title: The changes involved in patient-centered medical home transformation.
abstract: In 2007, the major primary care professional societies collaboratively introduced a new model of primary care: the patient-centered medical home (PCMH). The published document outlines the basic attributes and expectations of a PCMH but not with the specificity needed to help interested clinicians and administrators make the necessary changes to their practice. To identify the specific changes required to become a medical home, the authors reviewed literature and sought the opinions of two multi-stakeholder groups. This article describes the eight consensus change concepts and 32 key changes that emerged from this process, and the evidence supporting their inclusion.
authors.affiliation: MacColl Center for Health Care Innovation, Group Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101, USA. wagner.e@ghc.org
authors.forename: Edward H
authors.initials: EH
authors.lastname: Wagner
authors.forename: Katie
authors.initials: K
authors.lastname: Coleman
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Reid
authors.forename: Kathryn
authors.initials: K
authors.lastname: Phillips
authors.forename: Melinda K
authors.initials: MK
authors.lastname: Abrams
authors.forename: Jonathan R
authors.initials: JR
authors.lastname: Sugarman
mesh_terms: D002908:Chronic Disease; D003299:Cooperative Behavior; D055317:Evidence-Based Practice / Q000379:methods; D006040:Goals; D018166:Health Care Reform / Q000379:methods*; D006801:Humans; D007857:Leadership; D010358:Patient Participation; D018802:Patient-Centered Care / Q000379:methods*; D011787:Quality of Health Care / Q000706:statistics & numerical data*; D014481:United States