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. 2017 May 29;8(4):228–232. doi: 10.1177/2150131917709404

Table 2.

Standardized PCMH Dimension Scores by PCMH Recognition Status.

Mean Score (SD)
Between-Group Differences (NCQA − No NCQA)
Significance (Mean Scores)
Full Sample (n = 83) No NCQA Recognition (n = 36) NCQA Recognition (n = 47) Mean SD of the Mean Differencea
1. Patient has a personal physician 0.77 (0.23) 0.80 (0.22) 0.74 (0.23) 0.06 –0.35 .29
 Patient sees same provider/team 0.78 (0.32) 0.82 (0.29) 0.75 (0.33) 0.07 –0.28 .30
 Patient can identify provider/team 0.75 (0.31) 0.78 (0.35) 0.72 (0.27) 0.06 –0.29 .19
2. Whole person orientation 0.54 (0.19) 0.48 (0.21) 0.59 (0.17)b 0.11 0.86 .02
 Concern about nonmedical issues 0.54 (0.24) 0.50 (0.24) 0.57 (0.23) 0.07 0.40 .12
 Engagement of patient’s family 0.49 (0.26) 0.48 (0.24) 0.50 (0.27) 0.02 0.10 .76
 Availability of services on site 0.45 (0.35) 0.42 (0.39) 0.47 (0.32) 0.05 0.21 .45
 Cultural competence 0.71 (0.30) 0.67 (0.33) 0.75 (0.28) 0.08 0.38 .24
 Formal culture/communication training 0.34 (0.37) 0.22 (0.30) 0.44 (0.38)c 0.22 0.77 .01
3. Team-based care 0.44 (0.20) 0.39 (0.21) 0.48 (0.18)b 0.09 0.66 .05
 Presence of internal teams 0.46 (0.33) 0.35 (0.33) 0.55 (0.30)c 0.20 0.88 <.00
 Team communication 0.31 (0.30) 0.31 (0.31) 0.30 (0.29) 0.01 –0.04 .99
 Interact with providers outside practice 0.43 (0.25) 0.40 (0.22) 0.46 (0.28) 0.06 0.28 .34
 Top of skill set 0.40 (0.34) 0.37 (0.36) 0.42 (0.31) 0.05 0.21 .41
 Regular staff meetings 0.48 (0.31) 0.45 (0.33) 0.51 (0.29) 0.06 0.27 .32
4. Care coordination, integration 0.55 (0.23) 0.47 (0.22) 0.61 (0.23)c 0.14 0.81 .01
 Performs care coordination functions 0.75 (0.25) 0.67 (0.29) 0.80 (0.22)b 0.13 0.78 .02
 Formal/informal care/case manager 0.36 (0.31) 0.31 (0.27) 0.39 (0.33) 0.08 0.32 .25
 Use of patient registries/HIT 0.69 (0.26) 0.59 (0.27) 0.76 (0.24)c 0.17 0.94 <.00
 Communication with hospitals 0.55 (0.23) 0.51 (0.24) 0.58 (0.22) 0.07 0.44 .22
 Communicating with specialists 0.66 (0.21) 0.62 (0.20) 0.70 (0.21) 0.08 0.33 .06
 Systematic appointment reminders 0.73 (0.32) 0.70 (0.34) 0.76 (0.32) 0.06 0.25 .40
 Knowledge about, relationships with other community service providers 0.54 (0.24) 0.51 (0.22) 0.56 (0.24) 0.05 0.28 .29
5. Quality and safety 0.42 (0.20) 0.36 (0.20) 0.46 (0.19)b 0.10 0.70 .02
 Evidence-based decision supports 0.33 (0.14) 0.31 (0.13) 0.34 (0.15) 0.03 0.27 .07
 Use of EHR functions 0.73 (0.24) 0.66 (0.23) 0.79 (0.23)c 0.13 0.75 <.00
 Use of performance feedback 0.59 (0.32) 0.60 (0.29) 0.59 (0.35) 0.01 –0.04 .81
 Quality improvement (QI) activities 0.56 (0.30) 0.49 (0.30) 0.61 (0.30) 0.12 0.66 .07
 Patient education 0.55 (0.25) 0.56 (0.26) 0.54 (0.24) 0.02 –0.11 .70
 Use of patient feedback 0.31 (0.43) 0.24 (0.39) 0.36 (0.45) 0.12 0.35 .20
6. Access 0.51 (0.24) 0.46 (0.25) 0.54 (0.24) 0.08 0.44 .11
 After hours care 0.51 (0.25) 0.50 (0.27) 0.52 (0.23) 0.02 0.12 .89
 Open/advanced access 0.66 (0.48) 0.58 (0.50) 0.72 (0.45) 0.14 0.41 .18
 Ease of access 0.53 (0.21) 0.57 (0.23) 0.51 (0.20) 0.06 –0.40 .09
 Use of patient portal/email 0.45 (0.38) 0.35 (0.39) 0.52 (0.36)b 0.17 0.63 .03

Abbreviations: PCMH, patient-centered medical home; NCQA, National Committee for Quality Assurance; HIT, health information technology; EHR, electronic health record.

a

Calculated using Hedges’s g.

b

Statistically different than practices without recognition; Wilcoxon rank-sum test; P < .05.

c

Statistically different than practices without recognition; Wilcoxon rank-sum test; P < .01.