Physician Perspectives on the Influence of Medical Home Recognition on Practice Transformation and Care Quality for Children with Special Health Care Needs. III. RESULTS


Of the participants, 11 were pediatricians and nine were family physicians (Table 1). More than half practiced at a federally-qualified health center (FQHC) or as part of a large integrated health system. Practices reported size based on the number of providers at a particular site, not their affiliated parent organization, and sizes ranged from two to 16 providers. The 20 practices were affiliated with six different parent organizations.

Nine physicians reported having a patient panel that included 15 percent or more of CSHCN. Based on the 2008 MAX claims data, physicians in our sample served an average of 22 Medicaid-covered CSHCN in 2008, ranging from one to 226.

TABLE 1. Characteristics of Participating Physicians
Characteristic   Number     % or Range  
Practice Type, n (%)
   FQHC 6 30%
   Integrated 6 30%
   Independent, single-site 2 10%
   Independent, multisite 4 20%
   Othera 2 10%
Practice Size,b median (range)    5.5 2-16
State, n (%)
   Colorado 14 70%
   Texas 6 30%
Physician Specialty, n (%)
   Pediatrician 11 55%
   Family physician 9 45%
Level of Involvement in Recognition,c n (%)
   None to minimal 12 60%
   Some 2 10%
   High 6 30%
  1. Other includes a pediatrics practice in a county hospital and a family medicine residency training program in an independent, single-site practice.
  2. Practice size denotes the number of physician, physician assistant, and nurse practitioner providers reported by the physician respondents for each site.
  3. Level of involvement reflects physicians' self-reported level of participation in their practice's PCMH-recognition process.

Integrated = integrated health system.

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