Can a patient-centered medical home lead to better patient outcomes? The quality implications of Geisinger's ProvenHealth Navigator
Abstract
One of the primary goals of the patient-centered medical home (PCMH) is to provide higher quality care that leads to better patient outcomes. Currently, there is only limited evidence regarding the ability of PCMHs to achieve this goal. This article demonstrates the effect of PCMHs in improving certain clinical outcomes, as shown by the ProvenHealth Navigator (PHN), an advanced PCMH model developed and implemented by Geisinger Health System. In this study, the authors examined the claims data from Geisinger Health Plan between 2005 and 2009 and estimated the effect of PHN on reducing amputation rates among patients with diabetes, end-stage renal disease, myocardial infarction, and stroke. The results show that, despite its relatively short period of existence, PHN has led to significant improvements in certain outcomes, further illustrating its potential as a care delivery model to be adopted on a wider scale.
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The Geisinger ProvenHealth Navigator demonstrated a reduction in the incidence of end-stage renal disease and amputation among patients with T2D over 4 years, although without a change in myocardial infarction or stroke.
“For example, the Geisinger ProvenHealth Navigator demonstrated a reduction in the incidence of end-stage renal disease and amputation among patients with T2D over 4 years, although without a change in myocardial infarction or stroke (98).”
From The CardioMetabolic Health Alliance (2015) · cites this paper as [98]
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- Authors
- Maeng, D. D., Graf, T. R., Davis, D. E., Tomcavage, J., & Bloom, F. J.
- Affiliations
- Geisinger Health System (US)
- Venue
- American Journal of Medical Quality
- Published
- 2011-08-18
- Volume
- 27
- Issue
- 3
- Pages
- 210-216
- ISSN
- 1062-8606 (ISSN-L)
- 1555-824X
- OpenAlex
- W2154814798
- Cited by
- 64
- References
- 15
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 3 · 2020: 10 · 2019: 5 · 2018: 5 · 2017: 5 · 2016: 5 · 2015: 5 · 2014: 7 · 2013: 7 · 2012: 6
- FWCI
- 11.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Medical Quality (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- patient-centered medical home, Geisinger Health System, quality of care, patient outcomes, amputation rate, diabetes mellitus, end-stage renal disease, myocardial infarction, stroke, claims data analysis, models of care
- MeSH terms
- Aged, Delivery of Health Care, Female, Humans, Male, Quality of Health Care, Logistic Models, Outcome Assessment, Health Care, Models, Organizational, Patient-Centered Care
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