Development of a Process for Adoption and Attainment of PCMH Recognition Requirements for an Urban Primary Care Clinic

The Centers for Disease Control and Prevention (2017) reported that in 2016, healthcare expenditures in the United States totaled 17.9% of the gross domestic product. Unfortunately, care quality is not reflective of the high costs of care. Models of care delivery like the patient centered medical home (PCMH) have shown promise in addressing these concerns. This project focused on program development for PCMH adoption at an urban clinic in an effort to improve financial stability and remain competitive. The purpose was to propose a plan for adoption and attainment of PCMH recognition requirements for an urban primary care office. The Donabedian model and Promoting Action on Research Implementation in Health Services framework guided the development of a process for PCMH recognition. The deliverables were: (1) A gap analysis – to communicate the clinic’s readiness for a PCMH endeavor and to guide education/roadmap development, (2) Completion of the core criteria of NCQA’s PCMH concept one- to help the clinic initiate the PCMH recognition journey, (3) A PCMH roadmap –utilizing NCQA’s criteria and gap analysis findings, a roadmap outlining remaining recognition requirements was developed to ensure sustainability, (4) PCMH education was delivered to staff in one session to facilitate PCMH understanding; evaluation of participant satisfaction was conducted, and (5) A business proposal- outlined projected expenses and the return on investment anticipated with PCMH recognition. It was expected that the project would result in acceptance of the proposed process and commitment to sustaining the initiative. The urban clinic improved readiness for recognition, which assisted with a care transformation to improve outcomes and financial stability

Development of Transformations from Business Process Models to Implementations by Reuse

This paper presents an approach for developing transformations from business process models to implementations that facilitates reuse. A transformation is developed as a composition of three smaller tasks: pattern recognition, pattern realization and activity transformation. The approach allows one to reuse the definition and implementation of pattern recognition and pattern realization in the development of transformations targeting different business process modeling and implementation languages. In order to decouple pattern recognition and pattern realization, the approach includes a pattern language to represent the output of the pattern recognition task, which forms the input of the pattern realization task

Will the Patient-Centered Medical Home Transform the Delivery of Health Care?

Explores various definitions of the medical home model, its components, rationale, effect on primary care, issues for implementation such as costs and payment methods, evidence of effectiveness, and healthcare reform provisions promoting it

Paper-based Mixed Reality Sketch Augmentation as a Conceptual Design Support Tool

This undergraduate student paper explores usage of mixed reality techniques as support tools for conceptual design. A proof-of-concept was developed to illustrate this principle. Using this as an example, a small group of designers was interviewed to determine their views on the use of this technology. These interviews are the main contribution of this paper. Several interesting applications were determined, suggesting possible usage in a wide range of domains. Paper-based sketching, mixed reality and sketch augmentation techniques complement each other, and the combination results in a highly intuitive interface

Evaluation Report: NH Multi-Stakeholder Medical Home Pilot

The New Hampshire Multi-Stakeholder Medical Home Pilot was initiated in 2008 by the New Hampshire Citizens Health Initiative as a collaborative effort of its Medical Home workgroup, the Center for Medical Home Improvement and the four private New Hampshire Health Plans: Harvard Pilgrim Health Care, CIGNA, Anthem, and MVP Healthcare, as well as NH Medicaid. The goal of the pilot was to value, prescribe, and reward medical care that is tightly coordinated and of superior quality and efficiency

Reassembling the political: the PKK and the project of radical democracy

One of the most important secular political movements in the Middle East, the Kurdistan Workers Party (PKK) underwent a profound transformation in the 2000s. What the PKK has experienced in this period was a comprehensive restructuration of its organization, ideology and political-military struggle, changing its course towards a project of radical democracy. In this article we explore the content of this new project, and its practical implications. Through this discussion, our study addresses a gap in Turkish and Kurdish studies. Only few studies deal explicitly with the political ideology of the PKK. The data for this article has been collected through a study of Öcalan’s defence texts and his ‘prison notes’, along with key PKK documents, such as congress reports, formal decisions and the writings of its cadre, such as Mustafa Karasu. We conclude that the project for radical democracy is based on the conception of ‘politics beyond the state, political organisation beyond the party, and political subjectivity beyond class’ and can have the opportunity to change the centralist tradition in Turkish political system as well as the statist and class reductionist political thought in the Left in Turkey

Building Medical Homes in State Medicaid and CHIP Programs

Presents strategies, best practices, and lessons learned from ten states' efforts to advance the medical home model of comprehensive and coordinated care in Medicaid and Children's Health Insurance Programs in order to improve quality and contain costs

The effect of multiple knowledge sources on learning and teaching

Current paradigms for machine-based learning and teaching tend to perform their task in isolation from a rich context of existing knowledge. In contrast, the research project presented here takes the view that bringing multiple sources of knowledge to bear is of central importance to learning in complex domains. As a consequence teaching must both take advantage of and beware of interactions between new and existing knowledge. The central process which connects learning to its context is reasoning by analogy, a primary concern of this research. In teaching, the connection is provided by the explicit use of a learning model to reason about the choice of teaching actions. In this learning paradigm, new concepts are incrementally refined and integrated into a body of expertise, rather than being evaluated against a static notion of correctness. The domain chosen for this experimentation is that of learning to solve "algebra story problems." A model of acquiring problem solving skills in this domain is described, including: representational structures for background knowledge, a problem solving architecture, learning mechanisms, and the role of analogies in applying existing problem solving abilities to novel problems. Examples of learning are given for representative instances of algebra story problems. After relating our views to the psychological literature, we outline the design of a teaching system. Finally, we insist on the interdependence of learning and teaching and on the synergistic effects of conducting both research efforts in parallel