The Patient-Centered Medical Home

Patient-Centered medical Home

What is a Patient-Centered Medical Home?

A patient-centered medical home (PCMH) is a more effective and efficient model of health care delivery. This new model produces better care and helps to lower healthcare costs. North Carolina is helping to lead the nation in the number of physicians and practices recognized that support patient-centered care.

Based on the 2007 Joint Principles of the Patient-Centered Medical Home as agreed to by the AAFP, AAP, ACOP, and the AOA, a patient-centered medical home features:

  • Patients have a relationship with a personal physician.
  • The physician-led care team is responsible for the patient's comprehensive care.
  • Patients can expect care that is coordinated across care settings and disciplines.
  • Quality is measured and improved as part of daily work flow.
  • Patients experience enhanced access and communication.
  • Medical homes use EHRs, registries, and other clinical support systems.

Key Transformation Resources & Sites -

AAFP's PCMH Resource Page - http://www.aafp.org/online/en/home/membership/initiatives/pcmh.html
AAFP's Free Webinar Series on PCMH - http://www.aafp.org/practice-management/pcmh/patient-care.html
Transformed - http://transformed.com/
The Patient-Centered Primary Care Collaborative - http://www.pcpcc.net/
Community Care of NC's PCMH Toolkit - http://commonwealth.communitycarenc.org/toolkit/8/default.aspx
Agency for Healthcare Quality & Research PCMH Site - http://www.pcmh.ahrq.gov
CCNC's PCMH Recognition Guide - https://www.communitycarenc.org/emerging-initiatives/pcmh-central1/
PCPCC's Practical Guide to Transformation - http://www.pcpcc.org/guide/putting-theory-practice
The DeltaExchange at TransforMED - http://www.aafp.org/practice-management/pcmh/initiatives/dx.html
Merck Overview Video of PCMH - http://www.youtube.com/watch?v=ZC4YCLG4h5k&feature=player_embedded

Reports, Articles & Presentations on PCMH -

Trends in Healthcare in NC - http://www.ncchamber.net/docs/pdfs/EASTER_2012healthcare.pdf
Building Medical Homes: Lessons From Eight States with Emerging Programs - http://www.commonwealthfund.org/Publications/Fund-Reports/2011/Dec/Build...
Medical Home 2.0 - http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Document...
AHRQ's PCMH Articles Listing (w/citations) - http://pcmh.ahrq.gov/portal/server.pt/community/pcmh__home/1483/PCMH_Hom...
BCBSNC’s Move Towards the Patient-Centered Medical Home is Helping My Small Family Practice - http://www.ncafp.com/2014/sites/default/files/PCMH-BQPP.pdf

Downloadable Resources -

AAFP's Checklist - http://www.aafp.org/content/dam/AAFP/documents/practice_management/pcmh/...
Patient Handout by PCPCC - http://www.pcpcc.org/guide/consumer-education-english-spanish
NCAFP Handout: Value of PCMH - http://www.ncafp.com/2014/sites/default/files/PCMH-PatientValueFlyer.pdf
NCAFP Handout: What a Medical Home Means to You - http://www.ncafp.com/2014/sites/default/files/PCMH-WhatitMeanstoYou.pdf

Current PCMH Efforts in North Carolina -

Community Care of NC - http://www.communitycarenc.com/population-management/medical-home/
Multi-payer Advanced Primary Care Practice Project - http://www.communitycarenc.com/emerging-initiatives/multi-payer-demonstr...
Blue Quality Physician Program at BCBSNC - http://www.bcbsnc.com/content/providers/bqpp/index.htm