Measuring medical homeness using the Medical Home Attributes Scale (MHAS)

• DOI: 10.15761/hpc.1000116
• Publication Date: 2018-01-30T05:07:05Z
• Authors: Michael T Halpern; Kevin W Smith; Nancy McCall; Yiyan Liu; Suzanne G Wensky

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 25 clinician-rated MHAS items from 228 revealed four underlying factors: team interactions, record review/documentation, reviewing patient needs, and quality improvement/monitoring.In multivariable regressions, scores were 8.5 points higher for multispecialty vs. primary-care only practices, 5.5 lower hospital-owned other ownerships.The MHAS, brief measure medical-homenness clinician is highly reliable sensitive to differences in practice specialty ownership.