Place to Practice Award recognizes facilities that have reached and sustained the 95th percentile on their physician surveys. SMSC is one of just four hospitals to receive this honor in 2010.
“I had the rare opportunity to be one of the first physicians to perform procedures at SMSC when they opened in 1996,” said Geoffrey Bernstein, M.D., SMSC Chief of Staff. “Now as Chief of Staff I am especially proud that we received this award, thanks to the diligent teamwork of physicians, staff, and management.”
The Palo Alto Medical Foundation, in partnership with the PAMF Research Institute and University of California, San Francisco, is one of 11 primary care demonstration sites around the United States that will contribute to understanding how to integrate shared decision making and decision aids into day-to-day clinical practice. The Foundation for Informed Medical Decision Making (FIMDM), a non-profit organization whose mission is to inform and amplify the patient’s voice in health care decisions, is providing funding for this new program.
For many medical problems there are multiple options for what you and your doctor can do, but often times there is no ‘best’ choice. “When making decisions like these, which are often called preference sensitive decisions, there is no right or wrong choice and what you decide depends on how you value the risks and benefits of the different options,” said Dominick Frosch, Ph.D. an investigator at the PAMF Research Institute , who is leading the new program about shared decision-making at PAMF. “Shared decision-making (SDM) is one approach to making preference sensitive decisions that aims to support you as a patient and foster your partnership with your doctor. In SDM, patients and physicians communicate together and come to mutual decision about medical care that reflects the patient’s values and preferences.” Read More about Partners in Medical Decision Making