Patient-Centered Medical Home Model

The patient-centered medical home (PCMH) is a provider-based model for care coordination that can be implemented within a primary care practice. The PCMH, as defined by the Agency for Healthcare Research and Quality (AHRQ) and the Patient-Centered Primary Care Collaborative, is a model for providing patient care that is comprehensive, patient-centered, coordinated, accessible, and high quality.

In 2007, the Joint Principles of the Patient-Centered Medical Home were released by the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Physicians, and the American Osteopathic Association.

Characteristics of the PCMH model include:

A strong relationship between every patient and a primary care physician
Coordination between the physician and the practice's team of clinicians
Coordination of the patient's care across various healthcare settings
The use of health information technology and analytical tools to facilitate care coordination

More about this model:

Resources to Learn More

Patient-Centered Medical Home
Website
This website provides resources on NCQA's patient-centered medical home model for providers interested in becoming a PCMH.
Organization(s): National Committee for Quality Assurance

Patient-Centered Primary Care Collaborative Webinars
Website
A collection of webinars produced by the Patient-Centered Primary Care Collaborative on a range of PCMH-related topics.
Organization(s): Patient-Centered Primary Care Collaborative

The Safety Net Medical Home Initiative: Patient-Centered Care for the Safety-Net System
Document
This toolkit provides implementation guides for providers interested in becoming a PCMH.
Organization(s): The Commonwealth Fund
Date: 10/2014