title: Home Improvement in HIV Primary Care: Investigating the Patient-Centered Medical Home Model for People Living with HIV/AIDS.
abstract: This article details the processes and findings of a 3-year demonstration project implementing population health management and the Patient-Centered Medical Home (PCMH) model in 3 community health centers in Alameda County, California. The article provides a first look at the PCMH Continuum, a tool for aiding staff in conceptualizing and implementing complex organizational change. Findings of the project evaluation also are shared, comprising a road map for other organizations looking to implement population health management, panel management, and PCMH. The article reflects on lessons learned and best practices from the demonstration project.
authors: 1 Sutter Health , Emeryville, California.
authors: Erin Gael
authors: EG
authors: Friedman
authors: 2 Alameda Health Consortium , San Leandro, California.
authors: Megan
authors: M
authors: Crowley
authors: 3 Informing Change , Berkeley, California.
authors: Kim Ammann
authors: KA
authors: Howard
authors: 4 Breakthrough Communities , Oakland, California.
authors: M Paoloma
authors: MP
authors: Pavel
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000628:therapy*; D002140:California; D003151:Community Health Centers / Q000458:organization & administration*; D006801:Humans; D017146:Models, Organizational; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation