Patient-Centered Medical Home

The Patient Centered Medical Home (PCMH) has been proposed as a model for achieving the kind of responsive, effective health care that is urgently needed.

Evidence shows many benefits to establishing a strong, primary care-based health system, including better health outcomes at lower cost. Health systems across the country have sought the benefits, and recognition, that a PCMH can garner.

MacColl’s work has guided practices through the transformation necessary to become a PCMH.

Our interest in transformation began with teaching the elements of the Chronic Care Model. Our commitment to transformation continues now via several initiatives involving the concepts of the patient-centered medical home. MacColl has developed a PCMH change concept model, the PCMH-A, an assessment tool, and other materials in use by clinicians throughout the country.

Related Resources

Focus Areas: Patient-Centered Medical Home

Practice Transformation in the Safety Net Medical Home Initiative: A Qualitative Look

In this article, Ed Wagner and colleagues describe  three diverse SNMHI practices selected based on their improvement as measured by the PCMH-A (Patient-Centered Medical Home Assessment).  We interviewed 2-3 leaders from the each of 3 practices seeking information about their motivations for transforming, the methods used to make changes, and challenges and facilitators.

Focus Areas: Primary Care Teams, Patient-Centered Medical Home

Developing Emerging Leaders to Support Team-Based Primary Care

Developing Emerging Leaders to Support Team-Based Primary Care, a new paper co-authored by Katie Coleman, Ed Wagner, et al, describes the12-month Emerging Leaders program from our Learning from Effective Ambulatory Practices (LEAP) initiative.  A prototype for how interdisciplinary training targeting frontline staff might be implemented, the Emerging Leaders training included didactic content, mentorship, applied peer-to-peer learning,

Focus Areas: Chronic Illness Care, Primary Care Teams, Patient-Centered Medical Home

Taking Action on Overuse Action Planning Framework

Taking Action on Overuse Action Planning Framework

The Taking Action on Overuse Action Planning Framework (formerly Supporting Provider Engagement to Reduce Low-Value Care) is a promising approach to engage healthcare providers and care teams in undertaking the difficult work of reducing low-value, unnecessary care. The MacColl Center for Health Care Innovation developed this framework with the support of the Robert Wood Johnson Foundation (RWJF).

Focus Areas: Chronic Illness Care, Primary Care Teams, Patient-Centered Medical Home

OPCA Alternative Payment & Advanced Care Model Learning Exchange Summary

OPCA APACM Learning Exchange report

Since 2010, the Oregon Primary Care Association (OPCA) has been leading the development and implementation of an Alternative Payment Methodology (APM), in partnership with Oregon’s state Medicaid office. The purpose of the APM is to provide participating clinics with a payment approach that is detached from the face-to-face provider visit, allowing for much greater flexibility in transforming the care model to support population health.

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