TY - JOUR AU - E. H. Wagner AU - L. LeRoy AU - J. Schaefer AU - M. Bailit AU - K. Coleman AU - C. Zhan AU - D. Meyers A1 - AB - The Patient-Centered Medical Home (PCMH) now defines excellent primary care. Recent literature has begun to elucidate the components of PCMHs that improve care and reduce costs, but there is little empiric evidence that helps practices, payers, or policy makers understand how high-performing practices have improved outcomes. We report the findings from 38 such practices that fill this gap. We describe how they execute 8 functions that collectively meet patient needs. They include managing populations, providing self-management support coaching, providing integrated behavioral health care, and managing referrals. The functions provide a more actionable perspective on the work of primary care. BT - The Journal of ambulatory care management C5 - Medical Home CP - 4 CY - United States DO - 10.1097/JAC.0000000000000249 IS - 4 JF - The Journal of ambulatory care management N2 - The Patient-Centered Medical Home (PCMH) now defines excellent primary care. Recent literature has begun to elucidate the components of PCMHs that improve care and reduce costs, but there is little empiric evidence that helps practices, payers, or policy makers understand how high-performing practices have improved outcomes. We report the findings from 38 such practices that fill this gap. We describe how they execute 8 functions that collectively meet patient needs. They include managing populations, providing self-management support coaching, providing integrated behavioral health care, and managing referrals. The functions provide a more actionable perspective on the work of primary care. PP - United States PY - 2018 SN - 1550-3267; 0148-9917 SP - 288 EP - 297 EP - T1 - How Do Innovative Primary Care Practices Achieve the Quadruple Aim? T2 - The Journal of ambulatory care management TI - How Do Innovative Primary Care Practices Achieve the Quadruple Aim? U1 - Medical Home U2 - 29923845 U3 - 10.1097/JAC.0000000000000249 VL - 41 VO - 1550-3267; 0148-9917 Y1 - 2018 ER -