Date of Award


Degree Name

Nursing (D.N.P.)


College of Nursing

First Advisor

Katherine Moran, DNP, RN, CDE, FAADE

Second Advisor

Dianne Conrad, DNP, RN, FNP-BC

Third Advisor

Anna Strong, MPH


The Centers for Disease Control and Prevention (2017) reported that in 2016, healthcare expenditures in the United States totaled 17.9% of the gross domestic product. Unfortunately, care quality is not reflective of the high costs of care. Models of care delivery like the patient centered medical home (PCMH) have shown promise in addressing these concerns.

This project focused on program development for PCMH adoption at an urban clinic in an effort to improve financial stability and remain competitive. The purpose was to propose a plan for adoption and attainment of PCMH recognition requirements for an urban primary care office.

The Donabedian model and Promoting Action on Research Implementation in Health Services framework guided the development of a process for PCMH recognition. The deliverables were: (1) A gap analysis – to communicate the clinic’s readiness for a PCMH endeavor and to guide education/roadmap development, (2) Completion of the core criteria of NCQA’s PCMH concept one- to help the clinic initiate the PCMH recognition journey, (3) A PCMH roadmap –utilizing NCQA’s criteria and gap analysis findings, a roadmap outlining remaining recognition requirements was developed to ensure sustainability, (4) PCMH education was delivered to staff in one session to facilitate PCMH understanding; evaluation of participant satisfaction was conducted, and (5) A business proposal- outlined projected expenses and the return on investment anticipated with PCMH recognition.

It was expected that the project would result in acceptance of the proposed process and commitment to sustaining the initiative. The urban clinic improved readiness for recognition, which assisted with a care transformation to improve outcomes and financial stability.

Additional Files

J. Hendricks Powerpoint.pdf (1800 kB)