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Patient-Centered Medical Home (PCMH) Information and Resources

Patient-Centered Medical Home (PCMH) is a model of primary health care that many believe can improve health care in the U.S. by transforming how primary care is organized and delivered.  The Health Resources and Services Administration (HRSA) supports and encourages all Section 330 funded health centers to become a recognized or accredited PCMH.  CHAMPS has gathered the following information and resources to assist CHCs in understanding and becoming PCMHs.  This webpage is designed to aid CHCs who are brand new to PCMH, those who have started the process of becoming a PCMH, and those who have already applied to become a recognized/accredited PCMH and require additional tools to successfully complete the process.

Please click or scroll down for:
History of PCMH
Definition and Goals of PCMH
PCMH Recognition/Accreditation
First Steps in Becoming a Recognized/Accredited PCMH
Introductory Guides on Becoming a PCMH
Self Assessment Tools for Determining PCMH Readiness
Tools for Building a PCMH
Templates and Samples of PCMH Policy and Procedure
PCMH Demonstration Projects, Initiatives, and Pilot Projects
Education and Training on PCMH
Reports and Articles on PCMH
PCMH Consultation Services
Patient Satisfaction/Experience Surveys and Patient Activation/Engagement Resources

HISTORY OF PCMH  

 Following is a brief history of the PCMH movement in the U.S.

Year          Event

1967         American Academy of Pediatrics (AAP) introduces the medical home concept in an 
                 effort to improve and coordinate care for children with multiple/special needs

2001         Institute of Medicine (IOM) calls for transformation of a “fundamentally flawed”
                 U.S. health care system in the report Crossing the Quality Chasm

2004         In the Future of Family Medicine Project proposes a new model of care, the
                 “personal medical home”

2005         TransforMED is created as a subsidiary of American Academy of Family Physicians
                 (AAFP) to test the “New Model” which included PCMH features but no payment 
                 reform

2006         Medical home demonstration projects within Medicare are called for in the Tax
                 Relief and Health Care Act, to be implemented by 2010

2007         Four organizations – American Academy of Pediatrics (AAP), American Academy
                 of Family Physicians (AAFP), American College of Physicians (ACP), and American 
                 Osteopathic Association (AOA) – jointly issue the following statement of PCMH:
                 www.medicalhomeinfo.org/downloads/pdfs/JointStatement.pdf

2007         The Patient Centered-Medical Home Collaborative is launched through an effort 
                 by several large national companies to improve patient-physician relationships 
                 and create a more effective and efficient model of health care delivery

2007         National Committee for Quality Assurance (NCQA) launches the tool Physician 
                 Practice Connections/Patient-Centered Medical Home
which becomes the standard
                 for PCMH recognition

2008         The Commonwealth Fund, Qualis Health, and MacColl Institute initiate a five-year 
                 demonstration project to assist safety net primary care clinics in becoming 
                 high-performing PCMHs (see PCMH Demonstration/Pilot Projects and Initiatives 
                 section below for more information)

2009         Multiple pilot projects are in process and early findings begin to be published (see
                 Articles and Reports section below)

2010         The Health Resources and Services Administration (HRSA) issues Program 
                 Assistance Letter (PAL) 2011-01 in November 2010 which describes HRSA’s 
                 Patient-Centered Medical/Health Home (PCMHH) Initiative to support PCMH 
                 recognition for Section 330 funded organizations

2011         The National Association of Community Health Centers (NACHC) launches its Patient
                 Centered Medical Home Institute (PCMHI) and issues a white paper describing 
                 the PCMHI              

2011         HRSA’s Bureau of Primary Health Care (BPHC) announces the release of the
                 Affordable Care Act supplemental grant opportunity for existing section 330
                 health centers to support the costs associated with enhancing systems and to 
                 become PCMHs

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DEFINITION AND GOALS OF PCMH

A Patient-Centered Medical Home (PCMH) is a model of primary health care that puts the patient at the center of health care.  The definition of PCMH varies among the many agencies and organizations involved with PCMH development in the U.S.  Following are definitions from three organizations.

