Table 2.
Operational Details of PCMH Tools
| Name | PCMH-A | MHI-LV | MHCCS-H | MHI-SV | PCAT-FE |
|---|---|---|---|---|---|
| Release date | 2014 | 2008 | 2014 | 2006 | 1998 |
| Other versions | The current version is Version 4.0. Previous Versions 1.2 through 3.0 are outdated. | Adult (short version); Pediatric (long version); Medical Home Family experience survey. | Patient version | Adult (long version) | There are 4 expanded and short versions addressing 4 perspectives: child, adult, facility, and physician. PCAT-FE uses a majority of the same items across the same domains as Primary Care Assessment Tool – Facility Edition. |
| Languages | English | English | English | English | Spanish, Catalan, Portuguese, Mandarin Chinese (both People’s Republic of China and Taiwan), and Korean |
| Actionable | Yes | No – Differences between “partial” and “complete” are unclear | Yes – Only 1 item contains 2 or more topics that cannot be teased apart | No – Differences between “partial” and “complete” are unclear | Yes |
| Reliability and validity evaluated | Yes | Yes | Yes | No | No |
| Method of providing responses | Fillable PDF file that calculates sub-scores and total score | Paper-based questionnaire | Paper-based questionnaire | Paper-based questionnaire | Paper-based questionnaire |
| Who provides responses | Multidisciplinary group of practice staff; key clinical lead | Leader at practice; key clinical lead | Primary care physicians, physician assistants, nurses (including registered nurses, licensed practical nurses, nurse practitioners, care coordinators), and clinical administrative staff | Leader at practice; key clinical lead | System administrator |
| Total items | 36 | 24 (practice characteristics) + 25 + 5 open-ended = 54 | 35 + 2 (responder characteristics) = 37 | 10 + 5 open-ended = 15 | 153 |
| Estimated completion time (minutes) | 9.0 | 11.25 without practice items; 17.25 with practice items | 9.3 | 7.5 | 37.0 |
| Responses verified | No | No | No | No | No |
| Burden | Light (10 minutes or less) | Medium (11–29 minutes) | Light | Light | Heavy (over 30 minutes) |
| Answer format | 1 to 12 rating divided into 4 levels (A-D) with a rubric description for each item | Choice of Partial / Complete / (Leave Blank) for of the 4 levels of a domain | 5-point agreement scale (Disagree, Somewhat disagree, Neither agree or disagree, Somewhat agree, Agree) with “I Don’t Know” option OR 5-point frequency scale (Never, Rarely, Sometimes, Usually, Always) with “I Don’t Know” option | Choice of Level 1; or then Partial / Complete for Level 2 and Level 3 / (Leave Blank) for each domain | Yes/No scale; Report of Percentages concerning patient population in 20-point increments 0–100; 4-point Definite scale (Definitely, Probably, Probably Not, Definitely Not) with “Not sure/Don’t know” option. |
| Includes a summary score | Yes, sum of average scores for all 8 Change Concepts/8; ranges 1–12 | Yes, overall average score ranges from 1–8; total score ranges from 25–200 | Yes, sum of average scores for all 8 CC Domains/8); ranges 1–5 | Yes, ranges from 10–50 | Yes, average score for each of its 8 domains, ranges 0–4 |
MHCCS-H indicates Medical Home Care Coordination Survey–Healthcare Team; MHI-LV, Medical Home Index–Long Version; MHI-SV, Medical Home Index–Short Version; PCAT-FE, Primary Care Assessment Tool–Facility Expanded Edition; PCMH, patient-centered medical home; PCMH-A, Patient-Centered Medical Home Assessment Tool.