Understanding the Implementation of Reorganization in Primary Care

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.

Michelle Eckert is Marketing and Communications Coordinator for the Mack Institute, where she works to engage students, researchers, and corporate partners in opportunities for collaboration. Michelle received her B.A. in Art from Valparaiso University in 2007. Her background includes two AmeriCorps terms of service working to teach mathematics, computer literacy, and job readiness skills to out-of-school youth in Philadelphia, focusing particularly on promoting access to post-secondary education.