American Academy of Family Physicians (AAFP)
A patient-center medical home integrates patients as active participants in their own health and well-being.  Patients are cared for by a physician who leads the medical team that coordinates all aspects of preventive, acute, and chronic needs of patients using the best available evidence and appropriate technology.  These relationships offer patients comfort, convenience, and optimal health throughout their lifetimes.

American Academy of Pediatrics (AAP)
AAP developed the medical home model for delivering primary care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective to all children and youth, including children and youth with special health care needs.

Agency for Healthcare Research and Quality (AHRQ)
The medical home model holds promise as a way to improve health care in America by transforming how primary care is organized and delivered.  Building on the work of a large and growing community, AHRQ defines a medical home not simply as a place but as a model of the organization of primary care that delivers the core functions of primary health care.  The medical home encompasses five functions and attributes:  patient-centered care; comprehensive care; coordinated care; superb access to care; a system-based approach to quality and safety.

Although various organizations differ on the exact definition of a PCMH most agree that PCMH is a model of primary care that encompasses at least some or all of the following functions and attributes (listed in alphabetical order):
                 Access to Care
                 Comprehensive Care
                 Coordinated Care
                 Evidence-based Care
                 Patient-centered Care
                 Payment Structures that Recognize the Value of Primary Care
                 Quality Care
                 Safe Care
                 Systems-based Approach to Care
                 Team-based Care

Joint Principles of the Patient-Centered Medical Home was issued by AAFP, AAP, ACP, and AOA in March 2007 and is available in the following document: www.medicalhomeinfo.org/downloads/pdfs/JointStatement.pdf

The principles of PCMH have evolved since the issuance of the Joint Principles of the Patient-Centered Medical Home in 2007.  One significant change, at the urging of community health centers, is that nurse practitioners, not just physicians, are now recognized as a primary care clinician in a medical home.

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PCMH RECOGNITION/ACCREDITATION

CHAMPS congratulates the Region VIII health centers who have achieved PCMH recognition/accrediation!
Please click here to see a listing of health centers in Region VIII who've gained PCMH status.

Health centers can become a PCMH by obtaining PCMH recognition or accreditation from one of the following three programs:
                Accreditation Association for Ambulatory Health Care (AAAHC)
                www.aaahc.org/eweb/dynamicpage.aspx?webcode=mha

                National Committee for Quality Assurance (NCQA) 
                www.ncqa.org/tabid/631/default.aspx

                The Joint Commission (TJC) 
                www.jointcommission.org/accreditation/pchi.aspx

Each of these recognition/accreditation programs has a tool for completing the process, as well as educational programs.

The document Federal Patient Centered Medical Home (PCMH) Collaborative, Catalogue of Federal PCMH Activities as of March 2011 provides an overview of HRSA’s current strategic goals, areas of activity, pilot programs, and technical assistance related to PCMH.

The HRSA PCMH Initiative, Program Assistance Letter (PAL) 2011-01 provides support and encourages health centers to gain recognition under the medical home program offered in partnership with the National Committee for Quality Assurance (NCQA). 

The HRSA National Quality Recognition Initiatives Resources: Comparison Chart highlights differences between HRSA’s Accreditation initiatives and PCMH initiatives.

On March 8, 2011, the AAP, AAFP, ACP and AOA released Guidelines for Patient-Centered Medical Home Recognition Programs.  The new guidelines build on the Joint Principles adopted in 2007 (see above).  Included are 13 guidelines that describe important elements considered essential for effective PCMH recognition programs.

The AAP’s National Center for Medical Home Implementation provides a basic overview on their webpage Medical Home Recognition & Accreditation Programs about each of the recognition/accreditation programs.

NCQA also offers the following recognition programs in addition to its PCMH Recognition Program:
Back Pain Recognition Program
Diabetes Recognition Program
Heart/Stroke Recognition Program
Physician Practice Connections

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FIRST STEPS IN BECOMING A RECOGNIZED/ACCREDITED PCMH

There are many resources available to health centers desiring to become a recognized or accredited PCMH.  There are four basic steps in starting the process of becoming a PCMH:

1.       Become Aware
Become aware of the PCMH model and the various recognition/accreditation programs available.  You will find information about the PCMH model, recognition/ accreditation, and many other resources on this webpage.  Find out if your regional/state primary care association (PCA) has any PCMH collaborative or learning team activities that your health center may participate in.  Most PCAs are offering training and/or technical assistance on becoming a recognized/accredited PCMH.  You may also want to become aware of the various consulting organizations that can help your health center walk through the process of becoming a PCMH (see the PCMH Consulting Services section below).  Many CHCs and PCAs are hiring consultants to help them through the PCMH process.

