Articles, Reports, and Abstracts
Moving Toward Patient-Centered Care was published in ACP Internist in February 2010. It is a brief look at defining a Patient Centered Medical Home and its key features.
Regents Hear Two Sides of Applying Medical Home Concept Published in 2009 in the ACP Internist, this article captures a debate between Bruce H. Hamory, FACP, and Richard J. Baron, FACP over whether the PCMH is best suited to large medical groups or works just as well in small practices.
Patients Find Medical Home in Pennsylvania: Pilot Project Shows Possible Future of Primary Care. Published in April 2009 in ACP Internist, this article interviews a practice in Pennsylvania that was one of 32 internal medicine and family practices to become a PCMH under former Governor Ed Rendell’s Chronic Care Commission.
Center for Practice Improvement & Innovation's (CPII) Two Year Study of 34 PCMHs
In an attempt to unveil common problems for small practices and offer solutions, ACP's CPII visited 34 practices across the U.S. over a two-year period. Members of the center’s three-person team assessed each practice on a variety of factors, such as scheduling, work flow, documentation and safety. They offered individual recommendations and resources for improvement, then returned to the practices a year later to measure results.
In a series of six articles (January 2008 to June 2008), ACP Internist explores the issues the team encountered during its visits, the advice given, and how the practices responded.
- Staffing Can Make or Break a Small Practice
- Investing in EHRs Pays Off in Paperless Perks
- The Front Office Bottleneck: Schedules, Phone, and Refills
- Managing Risk: A Little Attention Equals a Lot of Preventio
- In Office Lab Tests Augment Patient Self-Education Efforts
- Improving Access Tops List of Small Office Tips: Tackle practice improvements one at a time and make sure someone is in charge of tracking progress
A series of reports issued by the Center for Studying Health System Change, The Commonwealth Fund, and the Patient-Centered Primary Care Collaboration.
Electronic Medical Records and Communication with Patients and Other Clinicians: Are We Talking Less? O'Malley AS et al. Issue Brief No. 131. April 2010
Coordination of Care by Primary Care Practices: Strategies, Lessons and Implications. O'Malley AS et al. Research Brief No. 12. April 2009.
Making Medical Homes Work: Moving from Concept to Practice. Ginsburg PB et al. Policy Perspective No. 1. December 2008
Health Reform and You - Better Care at Lower Cost: Is It Possible?. Prepared by: Naomi Freundlich and staff of The Commonwealth Fund.
Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes. Edward H. Wagner, M.D., M.P.H., Katie Coleman, M.S.P.H., Robert J. Reid, M.D., Ph.D., M.P.H., Kathryn Phillips, M.P.H., and Jonathan R. Sugarman, M.D., M.P.H. February 27, 2012.
The Changes Involved in Patient-Centered Medical Home Transformation. Edward H. Wagner, M.D., M.P.H., Katie Coleman, M.S.P.H., Robert J. Reid, M.D., Ph.D., Kathryn Phillips, M.P.H., Melinda K. Abrams, M.S., and Jonathan R. Sugarman, M.D., M.P.H. Primary Care: Clinics in Office Practice, June 2012 39(2):241–59.
A Survey of Primary Care Physicians in 11 Countries, 2009: Perspectives on Care, Costs, and Experiences. Schoen, C. et al. Health Affairs Web Exclusive, Nov. 5, 2009, w1171–w1183
Incremental Cost Estimates for the Patient-Centered Medical Home. Zuckerman, S. et al. Fund Report. October 16, 2009 (project jointly funded by The Commonwealth Fund and ACP)
Group Health Cooperative: Reinventing Primary Care by Connecting Patients with a Medical Home. McCarthy, D. et al. Case Study. July 2, 2009.
Can Patient-Centered Medical Homes Transform Health Care Delivery? Abrams, MK, Davis K, and Haran C. From the President. March 27, 2009
Health Reform and You - Primary Care: Our First Line of Defense. Prepared by: Naomi Freundlich and staff of The Commonwealth Fund. Photo Credits: Susie Fitzhugh (cover) and Martin Dixon (p. 11)
Proof in Practice: A Compilation of Patient-Centered Medical Home Pilot and Demonstration Projects (PCPCC Pilot Guide). 2009.
