Regulations, Forms & Other Useful Documents
2009 Report to the Secretary: Rural Health and Human Service Issues
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
Report to the Secretary of the U.S. Department of Health and Human Services on issues related to rural America. Examines three key topics: workforce and community development, creating viable patient-centered medical homes, and serving at-risk children.
Date: 04 / 2009
Achieving Better Quality of Care for Low-Income Populations: The Roles of Health Insurance and the Medical Home in Reducing Health Inequities
Author(s): Julie Berenson, Michelle Doty, Melinda Abrams, Anthony Shih
Sponsoring organization: Commonwealth Fund
An analysis of the Commonwealth Fund 2010 Biennial Health Insurance Survey. Demonstrates that when low-income adults have both health insurance and a medical home, they are less likely to report cost-related access problems, more likely to be up-to-date with preventive screenings, and report greater satisfaction with the quality of their care.
Date: 05 / 2012
Building Medical Homes in State Medicaid and CHIP Programs
Author(s): Neva Kaye, Mary Takach
Sponsoring organization: Commonwealth Fund
Discusses how Medicaid and CHIP have strong foundational bases to develop policies that support medical homes and achieve the goals of quality improvement and cost containment.
Date: 06 / 2009
Building Medical Homes: Lessons from Eight States with Emerging Programs
Author(s): Neva Kaye, Jason Buxbaum, Mary Takach
Sponsoring organization: Commonwealth Fund
Profiles eight states that are at different stages in the development and implementation of a medical home program. Includes Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia.
Date: 12 / 2011
Building the Medical Home: Evaluating the Blueprints
Author(s): Robert Berenson, Margaret O'Kane, Mark Miller
Sponsoring organization: National Health Policy Forum
Identifies forum topics including medical home perceptions. Considers how a medical home might be defined, financed, and evaluated and to whom it should most appropriately be made available.
Date: 06 / 2008
Can Patient-Centered Medical Homes Transform Health Care Delivery?
Author(s): Melinda K. Abrams, Karen Davis, Christine Haran
Sponsoring organization: Commonwealth Fund
Offers information about how medical homes could ensure accessible, patient-centered, and coordinated care for all Americans.
Date: 03 / 2009
Care Transitions: “Time to Come Home” (Full Report)
Author(s): Shailendra Prasad, Jill M. Klingner, Ira Moscovice
Sponsoring organization: Upper Midwest Rural Health Research Center
Examines care coordination with a focus on the transitions from inpatient care back to the rural community and suggests ways of measuring the quality of care coordination on discharge from the hospital.
Date: 03 / 2011
Care Transitions: “Time to Come Home” (Policy Brief)
Author(s): Shailendra Prasad, Jill M. Klingner, Ira Moscovice
Sponsoring organization: Upper Midwest Rural Health Research Center
Examines care coordination with a focus on the transitions from inpatient care back to the rural community and suggests ways of measuring the quality of care coordination on discharge from the hospital.
Date: 03 / 2011
Closing the Divide: How Medical Homes Promote Equity in Health Care: Results from the Commonwealth Fund 2006 Health Care Quality Survey
Author(s): Anne C. Beal, Michelle M. Doty, Susan E. Hernandez, Katherine K. Shea, Karen Davis
Sponsoring organization: Commonwealth Fund
Provides results of a survey which discovered that when adults have a medical home, their access to needed care, receipt of routine preventive screenings, and management of chronic conditions improve substantially.
Date: 06 / 2007
Coming Home: The Patient-Centered Medical-Dental Home in Primary Care Training
Sponsoring organization: Health Resources and Services Administration
Outlines nine recommendations for the Title VII, section 747 program to support primary care training and to prepare training programs to educate clinicians to practice in the patient-centered medical home and dental home (PCM-DH). Addresses issues and topics specifically related to rural areas.
Date: 12 / 2008
Community Care of North Carolina: Building Community Systems of Care Through State and Local Partnerships
Author(s): Douglas McCarthy, Kimberly Mueller
Sponsoring organization: Commonwealth Fund
Highlights Community Care of North Carolina (CCNC), a public-private partnership that comprises local providers who form a medical home for low-income adults and children. Includes references to rural.
Date: 06 / 2009
Continuous and Team-Based Healing Relationships Implementation Guide: Transforming Safety Net Clinics into Patient-Centered Medical Homes
Sponsoring organization: Qualis Health
Presents the eight Change Concepts for Practice
Transformation (Change Concepts) which comprise the operational definition of a Patient-centered Medical Home for the Transforming Safety Net Clinics into Patient-Centered Medical Homes Initiative.