 2.       Assess Your Readiness
Every health center should perform a basic assessment of readiness before applying to a PCMH recognition or accreditation program.  There are several tools available to assess your health centers readiness and are listed in the Self-Assessment Tools for Determining PCMH Readiness section below.

 3.        Choose a Recognition/Accreditation Program and Necessary Support Services
Decide which recognition/accreditation program will best fit your health center.  Depending on which program you choose, you may also need to decide which level and year of certification you would like to aim for.  Criteria for choosing a recognition/accreditation program include the following: Medicaid and/or Medicare reimbursement and incentives in your state that may be tied to a specific recognition/accreditation program; HRSA support and assistance for each program; applicability to frontier, rural, and/or isolated areas; accreditation that your health center already holds or may be applying for.  This is also a good time to determine if you will participate in any collaborative or learning team activities, and/or if you will hire a consultant to help you through the process.

 4.       Prepare for a Rigorous Process and Form a Core Team
It often takes six or more dedicated months for a health center to complete a PCMH application process.  There are usually many systems, processes, policies, and teams that a health center will need to develop to pass a PCMH program.  Prepare your entire health center for this process and form a core team that will be committed to your health center gaining PCMH status.

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 INTRODUCTORY GUIDES TO BECOMING A PCMH

The Board’s Role to Support Patient-Centered Medical Homes
NACHC
Introduction to PCMH for CHC Boards that presents an overview of PCMH and changes that a health center must make to transform to a PCMH
2011

NCQA’s Patient-Centered Medical Home 2011
NCQA
Eleven-page document that describes the NCQA PCMH program and the six standards and must-pass elements
2011

NCQA Patient-Centered Medical Home Recognition Process
NCQA
Three-page document that provides instructions on how to start the NCQA PCMH Recognition process
2011

Providing Underserved Patients with Medical Homes:  Assessing the Readiness of Safety-Net Health Centers
www.commonwealthfund.org/Publications/Issue-Briefs/2010/May/Providing-Underserved-Patietns-with-Medical-Homes.aspx
The Commonwealth Fund
A brief that explores the potential of primary care safety-net health centers to become PCMHs including characteristics of safety-net health centers relevant to PCMH transformation, areas for improvement, and a set of strategies to assist health centers in becoming PCMHs
2010

Obtaining Patient-Centered Medical Home Recognition:  A How to Manual
www.pcdc.org/assets/pdf/pcdc-pcmh-manual-2009.pdf
Primary Care Development Corporation (PCDC)
Step-by-step guide to assist safety-net providers in applying for and obtaining recognition as a medical home through NCQA
2009

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SELF-ASSESSMENT TOOLS FOR DETERMINING PCMH READINESS

There are several tools available at no cost that CHCs can use to determine if they are ready to embark on the recognition/accreditation process of becoming a PCMH.  Following are some commonly used self-assessment tools.

Medical Home Implementation Quotient Assessment (MHIQ)
www.transformed.com/mhiq/welcome.cfm
TransforMED
Quick and easy tool that helps practices determine where they stand on the journey to becoming a PCMH by answering approximately 12 questions and receiving a score that allows comparison to the NCQA Standards

NCQA 2011 Medical Home Assessment Tool
www.pcdc.org/resources/patient-centered-medical-home/pcdc-pcmh/pcdc-pcmh-resources/PCDC-PCMH/ncqa-2011-medical-home.html
Primary Care Development Corporation (PCDC)
Guides primary care practices through the NCQA medical home survey process to assess how the practice compares to the PCMH NCQA 2011 Standards including the use of EHRs, patient/provider communication, data outcomes, workflow redesign, and care management and coordination

Patient-Centered Medical Home Assessment (PCMH-A), Public Copy
http://bsmod.dom.wustl.edu/documents/PCMH-A_SNMHI_080410.pdf
MacColl Institute for Healthcare Innovation
Survey designed to help practices move toward state-of-the-art in delivering PCMH care by using results from the survey to identify areas for improvement

