Fifield J, Forrest DD, Burleson JA, Martin-Peele M, Gillespie W. Quality and efficiency in small practices transitioning to patient centered medical homes: a randomized trial. Journal of general internal medicine. 2013 Jun 1;28(6):778-86.
To investigate changes in quality of care (both process and patient outcomes), and efficiency of care that follow from being provided a supportive PCMH transition package compared to attempting the transition without support. After 18‐months, PCMH practices had lower ED use in comparison to non‐PCMH practices. There was no difference in inpatient admissions between PCMH and non‐PMCH practices.