The Patient Centered Medical Home & Specialty Physicians
The College recognizes that involvement of subspecialty/specialty practices and the rest of the medical neighborhood are critical to ensure that the Patient Centered Medical Home (PCMH) model provides effective and efficient care coordination and integration. The following links serve to define the role of subspecialty/specialty practices within the PCMH model and to assist these practices in providing patient centered coordinated care.
Care Coordination - High Value Care Coordination (HVCC) Toolkit
The High Value Care Coordination (HVCC) Toolkit provides resources to facilitate more effective and patient-centered communication between primary care and subspecialist doctors.
The toolkit was the work of the HVCC Project, a collaboration between the American College of Physicians' (ACP) Council of Subspecialty Societies (CSS) and patient advocacy groups. The HVCC Toolkit’s resources include the following:
- A checklist of information to include in a generic referral to a subspecialist/specialist practice.
- A checklist of information to include in a subspecialist/specialist’s response after responding to a referral request.
- Pertinent data sets reflecting specific information, in addition to that found on the generic referral request, to include in a referral for a number of specific common conditions to help ensure an effective and high value engagement. These were developed by the participating CSS societies.
- Model care coordination agreement templates between primary care and subspecialty/specialty practices, and between primary care and hospitalist practices.
- An outline of recommendations to physicians on preparing a patient for a referral in a patient-centered manner.
- NCQA Patient-Centered Specialty Practice Recognition Program - This national program recognizes those subspecialty/specialty practices that engage in processes consistent with the PCMH model and supportive of the delivery of high quality, patient centered, coordinated care.
- ACP Practice Advisor - This web-based tool to assist practices transforming towards the delivery of more patient centered, high quality and efficient care delivery added four modules in 2014 directly linked to the standards of the NCQA Specialty Practice Recognition Program.
- 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.
Do You Need Help Becoming a Patient Centered Medical Home?
New Study: Total Cost of Care Lower among Medicare Fee-for-Service Beneficiaries Receiving Care from Patient-Centered Medical Homes
August 9, 2014: A new, independent research study, conducted by RTI International and published in the Health Services Research journal, adds to the evidence that accredited patient-centered medical homes (PCMHs) deliver lower cost and drive more appropriate health care utilization. The study focused on participants in the Medicare Fee-for-Service (FFS) program, comparing 308 PCMHs recognized by the National Committee for Quality Assurance (NCQA) with a sample of nearly 2,000 non-accredited PCMHs across three years, beginning in July of 2008.
Recognized PCMH Practices
Not an ACP Member?
Join today and discover the benefits waiting for you.
ACP offers different categories of membership depending on your career stage and professional status. View options, pricing and benefits.
A New Way to Ace the Boards!
Ensure you're board-exam ready with ACP's Board Prep Ace - a multifaceted, self-study program that prepares you to pass the ABIM Certification Exam in internal medicine. Learn more.