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Table 3 Primary, secondary, and monitoring outcomes

From: Study protocol: transforming outcomes for patients through medical home evaluation and redesign: a cluster randomized controlled trial to test high value elements for patient-centered medical homes versus quality improvement

  Metrics Measurement source Alignment with health reform
Primary outcome goals    
Reduce utilization by 10% Total cost of care All Payer All Claims data source; patient level Strong; primary goal
Hospitalization rate per patient per month
ED visit rate per patient per month
Improve experience of care by 10% CG-CAHPS: 4/11 composite scores Survey to 1,600 random stratified patients Strong
Secondary outcome goals    
Improve quality of care by 10% Composite of nine composite measures EHR-based electronic clinical quality measures; clinic level Strong: same measures used
Improve teamness, collaboration, and patient-centered care Composites of various tools CSQ, TDM, CPAT, and novel collaboration tool; clinic level Indirect
Monitoring goals    
Clusters engage in quality improvement Monthly ‘score’ based on QI progress and goal setting Novel practice facilitation-based measure; clinic level Moderate
HVE passed monthly Monthly count of HVEs passed HVEs derived from PCMH; clinic level Strong