A Collaborative Partnership: Resources to Help Consumers Thrive in the Medical Home (PCPCC Consumers Guide). 2009.
A series of journal abstracts from a variety of sources on key components of the Patient Centered Medical Care model.
From the Editors’ Desk: The Patient-centered Medical Home and Our Future Health-care System. Jackson JL. Journal of General Internal Medicine. 2010; 25(6):483.
Using Evidence to Inform Policy: Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home. Landon BE, et al. Journal of General Internal Medicine. 2010; 25(6):581-583.
A Nationwide Survey of Patient Centered Medical Home Demonstration Projects. Bitton A, et al. Journal of General Internal Medicine. 2010; 25(6):584-592.
Developing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home: A Focus on Outcomes. Rittenhouse DR, et al. Journal of General Internal Medicine. 2010; 25(6):593-600.
Defining and Measuring the Patient-Centered Medical Home. Stange KC, et al. Journal of General Internal Medicine. 2010; 25(6):601-612.
How to Buy a Medical Home? Policy Options and Practical Questions. Berenson RA and Rich EC. Journal of General Internal Medicine. 2010; 25(6):619-624.
Good Neighbors: How Will the Patient-Centered Medical Home Relate to the Rest of the Health-Care Delivery System? Pham HH. Journal of General Internal Medicine. 2010; 25(6):630-634.
Reinventing Primary Care: A Task That Is Far ‘Too Important To Fail’. Dentzer, S. Health Affairs. 2010; 29(5):757.
Reflections On The Past And Future Of Primary Care. Howell JD. Health Affairs. 2010; 29(5): 760-765.
Primary Care: A Critical Review Of The Evidence On Quality And Costs Of Health Care. Friedberg MW, Hussey PS, and Schneider EC. Health Affairs. 2010; 29(5):766-772.
Practice Redesign And The Patient-Centered Medical Home: History, Promises, And Challenges. Kilo CM and Wasson JH. Health Affairs. 2010; 29(5):773-778.
Transforming Primary Care: From Past Practice To The Practice Of The Future. Margolius D and Bodenheimer T. Health Affairs. 2010; 29(5):779-784.
A Martian’s Prescription For Primary Care: Overhaul The Physician’s Workday. Casalino LP. Health Affairs. 2010; 29(5):785-790.
The Multi-Stakeholder Movement For Primary Care Renewal And Reform. Grundy P et al. Health Affairs. 2010; 29(5):791-798.
Primary Care: Current Problems And Proposed Solutions. Bodenheimer T and Pham HH. Health Affairs. 2010; 29(5):799-805.
Primary Care And Why It Matters For U.S. Health System Reform. Phillips, Jr. RL and Bazemore AW. Health Affairs. 2010; 29(5):806-810.
The Urgency Of Preparing Primary Care Physicians To Care For Older People With Chronic Illnesses. Boult C et al. Health Affairs. 2010; 29(5):811-818.
Driving Quality Gains And Cost Savings Through Adoption Of Medical Homes. Fields D, Leshen E, and Patel K. Health Affairs. 2010; 29(5):819-826.
Prospects For Rebuilding Primary Care Using The Patient-Centered Medical Home. Landon BE. Health Affairs. 2010; 29(5):827-834.
The Group Health Medical Home At Year Two: Cost Savings, Higher Patient Satisfaction, And Less Burnout For Providers. Reid RJ et al. Health Affairs. 2010; 29(5):835-843.
Group Health’s Move To The Medical Home: For Doctors, It’s Often A Hard Journey. Meyer H. Health Affairs. 2010; 29(5):844-851.
Structuring Payment For Medical Homes. Merrell K and Berenson RA. Health Affairs. 2010; 29(5):852-858.
Current Yardsticks May Be Inadequate For Measuring Quality Improvements From The Medical Home. Holmboe ES. Health Affairs. 2010; 29(5):859-866.
Specialty Care Medical Homes For People With Severe, Persistent Mental Disorders. Alakeson V, Frank RG, and Katz RE. Health Affairs. 2010; 29(5):867-873.
How Teams Work—Or Don’t—In Primary Care: A Field Study On Internal Medicine Practices. Chesluk BJ and Holmboe ES. Health Affairs. 2010; 29(5):874-879.
