As part of the Safety Net Medical Home Initiative, this Commonwealth Fund report sought to develop a more detailed and concrete definition that describes the changes that most practices would need to make to become PCMHs.
The changes involved in patient-centered medical home transformation
"The Changes Involved in Patient-Centered Medical Home Transformation" , published by Primary Care: Clinics in Office Practice, describes eight change concepts and 32 key changes that lead to medical home transformation, as distilled from a literature review and the opinions of two multi-stakeholder groups.
Providing Underserved Patients with Medical Homes: Assessing the Readiness of Safety-Net Health Centers
Safety-net health centers that provide vulnerable and low-income populations with comprehensive primary care have unique opportunities for successful transformation, but also face challenges. This Commonwealth Fund issue brief co-authored by Katie Coleman surveys safety-net health centers to determine their potential to become medical homes.
The Emerging Primary Care Workforce: Preliminary Observations From the Primary Care Team: Learning From Effective Ambulatory Practices Project
Bundling Clinical Preventive Services: A Review of Definitions and Concepts from the Literature
Co-authored by MacColl researcher Karin Johnson, this AHRQ publication details an exploratory literature search that examines use of the term “bundling” in the context of clinical preventive services. A number of gaps emerged, including potential challenges and benefits to bundling.
Alignment of patient and primary care practice member perspectives of chronic illness care: a cross-sectional analysis.
Co-authored by MacColl Director Michael Parchman, this March 2014 article examines the extent to which practice members' perceptions of how well they organized to deliver care consistent with the CCM were associated with their patients' perceptions of the chronic illness care they have received.
Caring for patients with multiple chronic conditions
The March 2014 issue of Medical Care includes "A conceptual model of the role of complexity in the care of patients with multiple chronic conditions", an article co-authored by MacColl researchers working in conjunction with the Agency for Healthcare Rsearch & Quality Multiple Chronic Conditions Research Network.
Spreading a medical home redesign: effects on emergency department use and hospital admissions
The Group Health experience is outlined in this journal article co-authored by Katie Coleman, showing it is possible to reduce emergency department use with patient-centered medical home transformation across a diverse set of clinics using a clear change strategy and sufficient resources and supports.
Assessing Progress toward Becoming a Patient-Centered Medical Home: An Assessment Tool for Practice Transformation
This December 2013 journal article describes the properties of the Patient-Centered Medical Home Assessment (PCMH-A) as a tool to stimulate and monitor progress among primary care practices interested in transforming to patient-centered medical homes.