This page shows how well CTC-PCMH providers scored on three areas used to measure quality in healthcare delivery: Clinical Quality Measures, Hospital and Emergency Department Utilization Measures and Patient Experience Survey results.
Practices involved in the CTC-RI program capture clinical metrics from their practice management and electronic medical record systems. They identify patients with certain clinical conditions that require monitoring and/or who are candidates for certain medical interventions. They then determine whether the results of the monitoring reflect good management of the clinical condition or if the appropriate services have been rendered.
Understanding performance on these measures helps us to assess whether the Patient Centered Medical Home (PCMH) intervention is impacting delivery of evidence based care. PCMH is a model of primary care that is expected to improve the care of chronic disease and lead to better overall health outcomes for Rhode Islanders. These quality measures are a proxy for the delivery of the right care at the right time in the right place for the right patient.
CTC practices are divided into 5 groups according to their capacity to deliver patient care according to the PCMH model. They range from sites that have been in the program the longest, (since 2008) – Performance Level 3 - to sites that entered the program in 2013 and just recently, 2015 – Transition and Startup.
The higher the performance year, the greater are the performance expectations.
The QM-2 graph shows CTC-PCMH practices’ performance from Q4 2011 through Q4 2014 in treating patients with diabetes and hypertension, screening for depression and tobacco use and counseling tobacco users to quit. The QM-3 graph is a snapshot of the results in Q4 2014, ranked by performance group.
These graphs show how well the CSI-PCMH sites have performed in reducing patients’ usage of the emergency room and admittance to the hospital compared to other RI practices that are not participating in PCMH initiatives. The graphs show the results from Cohort 1 (sites that have been in the CSI program the longest) and Cohort 2 (sites that are newer to the program). Cohort 1 had lower hospital admissions but higher emergency department visits than the comparison group and Cohort 2 had both lower hospital admissions and emergency department visits than the comparison group. The graphs cover the results from rolling year ending periods Q1 2012-Q1 2014.
In 2012, 2013 and 2014 randomly selected patients, age 18 and older, of CSI-PCMH practices responded to a Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey about their experiences with primary care during the preceding year. The survey asked patients about aspects of their health care experience that are closely linked to quality, such as the strength of the doctor-patient relationship and access to care. The graph shows a 2012, 2013 and 2014 comparison for results on 6 PCMH domains and provider rating.
The 2015 Survey is underway and results will be reported in late spring.