Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report

Contract No. 290-2010-00004-I, Task Order No. 10

Prepared by: Jessie Gerteis, MPH, Abt Associates, Inc.; Beth Kantz, RN, MS, Corrigan/Kantz Consulting

Contents

Acknowledgments
Copyright and Source Information
Executive Summary
Introduction
Methods
Overview of the 14 Transforming Primary Care Grants
   Approaches to Transformation
   Methods Used to Study Transformation
Key Themes Across Grants
   Transformation is an Ongoing Process, and Does Not End With PCMH Recognition
   Motivation and Readiness to Transform Vary Across Practices
   Changes in Practice Culture and Mental Models Are Often Required
   Contextual Factors Play an Important Role in the Success of Transformation Efforts
   Care Coordination and Team-Based Care Are Key Elements of Transformation
   Practice Transformation Involves Inherent Tradeoffs
   Transformation Requires Supplemental Funding, and Sustainability Will Require Payment Reform
Key Study Outcomes Across Grants
   Access
   Quality
   Health Outcomes
   Utilization
   Health Care Costs
   Provider and Patient Satisfaction
Conclusions and Implications
References
Appendices
Appendix A. Key Characteristics of Transforming Primary Care Grants
Appendix B. Health Outcomes Reported in Transforming Primary Care Studies

Acknowledgments

The authors thank the investigators from the Transforming Primary Care Practice grants for their contributions to this field of research.

Copyright and Source Information

Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 5600 Fishers Lane, Rockville, MD 20857. www.ahrq.gov

Source: This report was prepared by Abt Associates and Corrigan/Kantz Consulting under contract with the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD, U.S. Department of Health and Human Services (Contract No. HHSA-290-2010-00004-I, Task Order No. 10).

Disclaimer: The findings and conclusions in this document are those of the authors, who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

Copyright Information: This document is in the public domain and may be used and reprinted without permission.

Page last reviewed July 2015
Page originally created October 2015
Internet Citation: Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report. Content last reviewed July 2015. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/primary-care/tpc/tpc-synthesis-report/index.html