The Affordable Care Act (ACA) promotes the Patient-Centered Medical Home (PCMH) model as a way to improve healthcare quality, the patient experience, and has identified nurse-led primary care as a mechanism meeting the increasing demand for quality primary care. The purpose of this study was to investigate the implementation of a PCMH model in nurse-led primary care practices and to identify facilitators and barriers to the implementation of this model.
Data were collected through in-depth interviews with providers and staff in nurse-led practices.
These data suggest two categories of processes that facilitate the integration of PCMH in the nurse-led practice setting: patient-oriented facilitators and organizational facilitators. In addition, a number of barriers were identified to implementing the PCMH model. Overall, these practices creatively engaged in the transformation process by structuring themselves as a complex adaptive system and building upon the core principles of nurse-led care.
Since the core principles of nurse-led care map onto many of the same principles of the PCMH model, this study discusses the possibility that nurse-led practices may experience fewer barriers when transitioning into PCMHs.
Frasso, R., Golinkoff, A., Klusaritz, H., Kellom, K., Kollar-McArthur, H., Miller-Day, M., ... & Cronholm, P. F. (2017). How nurse-led practices perceive implementation of the patient-centered medical home. Applied Nursing Research, 34, 34-39. doi: 10.1016/j.apnr.2017.02.005
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