The Role Of Nurse Practitioners In Reinventing Primary Care. Naylor MD and Kurtzman ET. Health Affairs. 2010; 29(5):893-899.
Unleashing Nurse Practitioners’ Potential To Deliver Primary Care And Lead Teams. Pohl JM et al. Health Affairs. 2010; 29(5):900-905.
Why Pharmacists Belong In The Medical Home. Smith M et al. Health Affairs. 2010; 29(5):906-913.
If You Build It, Will They Come? Designing Truly Patient-Centered Health Care. Bechtel C and Ness DL. Health Affairs. 2010; 29(5):914-920.
Measuring Patient Experience As A Strategy For Improving Primary Care. Browne K et al. Health Affairs. 2010; 29(5):921-925.
Paying For Performance In Primary Care: Potential Impact On Practices And Disparities. Friedberg MW et al. Health Affairs. 2010; 29(5):926-932.
Can We Close The Income And Wealth Gap Between Specialists And Primary Care Physicians? Vaughn BT et al. Health Affairs. 2010; 29(5):933-940.
Rhode Island’s Novel Experiment To Rebuild Primary Care From The Insurance Side. Koller CF, Brennan TA, and Bailit MH. Health Affairs. 2010; 29(5):941-947.
Physician Payment Reform: Principles That Should Shape It. Lesser CS, Fineberg HV, and Cassel CK. Health Affairs. 2010; 29(5):948-952.
The Struggle To Support Patients’ Efforts To Change Their Unhealthy Behavior. Baron RJ and Desnouee E. Health Affairs. 2010; 29(5):953-955.
Community Collaboration To Improve Care And Reduce Health Disparities. Cook J et al. Health Affairs. 2010; 29(5):956-958.
A Direct Primary Care Medical Home: The Qliance Experience. Wu WN et al. Health Affairs. 2010; 29(5):959-962.
Transforming The Role Of Medical Assistants In Chronic Disease Management. Nelson K et al. Health Affairs. 2010; 29(5):963-965.
‘Core Teams’: Nurse-Physician Partnerships Provide Patient-Centered Care At An Iowa Practice. Sinsky CA et al. Health Affairs. 2010; 29(5):966-968.
A Safety-Net System Gains Efficiencies Through ‘eReferrals’ To Specialists. Chen AH et al. Health Affairs. 2010; 29(5):969-971.
Chicago: Using Evidence-Based Rules To Make Smarter Referrals. Fischer BS et al. Health Affairs. 2010; 29(5):972-975.
An Employer-Directed Health Plan That Seeks To Reenergize Primary Care. Zastrow R, Van Gilder T, and Quadracci LJ. Health Affairs. 2010; 29(5):976-978.
Form Follows Function: A Redesigned Pediatric Office. Okie S. Health Affairs. 2010; 29(5):979-981.
A National Strategy To Put Accountable Care Into Practice. McClellan M et al. Health Affairs. 2010; 29(5):982-990.
Higher Health Care Quality And Bigger Savings Found At Large Multispecialty Medical Groups. Weeks WB et al. Health Affairs. 2010; 29(5):991-997.
The Growth Of Retail Clinics And The Medical Home: Two Trends In Concert Or In Conflict? Pollack CD, Gidengil C, and Mehrotra A. Health Affairs. 2010; 29(5):998-1003.
How To Forge A High-Tech Marriage Between Primary Care And Population Health. Lawrence DM. Health Affairs. 2010; 29(5):1004-1009.
Managing The New Primary Care: The New Skills That Will Be Needed. Bohmer RMJ. Health Affairs. 2010; 29(5):1010-1014.
The Challenges Of Primary Care And Innovative Responses In Osteopathic Education. Shannon SC et al. Health Affairs. 2010; 29(5):1015-1022.
Lessons From Major Initiatives To Improve Primary Care In The United Kingdom. Doran T and Roland M. Health Affairs. 2010; 29(5):1023-1029.
Reinventing Primary Care: Lessons From Canada For The United States. Starfield B. Health Affairs. 2010; 29(5):1030-1036.
Specialist Physician Practices as Patient-Centered Medical Homes. Casalino, LP et al. New England Journal of Medicine. Published on April 21, 2010, at NEJM.org.
