Medical homes require more than an EMR and aligned incentives.

Samantha L. Solimeo, Michael Hein, Monica Paez, Sarah Ono, Michelle Lampman, Greg L. Stewart

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The Veterans Health Administration (VHA) is changing its primary care delivery by implementing the patient-centered medical home (PCMH). To evaluate PCMH implementation among 22 newly formed teams working in the VHA. Longitudinal formative evaluation of team members' role transformation during the first 18 months of implementation. We used 3 sequential, semistructured focus groups to gather data from 4 different groups representing the principal team member roles: primary care providers, registered nurse care managers, licensed practical nurses, and clerical associates. Team members identified within-team role and interpersonal conflict, as well as discordant administrative leadership styles, as key implementation challenges. Our results suggest that, in addition to technological and fiscal infrastructure, healthcare leaders implementing the PCMH model must take into account interprofessional issues associated with changes in leadership and the adoption of team-based structures.

Original languageEnglish (US)
Pages (from-to)132-140
Number of pages9
JournalThe American journal of managed care
Volume19
Issue number2
StatePublished - Feb 2013
Externally publishedYes

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Patient-Centered Care
Veterans Health
Motivation
United States Department of Veterans Affairs
Primary Health Care
Focus Groups
Nurses
Delivery of Health Care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Solimeo, S. L., Hein, M., Paez, M., Ono, S., Lampman, M., & Stewart, G. L. (2013). Medical homes require more than an EMR and aligned incentives. The American journal of managed care, 19(2), 132-140.

Medical homes require more than an EMR and aligned incentives. / Solimeo, Samantha L.; Hein, Michael; Paez, Monica; Ono, Sarah; Lampman, Michelle; Stewart, Greg L.

In: The American journal of managed care, Vol. 19, No. 2, 02.2013, p. 132-140.

Research output: Contribution to journalArticle

Solimeo, SL, Hein, M, Paez, M, Ono, S, Lampman, M & Stewart, GL 2013, 'Medical homes require more than an EMR and aligned incentives.', The American journal of managed care, vol. 19, no. 2, pp. 132-140.
Solimeo SL, Hein M, Paez M, Ono S, Lampman M, Stewart GL. Medical homes require more than an EMR and aligned incentives. The American journal of managed care. 2013 Feb;19(2):132-140.
Solimeo, Samantha L. ; Hein, Michael ; Paez, Monica ; Ono, Sarah ; Lampman, Michelle ; Stewart, Greg L. / Medical homes require more than an EMR and aligned incentives. In: The American journal of managed care. 2013 ; Vol. 19, No. 2. pp. 132-140.
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