{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:25:17Z","timestamp":1747182317809,"version":"3.40.5"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R18DK110732"],"award-info":[{"award-number":["R18DK110732"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify the impact of changes surrounding certification as a patient\u2010centered medical home (PCMH) on outcomes for patients with diabetes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Setting<\/jats:title><jats:p>Minnesota legislation established mandatory quality reporting for patients with diabetes and statewide standards for certification as a PCMH. Patient\u2010level quality reporting data (2008\u20102018) were used to study the impact of transition to a PCMH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Achievement of Minnesota's optimal diabetes care standard\u2014in aggregate and by component\u2014was modeled for adult patients with Type 1 or Type 2 diabetes as a function of time relative to the year the patient's primary care practice achieved PCMH certification. Patients from uncertified practices were used to control for general trend. Practice\u2010level random effects captured time\u2010invariant characteristics of practices and the practices\u2019 average patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Collection<\/jats:title><jats:p>Electronic health record data were submitted by 695 Minnesota practices capturing components of the quality standard: blood sugar control, cholesterol control, blood pressure control, nonsmoking status, and use of aspirin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>The first cohort of practices achieving PCMH certification (July 2010\u2010June 2014) showed statistically insignificant changes in optimal care. The next cohort of practices (July 2014\u2010June 2018) achieved larger, clinically meaningful increases in quality of care during the time prior to and following certification. Specifically, this second cohort of practices was estimated to achieve a 12.8 percentage\u2010point improvement (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001) in the predicted probability of providing optimal diabetes care over the period spanning 3\u00a0years before to 3\u00a0years after certification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results suggest that the initial cohort of certified practices was already performing at a high level before certification, perhaps requiring little change in their operations to achieve PCMH certification. The second cohort, on the other hand, made meaningful, quality\u2010improving changes in the years surrounding certification. Differences by cohort may partially explain the inconsistent PCMH impacts found in the literature.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.13588","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T06:33:24Z","timestamp":1604298804000},"page":"352-362","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The impact of patient\u2010centered medical home certification on quality of care for patients with diabetes"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0813-3433","authenticated-orcid":false,"given":"Caroline S.","family":"Carlin","sequence":"first","affiliation":[{"name":"Department of Family Medicine and Community Health University of Minnesota Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Community Health University of Minnesota Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leif I.","family":"Solberg","sequence":"additional","affiliation":[{"name":"HealthPartners Institute Bloomington Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.27.3.759"},{"volume-title":"Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies (Vol. 2: Diabetes Care)","year":"2004","author":"Shojania KG","key":"e_1_2_8_3_1"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-1922"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.691"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/JAC.0b013e3181ff7080"},{"key":"e_1_2_8_7_1","unstructured":"Patient\u2010Centered Primary Care Collaborative.Practices in the Spotlight: the medical home and diabetes care.2011.https:\/\/www.pcpcc.org\/sites\/default\/files\/media\/diabetes_guide_2011.pdf. 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