Table 20Numbers of studies describing financial, organizational learning, and implementation strategies

StrategiesPCMH (n = 9)Functional PCMH (n = 13)
Financial models:
 Bundled payments for most health services00
 PCMH per member, per month payment for PCMH activities11
 Pay for performance10
 Enhanced fee-for-service compensation20
 Accountable care organization00
 Revised pharmacy benefits00
 Other36
 Not described47
Organizational learning strategies:
 Formal learning collaborative/collaborative program planning811
 Designated research/project team assistance232
 Community of practice32
 Implementation tool-kits22
 Not described0
Implementation strategies:
 Audit and feedback/quality improvement measures67
 Academic detailing/lectures and classes for staff46
 Designated clinical champion or project manager41
 Plan-Do-Study Act cycles/rapid cycle improvement mechanisms31
 Flow mapping of care system00
 Total quality management/continuous quality improvement00
 Strengths-weakness-opportunities-threats analysis00
 External benchmarking at the organizational level00
 Other01
 Not described03

Note: PCMH = patient-centered medical home

From: Results

Cover of Closing the Quality Gap: Revisiting the State of the Science (Vol. 2: The Patient-Centered Medical Home)
Closing the Quality Gap: Revisiting the State of the Science (Vol. 2: The Patient-Centered Medical Home).
Evidence Reports/Technology Assessments, No. 208.2.
Williams JW, Jackson GL, Powers BJ, et al.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.