The Patient Centered Medical Home & Specialty Physicians
One particular area where the Patient Centered Medical Home (PCMH) model requires further development and testing is the integration of the care model with specialty and subspecialty practices.
This model development is being addressed by the Council of Specialty Societies (CSS) PCMH Workgroup, and through collaborative initiatives between ACP and various specialty and subspecialty societies.
For more information, please access the resources below:
- Letter in response to Public Comment Request Regarding the NCQA Specialty Practice Recognition Program (July 3, 2012)
- ACP Position Paper: The Patient-Centered Medical Home Neighbor: The Interface of the Patient-Centered Medical Home with Specialty/Subspecialty Practices (2010)
- Model Documents for the Medical Home Neighborhood:
The following are a set of first iteration model documents related to the above position paper. These model documents, developed by the CSS PCMH workgroup, are viewed solely as a reference to help individual practices and practice collaborations (e.g. Independent Practice Associations, Accountable Care Organizations, Medical Specialty Societies) develop similar communication-enhancing tools more consistent with their unique " practice cultures" and needs. These documents will be revised as input from the medical community is received and new documents will be added over time. Please send any comments and suggestions regarding these documents to nkirschner@acponline.org. - A checklist of recommended information to include on a referral request from a PCMH to a subspecialty/specialty
PCMH-Neighbor - A checklist of recommended information to include on a response from a PCMH-Neighbor to a referring PCMH practice
- A set of general care coordination/service agreements (compacts) between a PCMH and PCMH-N practice
- Joint Principles for the Medical Education of Physicians as Preparation for Practice in the Patient-Centered Medical Home (December 2010) - These principles, developed jointly by ACP, AAFP, AAP, and AOA, will guide medical school curricula in ensuring that all physicians, regardless of their specialty choice, will have the expertise to practice in a reformed health care delivery system based on the patient-centered medical home (see Press Release).
- Frequently Asked Questions About the Relationship of the PCMH to Specialty Physicians (2009)
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What's New
September 2012
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

Website: www.ncqa.org/
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.
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