Date: 12 / 2010
Continuous Innovation in Health Care: Implications of the Geisinger Experience
Author(s): Ronald Paulus, Karen Davis, Glenn Steele
Sponsoring organization: Commonwealth Fund
Provides evidence that the patient-centered medical home model can improve quality of care and reduce health care costs.
Journal citation: Health Affairs Volume 27 Issue 5 Pages: 1235–45
Date: 10 / 2008
Core Value, Community Connections: Care Coordination in the Medical Home
Sponsoring organization: Patient-Centered Primary Care Collaborative
Focuses on care coordination in the patient-centered medical home. Presents case examples, summary of survey responses from select practices, and definition and role of care coordination.
Date: 10 / 2011
Developing Federally Qualified Health Centers into Community Networks to Improve State Primary Care Delivery Systems
Author(s): Mary Takach, Jason Buxbaum
Sponsoring organization: National Academy for State Health Policy
Highlights three states that are collaborating to build community networks to make medical home services available for vulnerable populations, and to improve their primary care delivery systems.
Date: 05 / 2011
Family-Centered Care Self-Assessment Provider Tool
Sponsoring organization: Family Voices
Designed for health care providers in quality improvement activities and to support development of the first key component of a medical home as defined by the American Academy of Pediatrics.
Date: 10 / 2008
Fundamental Reform of Payment for Adult Primary Care: Comprehensive Payment for Comprehensive Care
Author(s): Allan H. Goroll, Robert A. Berenson, Stephen C. Schoenbaum, Laurence B. Gardner
Sponsoring organization: Society of General Internal Medicine
Presents a fundamentally new model of payment for primary care, replacing encounter-based imbursement with comprehensive payment for comprehensive care.
Journal citation: Journal of General Internal Medicine Volume 22 Pages: 410-415
Date: 01 / 2007
Going Home: Programs Create New Housing Options for Rural Veterans
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Discusses Medical Foster Homes and transitional housing, which provide homes for elderly and once-homeless veterans. Highlights homes in California, Iowa, and South Dakota.
Journal citation: Rural Monitor
Date: 02 / 2012
Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes
Author(s): Edward Wagner, Katie Coleman, Robert Reid, Kathryn Phillips, Jonathan Sugarman
Sponsoring organization: Commonwealth Fund
Outlines and describes the changes that most medical practices need to make to become patient-centered medical homes. Discusses cross-training staff, evidenced-based care, access to care, and financial costs.
Date: 02 / 2012
Health Centers and Health Care Reform: Accountable Care Organizations and Medical Homes
Sponsoring organization: National Association of Community Health Centers
Summarizes the new programs and demonstration projects from the Patient Protection and Affordable Care Act (PPACA) that promote patient-centered, quality, primary care delivery in a medical home setting.
Date: 04 / 2010
Health Centers: America’s Primary Care Safety Net Reflections on Success, 2002-2007
Sponsoring organization: U.S. Department of Health and Human Services
Describes how HRSA-funded health centers improve the lives of the more than 16 million people they treat each year. Uses personal stories, examples and background statistics. Highlights agencies who work to overcome language and cultural barriers that often have thwarted efforts to serve poor and minority patients living on the margins of mainstream society.
Date: 06 / 2008
Initial Considerations to Guide the Development of Medicaid Health Homes
Author(s): Tricia McGinnis
Sponsoring organization: Center for Health Care Strategies
Identifies six key considerations to help guide states in preliminary planning of health home models. Outlines those initial considerations and includes a hands-on checklist that walks states through a list of decision points to guide health home program design.
Date: 06 / 2011
Joint Principles of the Patient Centered Medical Home
Sponsoring organization: Patient-Centered Primary Care Collaborative
Describes the principles set in place by the AAP, AAFP, ACP, and AOA that characterize the Patient Centered Medical Home.
Date: 2007
Making Medical Homes Work: Moving from Concept to Practice
Author(s): Paul Ginsburg, Hoangmai H. Pham, Ann O'Malley, Myles M. Maxfield, Deborah Peikes
Sponsoring organization: Mathematica Policy Research, Inc.
Looks at key operational issues facing medical home initiatives, including how to qualify physician practices as medical homes, how to match patients to their medical homes, how to engage patients and other providers to work with medical homes in care coordination, and how to pay practices that serve as medical homes.
Date: 12 / 2008
Measuring Medical Homes: Tools to Evaluate the Pediatric Patient and Family-Centered Medical Home
Author(s): Rebecca Malouin, Sarah Merten
Sponsoring organization: American Academy of Pediatrics
Presents various tools available and in use to identify, recognize, and evaluate a practice as a pediatric medical home.
Date: 03 / 2010
Measuring the Medical Home Infrastructure in Large Medical Groups
Author(s): Diane Rittenhouse, Lawrence Casalino, Robin R. Gillies
Sponsoring organization: Commonwealth Fund
Presents a study of 291 large medical group practices and finds that adoption of medical home infrastructure is low, with very large groups having the highest levels of adoption.
Journal citation: Health Affairs Volume 27 Issue 5 Pages: 1246–58
Date: 10 / 2008
Medicaid’s New “Health Home” Option
Sponsoring organization: Kaiser Family Foundation
Provides key information about the new option for state Medicaid programs to provide "health home" services for enrollees with chronic conditions.
Date: 01 / 2011
Medical Home for Children with Special Health Care Needs in Rural Locations
Author(s): Amy McClune
Sponsoring organization: Rural Nurse Organization
Explores the possibilities to ensure that rural children with special health care needs have access to a medical home.
Journal citation: Online Journal of Rural Nursing and Health Care Volume 9 Issue 2 Pages: 45-51
Date: 09 / 2009
Medical Home Gets Updated: Improving Outcomes While Reducing Costs
Author(s): Anna C. Spencer
Sponsoring organization: National Conference of State Legislatures
Reports on new models for medical home primary-care case management programs.
Journal citation: State Legislatures Volume 29 Issue 511
Date: 03 / 2008
Medical Home on the Go
Author(s): Fia Curley
Sponsoring organization: U.S. Department of Health and Human Services
Presents an overview of a medical home and two mobile units that work with children in Mississippi.
Date: 04 / 2008
Medical Home Practice-Based Care Coordination: A Workbook
Author(s): Jeanne W. McAllister, Elizabeth Presler, W. Carl Cooley
Sponsoring organization: American Academy of Pediatrics
Includes tools and supports needed for a primary care practice to develop their capacity to offer a pediatric care coordination service; particularly for children with special health care needs.
Date: 06 / 2007
Medical Home: AAMC Position Statement
Sponsoring organization: Association of American Medical Colleges
Lists five principles identifying why AAMC believes medical home models hold great promise for improving the health of populations and individuals.
Date: 03 / 2008
Medical Home: An Idea Whose Time Has Come ... Again
Author(s): Leigh Ann Backer
Sponsoring organization: American Academy of Family Physicians
Discusses why physicians, employers, legislators and payers think medical homes may be the key to health system reform.
Journal citation: Family Practice Management Volume 14 Issue 8 Pages: 38-41
Date: 09 / 2007
Medical Home: Health Care Access and Impact for Children and Youth in the United States
Author(s): Bonnie B. Strickland, Jessica R. Jones, Reem M. Ghandour, Michael D. Kogan, Paul W. Newacheck
Sponsoring organization: American Academy of Pediatrics
Study, using data from the HRSA 2007 National Survey of Children’s Health, identifies the number of children who have access to a medical home in both rural and urban locations. Same study also examines disparities in medical home access among racial and ethnic groups.
Date: 03 / 2011
Medical Homes Offer Comprehensive Care Approach
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Describes the successes experienced by two health care centers that offer medical home services to their patients. Advocates in the Community Care of North Carolina (CCNC) and the Lakewood Health System in Staples, Minnesota describe their programs.
Journal citation: Rural Monitor Volume 2009 Issue Spring
Date: 05 / 2009
Medical Homes: Will They Improve Primary Care?
Author(s): Jill Bernstein, Deborah Chollet, Deborah Peikes, G. Gregory Peterson
Sponsoring organization: Mathematica Policy Research, Inc.
Looks at federal and state efforts to
establish medical homes and notes considerations for policymakers seeking to improve access to services and the quality of care.
Date: 06 / 2010
Medicare Medical Home Demonstration Project
Sponsoring organization: Centers for Medicare and Medicaid Services
Addresses the Tax Relief and Health Care Act of 2006, H.R. 6111.
Date: 2007
Melinda Abrams: Why Medical Homes Matter
Sponsoring organization: Commonwealth Fund
Presents an online video of Melinda Abrams, senior program officer for the Program on Patient-Centered Primary Care. She reviews the benefits of medical homes as well as how The Commonwealth Fund is helping to address outstanding questions about reimbursement, office redesign, and standardization.
Date: 03 / 2008
No Place Like Home
Author(s): Steve Schoenbaum, Melinda Abrams
Sponsoring organization: Commonwealth Fund
Discusses what a medical home is, the history of this approach, and patient-centered care.
Date: 12 / 2006
Partnering with Your Child's School: A Guide for Parents
Sponsoring organization: Council for Exceptional Children
Provides information and resources for families of children with health and/or mental health care needs. Includes information on medical homes for children and the school's role.
Date: 2008
Patient Centered Medical Home History, Seven Core Features, Evidence and Transformational Change
Sponsoring organization: American Academy of Family Physicians
Identifies key elements of a medical
home for delivering a patient-centered
experience.
Date: 11 / 2007
Patient-Centered Care: What Does It Take?
Author(s): Dale Shaller
Sponsoring organization: Commonwealth Fund
Identifies seven key factors for achieving patient-centered care at the organization level.
Date: 10 / 2007
Patient-Centered Medical Home Services in 29 Rural Primary Care Practices: A Work in Progress
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith J. Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Discusses survey responses from 29 rural physician practices from around the country. When asked about their use of specific policies and procedures that are included as criteria to certify patient-centered medical homes, fewer of them would qualify in each of five domains, including access to care, population-based, quality, care management, and clinical information management.
Date: 09 / 2011
Patient-Centered Medical Home: AHA Research Synthesis Report
Sponsoring organization: American Hospital Association
Presents an overview of the Patient-Centered Medical Home (PCMH), including key features, discussion of federal, state, and private sector medical home models, and considerations for hospitals interested in developing a PCMH.
Date: 09 / 2010
Pediatric Medical Homes: The What and Why of it All
Sponsoring organization: Grantmakers in Health
Briefly describes the history of the medical home concept and its development, funding strategies, collaborations, future implications, and sample programs.
Date: 11 / 2008
Providing Underserved Patients with Medical Homes: Assessing the Readiness of Safety-Net Health Centers
Author(s): Katie Coleman, Kathryn Phillips
Sponsoring organization: Commonwealth Fund
Surveys safety-net health centers (public hospitals and clinics, federally qualified health centers, rural health centers, and free clinics for the medically underserved) to determine their potential to become patient-centered medical homes (PCMHs).
Date: 05 / 2010
Quality Matters: Patient-Centered Medical Homes
Sponsoring organization: Commonwealth Fund
Discusses patient-centered medical homes including establishing, sustaining, and reimbursement issues.
Date: 01 / 2008
Realizing Health Reform’s Potential: How the Affordable Care Act Will Strengthen Primary Care and Benefit Patients, Providers, and Payers
Author(s): Melinda Abrams, Rachel Nuzum, Stephanie Mika, Georgette Lawlor
Sponsoring organization: Commonwealth Fund
Describes how the Affordable Care Act will begin to address the neglect of America’s primary care system and, wherever possible, estimates the potential impact these efforts will have on patients, providers, and payers.
Date: 01 / 2011
Recommended Core Measures for Evaluating the Patient-Centered Medical Home: Cost, Utilization, and Clinical Quality
Author(s): Meredith Rosenthal, Melinda Abrams, Asaf Bitton
Sponsoring organization: Commonwealth Fund
Describes how more than 70 researchers came together as part of the Patient-Centered Medical Home Evaluators’ Collaborative to identify a set of standardized measures to assess patient-centered medical homes.
Date: 05 / 2012
Safety Net Medical Home Initiative: Transforming Primary Care
Sponsoring organization: Commonwealth Fund
Discusses a five-year demonstration program to help 65 low-income or safety net clinics in five states transform into patient-centered medical homes. Safety Net Medical Home Initiative administrators and participants discuss their progress in this 5 minute video.
Date: 05 / 2011
Supporting the Patient Centered Medical Home in Medicaid and SCHIP: Savings and Reimbursement
Author(s): Rohan Beesla, Neva Kaye
Sponsoring organization: National Academy for State Health Policy
Addresses the inequity issue in the United States health care delivery system while stressing the importance of the patient centered medical home model for primary care.
Date: 04 / 2008
Testimony-Achieving Person-Centered Primary Care: The Patient-Centered Medical Home
Author(s): Melinda Abrams
Sponsoring organization: Commonwealth Fund
Presents testimony on person-centered care for older adults in ambulatory care settings.
Date: 07 / 2008
Transforming Community Health Centers into Patient-Centered Medical Homes: The Role of Payment Reform
Author(s): Leighton Ku, Peter Shin, Emily Jones, Brian Bruen
Sponsoring organization: Commonwealth Fund
Examines how changes in the way federally qualified health centers (FQHCs) are financed could support the transformation of these critical safety-net providers into high performing patient-centered medical homes.
Date: 09 / 2011
U.S. Military Focuses on Patient Care by Implementing PCMH Model
Author(s): James Arvantes
Sponsoring organization: American Academy of Family Physicians
Describes how the patent-centered medical home (PCMH) approach to care is used for military populations.
Date: 02 / 2012
Use of Health Information Technology in Support of Patient-Centered Medical Homes Is Low Among Non-metropolitan Family Medicine Practices
Author(s): Keith J. Mueller, Fred Ullrich, A. Clinton MacKinney
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Discusses the concept of a patient-centered medical home (PCMH) and examines if physician practices, especially non-metropolitan primary care practices, are ready to become PCMHs.
Date: 04 / 2011
