--- title: "Recognition as a patient-centered medical home | Sutter Health" description: "We examined the motivations for seeking recognition in one group and assessed why the group allowed recognition to lapse 3 years later." url: "https://www.sutterhealth.org/research/publications/recognition-as-a-patient-centered-medical-home-1055312554" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Recognition as a patient-centered medical home # Recognition as a patient-centered medical home: fundamental or incidental? Dohan D, McCuistion MH, Frosch DL, Hung DY, & Tai-Seale M. _Ann Fam Med. 11 Suppl 1:S14-8. doi: 10.1370/afm.1488_ 2013-05-01 ## Abstract PURPOSE: Little is known about reasons why a medical group would seek recognition as a patient-centered medical home (PCMH). We examined the motivations for seeking recognition in one group and assessed why the group allowed recognition to lapse 3 years later. METHODS: As part of a larger mixed methods case study, we conducted 38 key informant interviews with executives, clinicians, and front-line staff. Interviews were conducted according to a guide that evolved during the project and were audio-recorded and fully transcribed. Transcripts were analyzed and thematically coded. RESULTS: PCMH principles were consistent with the organization's culture and mission, which valued innovation and putting patients first. Motivations for implementing specific PCMH components varied; some components were seen as part of the organization's patient-centered culture, whereas others helped the practice compete in its local market. Informants consistently reported that National Committee for Quality Assurance recognition arose incidentally because of a 1-time incentive from a local group of large employers and because the organization decided to allocate some organizational resources to respond to the complex reporting requirements for about one-half of its clinics. CONCLUSIONS: Becoming patient centered and seeking recognition as such ran along separate but parallel tracks within this organization. As the Affordable Care Act continues to focus attention on primary care redesign, this apparent disconnect should be borne in mind. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/23690381) ## Research topics - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [A three-talk model for shared decision making: multistage consultation process.](https://www.sutterhealth.org/research/publications/shared-decison-making-three-talk-model-1055312442) Elwyn G, Durand MA, Song J, Aarts J, Barr PJ, Berger Z, Cochran N, Frosch D, Galasinski D, Gulbrandsen P, Han PKJ, Härter M, Kinnersley P, Lloyd A, Mishra M, Perestelo-Perez L, Scholl I, Tomori K, Trevena L, Witteman HO, Van der Weijden T. BMJ. 2017 Nov 6;359:j4891. doi: 10.1136/bmj.j4891. 2017 Nov 06 - Publication ### [Framework for research on implementation of process redesigns.](https://www.sutterhealth.org/research/publications/framework-research-on-implementation-of-process-redesign-1055312348) Ashok M, Hung D, Rojas-Smith L, Halpern MT, Harrison M. Qual Manag Health Care. 27(1):17-23. doi: 10.1097/QMH.0000000000000158. 2018 Jan 01 - Publication ### [Changes in healthcare utilization after lifestyle intervention for weight loss](https://www.sutterhealth.org/research/publications/changes-in-healthcare-utilization-for-weight-loss-1055312948) Sudat, Sylvia Changes in healthcare utilization after lifestyle intervention for weight loss \[published online ahead of print 2023 Oct 29\]. Am J Prev Med. 2023;S07 2023 Oct 29 - Publication ### [Contextual conditions and performance improvement in primary care.](https://www.sutterhealth.org/research/publications/context-for-performance-improvement-in-primary-care-1055312436) Hung DY, Harrison MI, Liang SY, Truong QA. Qual Manag Health Care. 28(2):70-77. doi: 10.1097/QMH.0000000000000198. 2019 Apr 01 - Publication ### [Scaling Lean in primary care: impacts on system performance.](https://www.sutterhealth.org/research/publications/scaling-lean-primary-care-system-perf-impact-1055312322) Hung DY, Harrison MI, Martinez MC, Luft HS. Am J Manag Care. 23(3):161-168. 2017 Mar 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/recognition-as-a-patient-centered-medical-home-1055312554#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Recognition as a patient-centered medical home"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/recognition-as-a-patient-centered-medical-home-1055312554#medicalscholarlyarticle","name":"Recognition as a patient-centered medical home: fundamental or incidental?","headline":"Recognition as a patient-centered medical home","abstract":"PURPOSE: Little is known about reasons why a medical group would seek recognition as a patient-centered medical home (PCMH). We examined the motivations for seeking recognition in one group and assessed why the group allowed recognition to lapse 3 years later. METHODS: As part of a larger mixed methods case study, we conducted 38 key informant interviews with executives, clinicians, and front-line staff. Interviews were conducted according to a guide that evolved during the project and were audio-recorded and fully transcribed. Transcripts were analyzed and thematically coded. RESULTS: PCMH principles were consistent with the organization's culture and mission, which valued innovation and putting patients first. Motivations for implementing specific PCMH components varied; some components were seen as part of the organization's patient-centered culture, whereas others helped the practice compete in its local market. Informants consistently reported that National Committee for Quality Assurance recognition arose incidentally because of a 1-time incentive from a local group of large employers and because the organization decided to allocate some organizational resources to respond to the complex reporting requirements for about one-half of its clinics. CONCLUSIONS: Becoming patient centered and seeking recognition as such ran along separate but parallel tracks within this organization. As the Affordable Care Act continues to focus attention on primary care redesign, this apparent disconnect should be borne in mind.","description":"We examined the motivations for seeking recognition in one group and assessed why the group allowed recognition to lapse 3 years later.","keywords":["Health Services"],"datePublished":"2013-05-01","url":"https://www.sutterhealth.org/research/publications/recognition-as-a-patient-centered-medical-home-1055312554","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"23690381"},{"@type":"PropertyValue","propertyID":"DOI","value":"10.1370/afm.1488"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/23690381/","https://doi.org/10.1370/afm.1488"],"isPartOf":{"@type":"Periodical","name":"Ann Fam Med"},"author":[{"@type":"Person","name":"Dohan D"},{"@type":"Person","name":"McCuistion MH"},{"@type":"Person","name":"Frosch DL"},{"@type":"Person","name":"Hung DY"},{"@type":"Person","name":"Tai-Seale M"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Health Services","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Health+Services%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/recognition-as-a-patient-centered-medical-home-1055312554","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/recognition-as-a-patient-centered-medical-home-1055312554#breadcrumblist"}}} ```