Table 1

Patient-Centered Medical Home Indices

Enhanced access (8 domains)Open hours beyond 8 am to 5 pm on weekdays
Open hours during the weekend
Telephone advice on clinical issues during office hours
Urgent phone responses, after hours or weekends
Practice routinely collects access-to-care data
Translation services
Clinicians communicate with patients via e-mail
Interactive Web site for the practice
Quality and safety (10 domains)Participation in any quality improvement collaboratives
Rapid-cycle quality improvement strategy
Provide performance feedback to clinicians
Alerts for abnormal test results
Patient educators for chronic illness and prevention
Patient reminders for chronic illness care
Patient experience data given to clinicians
Use of guideline-based reminders for clinicians
Tobacco cessation program
Use of organized systems for improving rates of breast cancer screening
Care coordination and integration (9 domains)Use of electronic health record
Able to retrieve laboratory and imaging reports electronically
Shared electronic health record with hospital
Electronic access to clinical information from hospitals, emergency departments, and specialists
Alerts when patients are hospitalized
Use of order-tracking system
Electronic prescribing
Use of chronic disease registries
Use of care managers for chronic disease