PCMH Checklist
www.aafp.org/online/en/home/membership/initiatives/pcmh.html
American Academy of Family Physicians (AAFP)
Quick and easy tool designed to help primary care practices determine how close they are to being a PCMH

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TOOLS FOR BUILDING A PCMH

BizMed Toolbox
www.bizmedtoolbox.com
EHR Pathway
Web-based project management tool that allows organizations to track progress and store documents related to submitting an application to become a recognized NCQA PCMH.  The tool will track and note progress on each of the NCQA Standards, Elements, and Factors.  The tool is available for free to organizations of the National Association of Community Health Centers (NACHC).

Building Your Medical Home Toolkit
www.pediatricmedhome.org/
National Center for Medical Home Implementation, American Academy of Pediatrics (AAP)
Free toolkit that supports development and/or improvement of a pediatric medical home by preparing practices to apply for and potentially meet the NCQA recognition requirements, including a crosswalk between the toolkit building blocks and the NCQA “must pass” elements

CHC Core Requirements, NCQA Recognition Elements, and Meaningful Use Requirements Crosswalk
2011 Crosswalk
Colorado Community Health Network (CCHN)
Excel spreadsheet that compares NCQA PCMH recognition, Meaningful Use, and CHC core requirements to help CHCs plan, organize and implement processes that satisfy requirements for multiple purposes

Creating a Healthcare Facility that Supports the Patient-Centered Medical Home
www.caplink.org/resources/publications/
Capital Link
Published in March 2011, the report provides tips and tools to support PCMH in both existing and new health centers including educating health center staff on PCMH principles and resources for implementation

Fostering Partnership and Teamwork in the Pediatric Medical Home Video Series
https://www.youtube.com/watch?v=T6sOvQsmsk&feature=c4-overview&list=UUulrbslufMIcXUghyBuZQpw
https://www.youtube.com/watch?v=BXRZsrnc&aQ&feature=c4-overview&list=UUulrbs.ufMIcXUghyBuZQpw
https://www.youtube.com/watch?v=P9M6z3P8GwM&list=UUurlrbslufMIcXUghBuZQpw
National Center for Medical Home Implementation
A "How To" Video Series including Part 1 Team Huddles, Part 2 Family Advisory Groups, and Part 3 Care Partnership Support

Health IT Success Stories
https://www.youtube.com/watch?v=MEBPLclwRoc&list=PLgYydErB9VCc_Wc804kKCEtK4tjpU3kc3
https://www.youtube.com/watch?v=bP4iRjCMsk8&&list=PLgYydErB9VCc_Wc804kKCEtK4tjpU3kc3
Agency for Healthcare Research and Quality (AHRQ)
Best practice, quality improvement programs shown on video including Electronic Standing Orders Empower Medical Staff and Improve Delivery of Care, and Improving Care Transitions for Patients with Complex Health Needs through Decision Support

Implementation Guide Series by Change Concept
www.safetynetmedicalhome.org/resources-tools/all-resources
Safety Net Medical Home Initiative
Guides and tools based on the experience of the 65 CHC sites that participated in the Safety Net Medical Home Initiative, by change concepts including Empanelment, Team-Based Healing Relationships, Patient-Centered Interactions, Engaged Leadership, QI Strategy, Enhanced Access, Care Coordination, and Organized, Evidence Based Care

Medical Home Builder
www.medicalhomebuilder.org/about
American College of Physicians
Includes modules, user-generated best practice videos, webinars, assessment tools and a resource library for organizations that buy annual licenses based on the size of their practice

Meaningful Use Requirements
NCQA PCMH 2011 and CME Stage 1 Meaningful Use Requirements
NCQA
Assessment tool that allows practices to compare side-by-side the core elements of the NCQA 2011 PCMH Standards and the CMS Stage 1 Meaningful Use Requirements

NCQA 2011 PCMH Standards Supporting Documentation Matrix
www.qfhc.com/qfhc/services.php#pcmhassist
Quality First Healthcare Consulting, Inc.
Matrix provides a description of each elemnent under the NCQA 2011 PCMH standards, and indicates which needs a documented process with examples of materials, reports, or screen prints that may be used to document processes

