Implementation of Patient-Centered Medical Home Care for Older Adults to be Studied

$100,000 Grant from Agency for Healthcare Policy and Research to Fund Study

Timothy Hoff, Ph.D.

Timothy Hoff, Ph.D.

Timothy Hoff, Ph.D., associate Professor of Health Policy and Management at the University at Albany School of Public Health, has been awarded a $100,000 research grant from the federal Agency for Healthcare Policy and Research (AHRQ). This funding will support a two-year study that examines the implementation of patient-centered medical home (PCMH) care for older adult patients within primary care settings. The patient-centered medical home care model is an important health care innovation that seeks to strengthen the U.S. primary care system through improvements in quality, access, and care delivery. Recent U.S. health reform legislation places significant emphasis on PCMH care to improve both quality and efficiency within the current system, and to create a more patient-oriented care experience. Many state governments are also looking to medical home care innovations to improve public health insurance programs like Medicaid and Child Health Plus.

Dr. Hoff’s study, one of the first nationally to examine how to tailor medical home care to different populations, will draw upon extended interviews and focus groups with physicians and nurses now delivering medical home care within primary care practices. According to Dr. Hoff, “The goal is to use the everyday experiences of clinicians doing medical home care to develop new ideas about how to best provide that care to an important patient population, older adults. Older adults consume most of the primary care services in the United States, and tend to need medical home care the most given higher rates of chronic disease. The success of the entire medical home enterprise rests on how well we provide that type of care to this particular population.” The results of Dr. Hoff’s study will be used at a national level to modify medical home implementation in ways that are more suited to the specific needs and expectations of older adults.