The Center for Research Strategies would like to congratulate our own, Dr. Paul A. Nutting, along with, Benjamin F. Crabtree, William L. Miller, Kurt C. Stange, Elizabeth Stewart, and Carlos Jaen, for their published paper: Transforming Physician Practices To Patient-Centered Medical Homes: Lessons From The National Demonstration Project, which, based on online downloads, has made the top ten most read papers published in Health Affairs in 2011.
According to Health Affairs, the paper addresses the role of primary care practices in upcoming health reform discussions and notes “Many commentators view the conversion of small, independent primary care practices into patient-centered medical homes as a vital step in creating a better-performing health care system.”
From June 1, 2006, to May 31, 2008, the authors researched results from the country’s first national medical home demonstration and identified
some of the difficulties associated with these innovations. According to the article, “Among other features, the transformation process requires an internal capability for organizational learning and development; changes in the way primary care clinicians think about themselves and their relationships with patients as well as other clinicians on the care team; and awareness on the part of primary care clinicians that they will need to make long-term commitments to change that may require three to five years of external assistance.”
In conclusion, the authors comment that, “Transforming primary care requires synchronizing practice redesign with development of the health care “neighborhood,” which is made up of a broad range of health and health care resources available to patients.” The paper also discusses the requirements for a payment reform system to support practice development and a policy environment to define practical expectations and time frames for the implementation of suitable innovations.
To view Dr. Nutting’s article, visit the Center for Research Strategies website (www.crsllc.org)