Optimizing the Care Team Tool and The Evidence Base for SNMHI (Safety Net Medical Home Initiative) Change Concepts
www.champsonline.org/Events/DistanceLearning/Library.html#vol31-33
Community Health Association of Mountain/Plains States (CHAMPS)
Handout and follow-up document for the webcast Patient Care Teams: Transforming the Primary Care Practice presented in June 2013

Patient Visit Redesign, How to Start
www.patientvisitredesign.com/how-to-start/
Patient Visit Redesign
Tools to guide health centers through patient visit redesign including step-by-step guides, visit tracking toolkit, visit mapping toolkit, and baseline data toolkit

PCMH/Meaningful Use (MU) Gap Analysis and PCMH/MU ROI Tools
www.chcanys.org/index.php?src=gendocs&ref=PCMH/MU%20Tools&category=Health%20Care%20Reform
PCDC and Community Health Care Association of New York State (CHCANYS)
Tools developed for CHCs to analyze gaps between PCMH and Meaningful Use (MU) and to calculate ROI (return on investment) for PCMH and MU incentives

PCMH Resource Center
http://www.pcmh.ahrq.gov/portal/server.pt/community/pcmh_home/1483
Agency for Healthcare Research and Quality (AHRQ)
Resource center provides a definition and evidence for PCMH including papers, briefs, and evaluation tools as well as resources for implementing PCMH

PolicyPLUS
http://www.qfms.org/qfms/policyplus.php
Quality First Management Solutions, Inc.
Online compliance managment solution that stores, manages, and archives policies and procedures, credentials and credentialling, and quality improvement in one convenient online database

Transformation Series Workbooks
www.transformed.com/publications.cfm
TransforMED
Series of five workbooks that provide concise, step-by-step information on health care delivery that is instrumental in transforming practices to PCMHs including scope of change, care coordination, care management, access, and the clinical team

Tools for Change
www.ipfcc.org/tools/
Institute for Patient - and Family-Centered Care
Tools for advancing the practice of patient and family-centered care includes supporting evidence, free downloads, news, publications, and videos

Videos on PCMH, Integrated Behavioral Health, and Office Efficiencies
http://www.clinica.org/index.php
Clinica Family Health Services
Videos from a CHC in Colorado (Clinica Family Health Services) with NCQA, Level 3 PCMH Recognition on the CHC's model of health care

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TEMPLATES/SAMPLES OF PCMH POLICIES AND PROCEDURES

To view and download samples of policies/procedures and PCMH recognition documentation, click on this CHAMPS webpage:
www.champsonline.org/ToolsProducts/CrossDiscResources/PCMH/PCMHPandPs.html

If your health center has any policies, procedures, or other documents to share that would help other Region VIII CHCs in adopting PCMH standards, please contact Shannon Kolman, CHAMPS Clinical Programs Coordinator, at Shannon@champsonline.org or 303-867-9583.

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PCMH DEMONSTRATION PROJECTS, INITIATIVES, AND PILOT PROJECTS

Comprehensive Primary Care Initiative
http://innovations.cms.gov/initiatives/Comprehensive-Primary-Care-Initiative/index.html
Centers for Medicare & Medicaid (CMS), Center for Medicare and Medicaid Innovation
CMS initiative, announced September 28, 2011, will foster collaboration between public and private health care payers to strengthen primary care by testing a service delivery model, which includes risk-stratified care management, access and continuity, planned care, patient and caregiver engagement, and coordination of care, and by testing a payment model that will include a case management fee paid to selected primary care practices 

Federally Qualified Health Center (FQHC) Advanced Primary Care Practice Demonstration Project
http://innovation.cms.gov/initiatives/FQHCs/
CMS
Demonstration project operated by CMS in partnership with HRSA aims to show how the PCMH model can improve quality of care, promote better health, and lower costs by helping FQHCs invest in patient care and infrastructure as described in the following news release

NACHC Patient Centered Medical Home Institute (PCMHI)
www.nachc.com/mhresources.cfm
NACHC
Aims to build capacity and infrastructure at the state, regional, and national levels to document and improve outcomes in quality, cost, patient and community engagement, and population health by developing state-based infrastructure in support of local health system transformation

