Robust and lasting clinician-patient relationships are at the heart of every medical home, says a new report from the Commonwealth Fund that proposes 8 characteristics of the patient-centered medical home (PCMH). The report aims to provide general guidance for transforming a practice into this new model of care.
The broad "change concepts," as the report calls them are: engaged leadership; a quality improvement strategy; empanelment or linking patients with specific providers to ensure the continuity of the patient-provider relationship; continuous and team-based healing relationships; organized, evidence-based care; patient-centered interactions; enhanced patient access to clinical information after office hours; and care coordination.
For each of the 8 concepts, the authors suggested 2 to 6 specific practice modifications called key changes. For example, under organized, evidence-based care they propose that providers:
Within the descriptions of the 8 characteristics, the report illustrates how the care of patients would differ between a fully transformed PCMH and a more typical primary care practice as seen through the health care experiences of 2 fictitious sisters—Ms G and Ms H.
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