Table 3.
Changes Implemented for Practice Transformation, by Frequencya
| Change Implemented | Number of Sites Who Implemented Change |
|---|---|
| Added daily huddle | 14 |
| Increased use of QI | 14 |
| Added a referral coordinator | 13 |
| Added a referral coordinator—off-site | 7 |
| Added a clinical care coordinator | 12 |
| Added a clinical care coordinator—off-site | 8 |
| Increased use of patient experience data | 12 |
| By adding review of patient experience data at meetings | 4 |
| By including patient experience data on bulletin boards | 2 |
| By having patient volunteers at meetings | 2 |
| Used patient portal in EMR | 12 |
| Added specialists—OB-GYNb | 12 |
| Added a health educator | 11 |
| Added extended hours | 11 |
| Reconfigured spaceb | 11 |
| Implemented customer service training using AIDETb | 11 |
| Assigned medical assistants to a doctor | 10 |
| Created a PCMH team | 10 |
| Added PCMH team meetings | 10 |
| Explicitly created a “PCMH culture”b | 10 |
| Added a pharmacistb | 9 |
| Added access to clinical pharmacist (including telepharmacist) | 7 |
| Empanelment | 9 |
| Added doctors (eg, family practice/internal medicine)b | 9 |
| Used reporting of laboratory/radiology results in EMR | 8 |
| Added interdisciplinary team | 8 |
| Added interdisciplinary team meetings | 8 |
| Created doctor teams | 6 |
| Changed practice’s process of communication of test results/laboratory results | 6 |
| Started communicating test results through EMR | 6 |
| Added same day slots/walk-ins | 6 |
| Used automated appointment reminders to EMR | 6 |
| Added urgent care | 6 |
| Used e-prescribing in EMR | 5 |
| Used referral functionality in EMR | 5 |
| Added a nutritionist/dietician | 5 |
| Added behavior health counselor/social worker | 5 |
| Changed patient flowb | 5 |
| Increased focus on patients with chronic disease | 4 |
| Collocated PCMH teamb | 4 |
| Added specialty—pediatricsb | 4 |
| Added a patient navigator | 3 |
| Added/reworked previsit planning | 3 |
| Used scheduling functions in EMR | 3 |
| Added health information representative/data managerb | 3 |
| Added parkingb | 3 |
| Added diabetes programb | 3 |
| Added mobile mammographyb | 3 |
Abbreviations: EMR, electronic medical record; PCMH, patient-centered medical home.
a
Changes made at 1 or 2 sites are not listed.
b
Change not explicitly identified in 2011 NCQA PCMH 6 Standards and their 28 elements.