May 18, 2009 UPDATE
Nutting article "misunderstood"
The recent article by Nutting et al does seem to have been "misunderstood – by the press and policymakers" as Dr. Paul Grundy and other point out in the comments section of Annals of Family Medicine and this BNET blog.
May 12, 2009
Annals of Family Medicine
By Paul A. Nutting, MD, MSPH, William L. Miller, MD, MA, Benjamin F. Crabtree, PhD, Carlos Roberto Jaén, MD, PhD, Elizabeth E. Stewart, PhD and Kurt C. Stange, MD, PhD
TransforMED's National Demonstration Project (NDP) was the first Patient-Centered Medical Home pilot project and this preliminary report from the project's independent evaluation team is the first peer-reviewed publication based on extensive data from the 36 NDP practices.
Lead author of the report, Dr. Paul Nutting said, "The NDP has demonstrated that the pieces of the model can be implemented and offers hope that as practices begin to use and integrate the pieces we'll get a good look at what the PCMH can really look like...We published this preliminary report to alert the many state and regional demonstrations that are underway that developing a PCMH is very difficult and takes longer than most realize. Many of the demonstrations are less than the two years of the NDP, and they run the risk of incorrectly assuming the PCMH is unattainable, or settling for less than the NDP practices have shown is possible."
In addition to sharing their observations and summarizing the early process-evaluation lessons, the NDP evaluators offer critical lessons, health policy recommendations and four important suggestions for practice leaders considering practice transformation.
Read the preliminary report from the evaluators of TransforMED's NDP » |