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Guiding transformation: How medical practices can become patient-centered medical homes (USA)

International Literature

posted by Research Admin on 2012-02-28 10:18:14.139



The patient-centered medical home (PCMH) has been proposed as a model for transforming primary care and improving efficiency and effectiveness in the health care system. Under these principles, a PCMH would provide each person with a personal physician who leads a team that takes responsibility for ongoing care for all health issues and coordinates care with other service providers. Medical homes would also ensure the quality and safety of their care through performance measurement and continuous quality improvement and provide their patients with enhanced access.

This report outlines and describes the changes that most medical practices would need to make to become patient-centered medical homes. The broad "change concepts," as the report terms them, include: engaged leadership; a quality improvement strategy; empanelment or linking patients with specific providers to ensure the continuity of the patient–provider relationship; continuous and team-based healing relationships, including cross-training staff to allow team members to play various roles; organised, evidence-based care, including the use of decision support systems; patient-centred interactions to increase patients' involvement in their own care; enhanced access to ensure patients have access to care and their clinical information after office hours; and care coordination to reduce duplication of services and increased anxiety and financial costs for patients and their families.

Wagner, E. H., et al. (2012). Guiding transformation: How medical practices can become patient-centered medical homes. New York, NY: The Commonwealth Fund.

To read the full abstract, and access a free full text copy of the report, go to: