Edward H. Wagner, M.D., M.P.H., Katie Coleman, M.S.P.H., Robert J. Reid, M.D., Ph.D., Kathryn Phillips, M.P.H., Melinda K. Abrams, M.S., and Jonathan R. Sugarman, M.D., M.P.H.
E. H. Wagner, K. Coleman, R. J. Reid et al., "The Changes Involved in Patient-Centered Medical Home Transformation," Primary Care: Clinics in Office Practice, June 2012 39(2):241–59.
The patient-centered medical home model has been proposed by the major primary care professional societies as a way to achieve more effective, less costly care. Commonwealth Fund–supported researchers reviewed the professional literature and convened a panel of experts to identify characteristics of fully transformed medical homes and the necessary changes to infrastructure, organization, and care delivery that practices and clinicians must make to get there.
To become patient-centered medical homes, primary care practices must:
"These changes build on one another, suggesting that sequential implementation will be most practical and effective," the researchers conclude. Engaged leadership and an effective quality improvement strategy should be initial priorities. More information about implementing each of the changes is available at http://www.safetynetmedicalhome.org/practice-transformation.