Guy David, Health Care Management, The Wharton School
Abstract: The Patient Centered Medical Home (PCMH) is an innovative model for reorganizing primary care in the US, providing opportunities for delivering higher-value care to patients. Recent agreement to access a novel, nationwide data set of thousands of PCMH practices and linked patient outcomes data has provided a unique avenue for studying this exciting area. The new data provides highly granular information on the capabilities adopted by primary care practices, with over 140 aspects of PCMH implementation coded. We plan to use hierarchical clustering, a computational technique that reduces high-dimensional data to simpler typologies, in order to study the real-world approaches primary care providers have taken to practice reorganization. Using these statistical techniques coupled with more common econometric techniques used for policy evaluation, we will be able to provide for the first time stakeholders insights into factors like how practice organization and leadership contributed to the success of implementation, and how variations in implementation impact patient outcomes.