Article Figures & Data
Tables
- Table 1.
Evaluation of the AAFP’s First Patient-Centered Medical Home National Demonstration Project
AAFP = American Academy of Family Physicians. Jaén CR, Crabtree BF, Palmer RF, et al. Methods for evaluating practice change toward a patient-centered medical home. Ann Fam Med. 2010;8(Suppl 1):s9–s20.2
Stewart EE, Nutting PA, Crabtree BF, Stange KC, Miller WL, Jaén CR. Implementing the patient-centered medical home: observation and description of the National Demonstration Project. Ann Fam Med. 2010;8(Suppl 1):s21–s32.3
Nutting PA, Crabtree BF, Stewart EE, et al. Effect of facilitation on practice outcomes in the National Demonstration Project model of the patient-centered medical home. Ann Fam Med. 2010;8(Suppl 1):s33–s44.4
Nutting PA, Crabtree BF, Miller WL, Stewart EE, Stange KC, Jaén CR. Journey to the patient-centered medical home: a qualitative analysis of the experiences of practices in the National Demonstration Project. Ann Fam Med. 2010;8(Suppl 1):s45–s56.5
Jaén CR, Ferrer RL, Miller WL, et al. Patient outcomes at 26 months in the patient-centered medical home National Demonstration Project. Ann Fam Med. 2010;8(Suppl 1):s57–s67.6
Miller WL, Crabtree BF, Nutting PA, Stange KC, Jaén CR. Primary care practice development: a relationship-centered approach. Ann Fam Med. 2010;8(Suppl 1):s68–s79.7
Crabtree BF, Nutting PA, Miller WL, Stange KC, Stewart EE, Jaén CR. Summary of the National Demonstration Project and recommendations for the patient-centered medical home. Ann Fam Med. 2010;8(Suppl 1):s80–s90.8
Year Event AAP = American Academy of Pediatrics; AAFP = American Academy of Family Physicians; ACP = American College of Physicians; AOA = American Osteopathic Association; NCQA = National Committee on Quality Assurance; NDP = National Demonstration Project; PCMH = patient-centered medical home; WHO = World Health Organization. 1967 The AAP introduces the medical home concept to coordinate care for children with multiple needs (expanded model with 13 elements was introduced in 2002)19–22 1992 Barbara Starfield summarizes the evidence for the essential attributes of primary care for a high-functioning health care system23 (updated in 199824 and 200525) 1996 The Institute of Medicine “advocates development and sustained support of means to make primary care available to all Americans,”26(p1) and notes: “First, primary care is the logical basis of an effective health care system. Second, primary care is essential to reaching the objectives that constitute value in health care”26(p52) 2001 The Institute of Medicine Crossing the Quality Chasm report calls for transforming a “fundamentally flawed” US health care system27 2004 In the Future of Family Medicine Project, 7 family medicine organizations propose a “New Model” of care, the “personal medical home”28,29 2005 TransforMED is created as a subsidiary of the AAFP to test the “New Model.” (The model evolves to encompass PCMH features,30 but includes no payment reform— a key tenet of the PCMH) 2005 The Commonwealth Fund proposes a “2020 vision of patient-centered care”31 (and later begins funding pilot programs) 2006 The ACP proposes the advanced medical home, which includes principal care as well as primary care32 2006 Medical home demonstration projects within Medicare are called for in the Tax Relief and Health Care Act, to be implemented by 2010.33 2006 The NDP is launched34 2007 Four organizations (AAFP, AAP, ACP, AOA) jointly issue a statement on the PCMH in February35 2007 The Patient-Centered Primary Care Collaborative is launched in March36 2007 The NCQA launches a tool—Physician Practice Connections–Patient-Centered Medical Home (PPC-PCMH)—which preemptively become the de facto standard for recognition as a PCMH37 2008 WHO declares 2008 the year of primary health care38,39 2009 Multiple pilot projects are in process and early findings begin to be published1,40–42 2009 Incorporation of the PCMH in federal and state reform legislation increases, and the number of demonstration projects and individual practice and system efforts grows
Additional Files
Supplemental Appendix
Supplemental Appendix. Summary of the Joint Statement of 4 Physician Organizations on Principles of the Patient-Centered Medical Home
Files in this Data Supplement:
- Supplemental data: Appendix - PDF file, 1 page, 63 KB
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