title: Defining the medical home: the Oregon experience.
abstract: OBJECTIVE
  The patient-centered medical home (PCMH) is emerging as a key strategy to improve health outcomes, reduce total costs, and strengthen primary care, but a myriad of operational measures of the PCMH have emerged. In 2009, the state of Oregon convened a public, legislatively mandated committee charged with developing PCMH measures. We report on the process of, outcomes of, and lessons learned by this committee.
  
  
  METHODS
  The Oregon PCMH advisory committee was appointed by the director of the Oregon Department of Human Services and held 7 public meetings between October 2009 and February 2010. The committee engaged a diverse group of Oregon stakeholders, including a variety of practicing primary care physicians.
  
  
  RESULTS
  The committee developed a PCMH measurement framework, including 6 core attributes, 15 standards, and 27 individual measures. Key successes of the committee's work were to describe PCMH core attributes and functions in patient-centered language and to achieve consensus among a diverse group of stakeholders.
  
  
  CONCLUSIONS
  Oregon's PCMH advisory committee engaged local stakeholders in a process that resulted in a shared PCMH measurement framework and addressed stakeholders' concerns. The state of Oregon now has implemented a PCMH program using the framework developed by the PCMH advisory committee. The Oregon experience demonstrates that a brief public process can be successful in producing meaningful consensus on PCMH roles and functions and advancing PCMH policy.
authors.affiliation: Providence Medical Group, Missoula, MT 59801, USA. stenger.rob@gmail.com
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Stenger
authors.forename: Jeanene
authors.initials: J
authors.lastname: Smith
authors.forename: J Bart
authors.initials: JB
authors.lastname: McMullan
authors.forename: Glenn S
authors.initials: GS
authors.lastname: Rodriguez
authors.forename: David A
authors.initials: DA
authors.lastname: Dorr
authors.forename: Mary
authors.initials: M
authors.lastname: Minniti
authors.forename: Arthur
authors.initials: A
authors.lastname: Jaffe
authors.forename: David
authors.initials: D
authors.lastname: Pollack
authors.forename: Mitchell
authors.initials: M
authors.lastname: Anderson
authors.forename: Charles M
authors.initials: CM
authors.lastname: Kilo
authors.forename: John W
authors.initials: JW
authors.lastname: Saultz
mesh_terms: D026683:Advisory Committees; D006291:Health Policy; D009922:Oregon; D018802:Patient-Centered Care / Q000331:legislation & jurisprudence / Q000458:organization & administration* / Q000592:standards; D016730:Program Development