To assess psychometric properties of a recently-designed medical-homeness instrument, the Medical Home Attributes Scale (MHAS), we surveyed clinical practices with NCQA recognition as medical homes. Exploratory factor-analyses of the 25 clinician-rated MHAS items from 228 practices revealed four underlying factors: clinical team interactions, record review/documentation, reviewing patient needs, and quality improvement/monitoring. In multivariable regressions, MHAS scores were 8.5 points higher for multispecialty practices vs. primary-care only practices, and were 5.5 points lower for hospital-owned practices vs. other ownerships. The MHAS, a brief measure of medical-homenness of clinician practices, is highly reliable and sensitive to differences in practice specialty and ownership.
Measuring medical homeness using the Medical Home Attributes Scale (MHAS)
Halpern, M., Smith, K., McCall, N., Liu, Y., & Wensky, S. G. (2017). Measuring medical homeness using the Medical Home Attributes Scale (MHAS). Health and Primary Care, 1(3), 1-4.