AHRQ updates patient-centered medical home grants
The Agency for Healthcare Research and Quality (AHRQ) has issued an update on 14 grants for transforming primary care. The grants, which total more than $4.1 million each year for two years, study the changes associated with transformation of primary care practices into Patient-Centered Medical Homes.

Funds were awarded to the following organizations:

University of Utah Community Clinics, to investigate the transformation of university-owned primary care practices in Utah into PCMHs through a process called Care by Design (CBD). CBD is organized around the principles of appropriate access, care teams and planned care, all of which are supported by an EMR. 
Project Period: July 1, 2010 to June 30, 2012
Amount: $269,615 (year one), $285,678 (year two)

Health Partners Research Foundation, for an evaluation in the context of a legislative initiative in Minnesota to transform primary care practices into PCMHs. Using matched controls, this study will look at increases in quality of care measures for diabetes and cardiovascular disease, the effect of reimbursement policy on practices and the effect of transformation on staff, providers and patients.
Project Period: Sept. 30, 2010 to Aug. 31, 2012
Amount: $299,749 (year one), $296,378 (year two)

University of North Carolina at Chapel Hill, to study practices in the North Carolina Improving Performance in Practice (IPIP) Program. IPIP is a nationwide quality improvement program that provides clinicians and their healthcare teams with tools, systems and support to transform their practices for improved care quality. 
Project Period: Aug. 1, 2010 to July 31, 2012
Amount: $299,109 (year one), $299,107 (year two)

Group Health Cooperative, for evaluation of the transformation of primary care clinics into PCMHs in an integrated group health system. Group Health will use an interrupted time series design, focus groups with patients, staff interviews, a cost analysis and site visits with ethnographic observation to assess transformation across the healthcare system.
Project Period: July 1, 2010 to June 30, 2012
Amount: $299,938 (year one), $297,583 (year two)

Palo Alto Medical Foundation Research Institute, to look at transformation of the foundation's practices into PCMHs. The project will describe the transformation process; determine the effect of the transformation on health outcomes, organizational processes and practice costs; and determine the impact of transformation on staff, providers and patients.
Project Period: Aug. 10, 2010 to July 31, 2012
Amount: $300,000 (year one), $300,000 (year two)

University of California, San Francisco, to look at primary care transformation into PCMHs in post-Hurricane Katrina New Orleans using a focused case study approach. 
Project Period: Aug. 16, 2010 to July 31, 2012
Amount: 299,365 (year one), $296,982 (year two)

Kaiser Foundation Research Institute, the setting for this study is CareOregon, a Medicaid managed healthcare plan, which implemented a PCMH model, called Primary Care Renewal, which provides reimbursement and other support to encourage practices to provide multidisciplinary, coordinated and comprehensive care.
Project Period: July 1, 2010 to June 30, 2012
Amount: $284,455 (year one), $299,999 (year two)

Crotched Mountain Foundation, to identify the drivers and obstacles to medical home transformation and the sustainability of change in 10 transformed primary care pediatric and family-centered medical homes.
Project Period: July 1, 2010 to June 30, 2012
Amount: $278,485 (year one), $278,727 (year two)

Center for Healthcare Strategies, to study secondary data on 105 small, urban primary care practices with fewer than five providers in New York City. An in-depth quantitative and qualitative transformation analysis will be conducted on a subset of practices.
Project Period: Sept. 30, 2010 to Sept. 29, 2012
Amount: $271,410 (year one), $272,723 (year two)

Hershey Medical Center, Pennsylvania State University, to evaluate primary care practices that underwent transformation to a PCMH in the context of a statewide initiative facilitated by the Pennsylvania Governor's Office for Healthcare Reform, including a learning collaborative, practice improvement coaches, and monthly registry and narrative reports.
Project Period: Sept. 1, 2010 to July 31, 2012
Amount: $295,409 (year one), $294,704 (year two)

National Committee for Quality Assurance, whose Physician Practice Connections Patient-Centered Medical Home (PPC-PCMH) Program looks at 300 small practices in 14 states that have achieved NCQA PCMH status. A case study approach will be used to study transformation efforts on a subset of practices.
Project Period: Aug. 1, 2010 to July 31, 2012
Amount: $299,924 (year one), $299,878 (year two)

University of Michigan, study to obtain information on the issues related to implementing aspects of PCMH within the primary care clinics that participate in Blue Cross/Blue Shield of Michigan's (BCBSM's) Physician Group Incentive Program (PGIP).
Project Period: July 15, 2010 to Dec. 31, 2011
Amount: $477,496

University of Alaska, Anchorage
, to study Southcentral Foundation's transformation to a PCMH. The Foundation is a tribally owned organization providing primary care services for American Indian and Alaska Native people in Anchorage, Alaska.
Project Period: July 1, 2010 to June 30, 2012
Amount: $291,281 (year one), $279,735 (year two)

Institute for Urban Family Health, to evaluate the transformation efforts of 16 federally qualified community health centers in the State of New York.
Project Period: July 1, 2010 to June 30, 2012
Amount: $298,194 (year one), $100,000 (year two)


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