Patient-Centered Outcomes Research Institute (PCORI)
http://www.pcori.org/about/
Created to conduct research to provide information about best available evidence to help patient and providers make more informed decsions through research funding opportunities which are posted on the following webpage
http://www.pcori.org/funding-opportunities/

Safety Net Medical Home Initiative
www.qhmedicalhome.org/safety-net/index.cfm
Commonwealth Fund, Qualis Health, and MacColl Institute
Five-year demonstration project initiated in 2008 to assist safety net primary care clinics in becoming high-performing PCMHs through partnerships between safety net providers and community stakeholders with five Regional Coordinating Centers being selected to participate with each including 12-15 safety net clinics in their area:

Colorado Community Health Network
Executive Office of Health and Human Services & Massachusetts League of Community Health
Centers
 
Idaho Primary Care Association 
Oregon Primary Care Association and CareOregon 
Pittsburgh Regional Health Initiative  

State Pilot Projects in the U.S.
www.pcpcc.org
Patient-Centered Primary Care Collaborative (PCPCC)
Listing of state PCMH projects, in safety net and multi-payer sites, across the U.S. listed by project, state, and start date

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EDUCATION AND TRAINING ON PCMH

Archived Webinars
www.pcpcc.net/
PCPCC
Free webinar replays and slides for a multitude of presentations on PCMH including infrastructure, approaches to coordinated care, health information technology, behavioral health integration, training the workforce, and a PCPCC website walkthrough

Change Concepts
www.qhmedicalhome.org/safety-net/change-concepts.cfm
Qualis Health
Free guides, slide presentations, and videos on eight change concepts including Empanelment, Team-Based Care, Patient-Centered Interactions, Engaged Leadership, QI Strategy, Enhanced Access, Care Coordination, and Organized Evidence Based Care

Delta-Exchange
www.aafp.org/online/en/home/practicemgt/deltaexchange.html
American Academy of Family Physicians (AAFP)
Online network provides online seminars, Ask an Expert, practice tools, and PCMH events for free to AAFP members

NCQA Recognition Learning Series
www.healthteamworks.org/medical-home/ncqalearning.html
HealthTeamWorks
Free five-module webinar series with in depth descriptions of the NCQA recognition requirements

NCQA Recognition Training Programs
www.ncqa.org/tabid/109/Default.aspx
NCQA
Free links to slide presentations including Getting On Board, Standards 1-3, and Standards 4-6 presented by NCQA

Patient Care Teams: Transforming the Primary Care Practice, Archived Webcast
http://www.champsonline.org/Events/DistanceLearning/Library.html#vol31-33
Community Health Association of Mountain/Plains States (CHAMPS)
Archived webcast presented by Bonni Brownlee, Principal Consultant, Outlook Associates, a Division of Qualis Health, in June 2013

Practice Leaders in Medical Homes Online Course
http://www.medhomeinfo.org/tools/physiciancourse/
Center for Teaching and Learning with Technology at the Johns Hopkins Bloomberg School of Public Health
Provides practicing physicians and other practice leaders with an awareness of the competencies needed to facilitate a medical home through nine course modules that offer CME credit

The Medical Home Summit, Leading Forum on Developing and Implementing Patient- and Family-Centered Medical Homes
http://medicalhomesummit.com/overview.html
Global Health Care, LLC
Annual Medical Home Summit offered in-person and online via webcast, brings together leading authorities and practitioners in the medical home field to talk about what's working, lessons learned, improvements needed, and challenges ahead

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REPORTS/ARTICLES ON PCMH

The Evidence Base for SNMHI (Safety Net Medical Home Initiative) Change Concepts
www.champsonline.org/assets/files/Events/DistanceDocuments/SNMHI_evidence_base_13-0211.pdf
Safety Net Medical Home Initiative
February 2013

Benefits of Implementing the Primary Care Patient-Centered Medical Home: A Review of Cost & Quality Results, 2012
www.pcpcc.org/guide/benefits-implementing-primary-care-medical-home
Patient-Centered Primary Care Collaborative (PCPCC)
2012