The Future of Health Information Technology in the Patient-Centered Medical Home. Bates DW, Bitton A. Health Affairs. 2010; 29:614-621.
Principles of the Patient-Centered Medical Home and Preventive Services Delivery. Ferrante JM, et al. Annals of Family Medicine. 2010; 8:108-116.
Lessons That Patient-Centered Medical Homes Can Learn From the Mistakes of HMOs. Mirabito AM, Berry LL. Annals of Internal Medicine. 2010; 152:182-185.
Patient-Centered Medical Homes in Ontario. Rosser W, et al. New England Journal of Medicine. Published on January 6, 2010, at NEJM.org.
The Medical Home: Is it a Blind Men and Elephant Tale? Solberg L, Van Royen P. Family Practice. 2009; 26:425-427.
Primary Care and Accountable Care – Two Essential Elements of Delivery-System Reform. Rittenhouse DR, et al. New England Journal of Medicine. 2009: 361(24):2301-2303.
Patient-Centered Medical Home Demonstration: A Prospective, Quasi-Experimental, Before and After Evaluation. Reid RJ, et al. The American Journal of Managed Care. 2009: 15(9):71-87.
Improved Outcomes Associated with Medical Home Implementation in Pediatric Primary Care. Cooley, WC. Pediatrics. 2009: 124(1):358-364.
Illinois Medical Home Project: Pilot Intervention and Evaluation. Rankin KM, et al. American Journal of Medical Quality. 2009: 24(4):302-309.
Initial Lessons from the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home. Nutting PA, et al. Annals of Family Medicine. 2009; 7:254-260.
Learning from Alma Ata: The Medical Home and Comprehensive Primary Health Care. Gottlieb LM. Journal of the American Board of Family Medicine. 2009; 22:242–246.
The Patient-Centered Medical Home: Will It Stand the Test of Health Reform? Rittenhouse DR, Shortell SM. JAMA. 2009; 301:2038-2040.
Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. Snow V, et al. Journal of General Internal Medicine. Published online: April 3, 2009.
The Patient-Centered Medical Home and Nephrology. DuBose TD, et al. Journal of the American Society of Nephrology. 2009; 20:681-682.
Future Vision: Is Family Medicine Ready for Patient-directed Care? Scherger JE. Family Medicine. 2009; 41:285-288.
Patient–Physician Connectedness and Quality of Primary Care. Atlas SJ, et al. Annals of Internal Medicine. 2009; 150:325-335.
Primary Care Physicians’ Links to Other Physicians Through Medicare Patients: The Scope of Care Coordination. Pham HH, et al. Annals of Internal Medicine. 2009; 150:236-242.
The Problem of Integrating Behavioral Health in the Medical Home and the Questions It Leads to. Kessler R, et al. Journal of Clinical Psychology in Medical Settings. 2009; 16:4-12.
Readiness for the Patient-Centered Medical Home: Structural Capabilities of Massachusetts Primary Care Practices. Friedberg MW, et al. Journal of General Internal Medicine. 2009; 24:162–169.
Building the Case for the Patient-Centered Medical Home. Backer LA. Family Practice Management. 2009; 16:14-18.
Achieving a Patient-centered Medical Home as Determined by the NCQA—at What Cost, and to What Purpose? Kuzel AJ. Annals of Family Medicine. 2009; 7:85-86.
A Review of the Evidence for the Medical Home for Children With Special Health Care Needs. Homer CJ, et al. Pediatrics. 2008; 122:e922-937.
So Much to Do, So Little Time. Care for the Socially Disadvantaged and the 15-Minute Visit. Fiscella K, Epstein RM. Archives of Internal Medicine. 2008; 168:1843-1852.
Building a Medical Neighborhood for the Medical Home. Fisher ES. New England Journal of Medicine. 2008; 359:1202-1205.
No Place Like Home — Testing a New Model of Care Delivery. New England Journal of Medicine. Iglehart JK. 2008; 359:1200-1202.
Beyond Pay for Performance — Emerging Models of Provider-Payment Reform. Rosenthal MB. New England Journal of Medicine. 2008; 359:1197-1200.
Innovations: ‘Medical Home’ or Medical Motel 6? Health Affairs. Dentzer S. 2008; 27:1216-1217.
