Patient-centered medical home
The patient-centered medical home is a health care delivery model based on the relationship between a patient and their personal primary care physician. With its growing popularity in the health care reform discussion, TAFP provides you with tools to educate yourself, your colleagues and your patients on the medical home.
Explore the medical home through MedicalHomeForAll.com
Through Medical Home For All, TAFP brings you a series of videos on the patient-centered medical home from the perspective of the patient, physician, and business leader. The website is presented as a resource for information and opinions on the importance and benefits of the PCMH.
A variety of PCMH resources from AAFP
Go to the PCMH section of AAFP’s website for resources on practice organization, HIT, quality measure, patient experience, and more.
Improve quality, safety, and satisfaction with TransforMED’s PCMH model
TransforMED helps primary care practices become high-performing patient-centered medical homes through a transformative process of practice redesign focused on patient care and practice team satisfaction. Organized around the TransforMED Patient-Centered Model, TransforMED facilitators leverage best-practices from their experience guiding transformation projects across the country to provide clinical integration services, collaborative environments and learning opportunities to medical practices and stakeholders. TransforMED is a non-profit subsidiary of AAFP.
Find information on PCMH pilots, demonstrations through PCPCC
The Patient Centered Primary Care Collaborative is a coalition of major employers, consumer groups, patient quality organizations, health plans, labor unions, hospitals, clinicians, and others dedicated to advancing the patient-centered medical home as a way to improve access to care for the nation’s patients.
Patient-Centered Medical Home Resource Center
The PCMH model emphasizes patient-centered, comprehensive, coordinated, accessible care, and a system-wide focus on quality and safety. Mathematica’s health experts collaborated with the Agency for Healthcare Research and Quality (AHRQ) to develop the PCMH Resource Center, a website offering the latest evidence-based PCMH research—many authored by Mathematica’s health experts—to help health care policymakers and researchers build and assess the effectiveness of this promising model. This site also includes several resources for implementers on facilitation or coaching of primary care practices.
Evaluate your practice with AAFP’s Patient-centered Medical Home Checklist
Are you building a patient-centered medical home? Use AAFP’s two-page PCMH Checklist to see how your practice stacks up in four categories: quality measures, patient experience, health information technology, and practice organization.
Read practice transformation tips from TAFP past president Melissa Gerdes
From October 2009 through March 2011, TAFP past president Melissa Gerdes, M.D., blogged her practice transformation tips through “Real Life Practice Transformation” for Family Practice Management. As a star of the initial TransforMED National Demonstration Project, she gave physicians advice on implementing aspects of the medical home, and shared her experiences—good and bad—with the larger AAFP community. Archived posts are still available.
Learn from the medical home experts, order TransforMED workbooks
A new series of workbooks from TransforMED can help physicians learn how to transform a practice into a high-performing patient-centered medical home. The workbooks provide practices with concise, step-by-step information on relevant topics in health care delivery. The TransforMED Patient-Centered Model provides the foundation for the workbook series, instrumental in ensuring success for practices as conditions in primary care shift. Authored by TransforMED practice enhancement facilitators and published by MGMA, a total of 19 workbooks in the series are planned.
> Learn more and place an order at www.transformed.com/publications.cfm
TransforMED offers AAFP-member discount on physician social network
Delta-Exchange, the social network for practice transformation offered by AAFP-affiliate TransforMED, connects member physicians with Patient-Centered Medical Home “best practices” and provides a forum for them to collaborate, discuss issues, and ask questions of both TransforMED expert facilitators and practice leaders who’ve gone through practice transformation. Members can access a continually expanding library of online PCMH seminars led by TransforMED’s experienced practice enhancement facilitators; connect with medical practice transformation experts, thought leaders, and practices like theirs who are also working to make PCMH changes; and learn from experts and each other. Plus, membership is now free for AAFP members.
> Join Delta Exchange at www.transformed.com/aafp
TransforMED launches informative online video on the medical home
AAFP subsidiary TransforMED, with Emmi Solutions and the Patient Centered Primary Care Collaborative, launched a nationwide initiative in April 2009 to educate patients about what it means to be part of a patient-centered medical home. Through a web-based educational video, free for all primary care practices to view and download, patients will more wholly understand the value of the patient-centered medical home and be encouraged to become more engaged in their health care partnership with their primary care physician.
Patients can view the informative video on all the parts and benefits of the patient-centered medical home, then at the end of the video, they have the option to read more about the medical home on the PCPCC website, take a survey testing their knowledge on the medical home, or share the video via e-mail or instant message with a friend.
AAFP PCMH Elements video series
AAFP’s patient-centered medical home video series gives you an insider’s look at how real family physicians are transforming their practices to meet the needs of their patients and grow with the evolving health care system. The set of five videos covers a range of topics about the patient-centered medical home that apply to the full spectrum of family medicine practices: how to improve care with patient registries, patient self-management support, and the team-based care model; how to use data to improve your practice; and how to improve the patient experience. All can be played on the website or downloaded to be viewed later.
AAFP PowerPoint presentation on the medical home
AAFP has created an informative PowerPoint presentation physicians can use to educate stakeholders on the patient-centered medical home. It even includes notes on many slides containing talking points and helpful hints.
Reports and studies
PCPCC report on PCMH pilot studies
The Patient Centered Primary Care Collaborative released a report detailing work around the country to study the effectiveness of patient-centered medical homes. “Proof in Practice: A compilation of patient centered medical home pilot and demonstration projects” reports the progress of pilots and initiatives in 18 states, providing descriptions and details of how they are structured and what they are achieving.
> Read the report on the PCPCC website and download a PDF; Texas projects are listed on pages 67-68
PCPCC report on eight successful PCMH pilot projects
“The Outcomes of Implementing Patient-Centered Medical Home Interventions: A Review of the Evidence on Quality, Access and Costs from Recent Prospective Evaluation Studies, August 2009,” outlines eight successful pilot projects from around the country, mostly rooted in large, integrated-delivery systems. The authors found that across the different settings and patient populations, the investment to redesign the delivery of care around a primary care patient-centered medial home yielded a favorable return on investment; better quality of care, patient experiences, care coordination, and access; and savings in total costs from reductions in emergency department visits and inpatient hospitalizations.
As the patient-centered medical home gains ground, many articles are available describing its evolution and providing tips for practice transformation.
> Finding a home: Blue Cross medical home pilot targets quality, costs, By Ken Ortolon, Texas Medicine
posted in Texas Family Physician, Vol. 62 No. 3 | Summer 2011
> 10 Steps to a Patient-Centered Medical Home, By Anton J. Kuzel, M.D., M.H.P.E., posted in Family Practice Management, November/December 2009
> Opening up your schedule: How to switch your practice to open-access scheduling, By Gail Jones, AAFP
posted in Texas Family Physician, Vol. 60 No. 2 | Spring 2009
> Plano practice receives NCQA medical home certification
posted in QuickInfo, Nov. 2, 2011
> San Antonio residency program receives NCQA medical home certification
posted in Texas Family Physician, Vol. 62 No. 3 | Summer 2011
> Medical home 2.0, By Jonathan Nelson
posted in Texas Family Physician, Vol. 60 No. 1 | Winter 2009
> Home sweet medical home, By Jonathan Nelson
posted in Texas Family Physician, Vol. 59 No. 1 | Winter 2008