"In Principle We Have Agreement, But in Practice It Is a Bit More Difficult": Obtaining Organizational Buy-In to Patient-Centered Medical Home Transformation.

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  • Additional Information
    • Source:
      Publisher: Sage Publications Country of Publication: United States NLM ID: 9202144 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1049-7323 (Print) Linking ISSN: 10497323 NLM ISO Abbreviation: Qual Health Res
    • Publication Information:
      Publication: Thousand Oaks, CA : Sage Publications
      Original Publication: Newbury Park, CA : Sage Publications, c1991-
    • Subject Terms:
      Attitude of Health Personnel* ; Organizational Innovation*; Health Personnel/*psychology ; Patient-Centered Care/*organization & administration ; Primary Health Care/*organization & administration; Adult ; Female ; Humans ; Mid-Atlantic Region ; Middle Aged ; Models, Organizational
    • Abstract:
      The patient-centered medical home (PCMH) is a model of care that emphasizes the coordination of patient treatment among health care providers. Practice transformation to this model, however, presents a number of challenges. One of these challenges is getting the buy-in of all personnel to commit to making organizational changes in the journey to becoming a nationally recognized medical home. This study investigated internal messages of buy-in as communicated by practices transitioning to this type of care. Grounding itself in stakeholder theory, this study analyzed interviews with staff, administration, and practitioners from 20 medical practices in a mid-Atlantic state. The analysis revealed three overarching themes: (a) communication among staff that is open, consistent; (b) implementation of reinforcement techniques; and (c) access to a change implementer who encourages successful evolution. Discussion of these themes provides recommendations for communication approaches to organizational buy-in for medical practices hoping to become a PCMH.
    • Contributed Indexing:
      Keywords: behavior change; group interaction; health care; managed; teamwork
    • Publication Date:
      Date Created: 20161203 Date Completed: 20180416 Latest Revision: 20220318
    • Publication Date:
      20240829
    • Accession Number:
      10.1177/1049732316680601
    • Accession Number:
      27909251