Patient-Centered Medical Home Recognition Tools:  A Comparison of Ten Surveys' Content and Operational Details
urban.org/uploadedpdf/412338-patient-centered-medical-home-rec-tools.pdf
The Urban Istitute
March 2012

Results from 2010-11 Readiness for Meaningful Use of HIT and Patient-Centered Medical Home Recognition Survey
www.rchnfoundation.org/?p=905
Geiger Gibson/RCHN Community Health Foundaton Research Collaborative, Policy Research Brief #27
November 3, 2011

Will the Patient-Centered Medical Home Transform the Delivery of Health Care?  Timely Analysis of Immediate Health Policy Issues
www.nachc.com/client/UrbanInstitutePCMHAnalysisAugust2011.pdf
Urban Institute and Robert Wood Johnson Foundation
August 2011

Developing Federally Qualified Health Centers into Community Networks to Improve State Primary Care Delivery Systems
www.commonwealthfund.org/Publications/Fund-Reports/2011/May/Developing-Federally-Qualified-Health-Centers.aspx
The Commonwealth Fund
May 2011

The Evolution of the Primary Care Medical Home
www.nachc.com/magazine-article.cfm?MagazineArticleID=185
David Stevens, MD, NACHC Community Health Forum
Winter/Spring 2011 

Community-Centered Health Homes: Bridging the Gap Between Health Services and Community Prevention
www.preventioninstitute.org/component/jlibrary/article/id-298/127.html
Prevention Institute
February 2011

Outcomes of Implementing Patient Centered Medical Home Interventions: A Review of the Evidence from Prospective Evaluation Studies in the United States
http://statepolicyoptions.nga.org/policy_article/outcomes-implementing-patient-centered-medical-home-interventions-review-evidence-quality-access-and-costs-recent-prospective-evaluation-studies
PCPCC
November 2010

Family Medicine: Preparing for a High-Performance Health Care System
www.jabfm.org/content/23/Supplement/S11.full
K. Davis, PhD, and K. Stremikis, MPP, JABFM, Vol. 23 Supplement
March-April 2010

Context for Understanding the National Demonstration Project and the Patient-Centered Medical Home
www.annfammed.org/cgi/content/abstract/8/Suppl_1/S2
K. C. Stange, MD, PhD, et al., Annals of Family Medicine, Vol. 8, Supplement 1
2010

Initial Lessons from the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home
www.annfammed.org/cgi/reprint/7/3/254
P. A. Nutting, MD, MSPH, et al., Annals of Family Medicine, Vol. 7, No. 3
May/June 2009

Proof in Practice
www.pcpcc.org/guide/proof-practice
Patient-Centered Primary Care Collaborative (PCPCC)
2009

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PCMH CONSULTATION SERVICES 

Please note, CHAMPS does not endorse any of the following consultation services.  This listing contains services that are being utilized by CHCs and private primary care practices throughout the nation.  It is wise when considering a consultation service to inquire about other similar clients and ask to speak to those clients about the work performed and the level of satisfaction.

Arcadia Solutions
www.arcadiasolutions.com

Center for Medical Home Improvement (CMHI)
www.medicalhomeimprovement.org/medical-home/developments.html

HealthTeamWorks
www.healthteamworks.org/medical-home

i2iSystems
www.i2isys.com/solutions-detail/1618836-patient-centered-medical-home

Phytel
www3.phytel.com/

Primary Care Development Corporation (PCDC)
www.pcdc.org/resources/patient-centered-medical-home/

Qualis Health
www.qhmedicalhome.org/

Quality First Healthcare Consulting, Inc. (QFHC)
www.qfhc.com

TransforMED
www.transformed.com/transformed.cfm

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Patient Satisfaction/Experience Surveys and Patient Activation/Engagement Resources

To view information about patient satisfaction/experience surveys and patient activation/engagement click on the following CHAMPS webpage:www.champsonline.org/ToolsProducts/CrossDiscResources/PCMH/PatientSatisfaction.html.

If your health center has any patient satisfaction/experience surveys or other documents to share, that would help Region VIII health centers implement patient satisfaction/experience surveys and/or achieve greater patient activation/engagement, please contact the CHAMPS Clinical Programs Director.

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You must be the change you wish to see in the world.

Mohandas Gandhi

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