title: Achieving Value in Primary Care: The Primary Care Value Model.
abstract: The patient-centered medical home (PCMH) model provides a compelling vision for primary care transformation, but studies of its impact have used insufficiently patient-centered metrics with inconsistent results. We propose a framework for defining patient-centered value and a new model for value-based primary care transformation: the primary care value model (PCVM). We advocate for use of patient-centered value when measuring the impact of primary care transformation, recognition, and performance-based payment; for financial support and research and development to better define primary care value-creating activities and their implementation; and for use of the model to support primary care organizations in transformation.
authors.affiliation: Family and Community Medicine, University of Maryland School of Medicine, Baltimore, Maryland wrollow@aol.com.
authors.forename: William
authors.initials: W
authors.lastname: Rollow
authors.affiliation: New Jersey Innovation Institute, New Jersey Institute of Technology, University Heights Newark, New Jersey.
authors.forename: Peter
authors.initials: P
authors.lastname: Cucchiara
mesh_terms: D001291:Attitude of Health Personnel; D018166:Health Care Reform / Q000379:methods*; D006801:Humans; D017146:Models, Organizational; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000191:economics*; D011320:Primary Health Care / Q000458:organization & administration*
keywords: PCMH; healing; patient-centered medical home; primary care; transformation; value; value chain