- A House is Not a Home: Keeping Patients it the Center of Practice Redesign. Berenson RA, et al. Health Affairs. 2008; 27:1219-1230.
- Sidorov JE. The Patient-Centered Medical Home for Chronic Illness: Is it Ready for Prime Time? Health Affairs. 2008; 27:1231-1234.
- Continuous Innovation in Health Care: Implications of the Geisinger Experience. Paulus RA, et al. Health Affairs. 2008; 27:1235-1245.
- Measuring the Medical Home Infrastructure in Large Medical Groups. Rittenhouse DR, et al. The largest of the large medical groups have the highest levels of medical home infrastructure, but adoption is slow. Health Affairs. 2008; 27:1246-1258.
The Medical Home: Locus of Physician Formation. Daaleman TP. Journal of the American Board of Family Medicine. 2008; 21:451-457.
Comprehending Care in a Medical Home: A Usual Source of Care and Patient Perceptions about Healthcare Communication. DeVoe JE, et al. Journal of the American Board of Family Medicine. 2008; 21:441-450.
The Medical Home: Growing Evidence to Support a New Approach to Primary Care. Rosenthal TC. Journal of the American Board of Family Medicine. 2008; 21:427-440.
The Patient-Centered Medical Home Movement—Promise and Peril for Family Medicine. Journal of the American Board of Family Medicine. Rogers JC. 2008; 21:370-374. There is no abstract for this article.
The Patient-Centered Medical Home and Preconception Care: An Opportunity for Internists. Files JA, et al. Journal of General Internal Medicine. 2008; 23:1518-1520.
The Need to Test the Patient-Centered Medical Home. Barr MS. Journal of the American Medical Association. 2008; 300:835-835.
IOM: Focus on Care for Aging Population. Voelker R. Journal of the American Medical Association. 2008; 299:2611-2613.
Reforming the Primary Care Physician Payment System. Eliminating E & M Code's and Creating the Financial Incentives for an "Advanced Medical Home". Goldfield N, et al. Journal of Ambulatory Care Management. 2008; 31:24-31.
When a Usual Source of Care and Usual Provider Matter: Adult Prevention and Screening Services. Blewett LA, et al. Journal of General Internal Medicine. 2008; 23:1354-1360.
Closing the Physician-Staff Divide: A Step Toward Creating the Medical Home. Crabtree BF, et al. Family Practice Management. 2008; 15:20-24. There is no abstract for this article.
Assembling Patient-Centered Medical Homes — The Clerkship Initiative. Rogers JC. Annals of Family Medicine. 2008; 6:178-179. There is no abstract for this article.
Coordinating Care — A Perilous Journey through the Health Care System. Bodenheimer T. New England Journal of Medicine. 2008; 358:1064-1071.
Practice Systems Are Associated with High-quality Care for Diabetes. Solberg LI, et al. American Journal of Managed Care. 2008; 14:85-92. There is no abstract for this article.
Health Care Utilization and the Proportion of Primary Care Physicians. Kravet SJ, et al. American Journal of Medcine. 2008; 121:142-148.
Primary Care: Can It Solve Employers’ Health Care Dilemma? Health Affairs. Sepulveda MJ, et al. 2008; 27:151-158.
The Medical Home, Access to Care, and Insurance: A Review of Evidence. Starfield B, Shi L. Pediatrics; 2004; 113:1493-1498.
Do You Need Help Becoming a Patient Centered Medical Home?
On September 6, the Patient-Centered Primary Care Collaborative, released the report "Benefits of Implementing the Primary Care Patient-Centered Medical Home: Cost and Quality Results" This report provides a summary of new and updated results from PCMH initiatives from the past two years, including cost and quality outcomes data.
Recognized PCMH Practices
Introduction to the Patient Centered Medical Home Video
Patients are curious about what a "Patient Centered Medical Home" is and this video was produced by Emmi Solutions in partnership with the Patient Centered Primary Care Collaborative (PCPCC) in an attempt to answer their questions. Many practices already provide the type of care outlined in the video, and it is by no means meant to be critical to those physicians who are doing their best to provide patient-centered care under the current structure.
ACP Clinical Shorts
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