TY - JOUR KW - Cooperative Behavior KW - Group Practice KW - Interviews as Topic KW - Medical Informatics KW - Organizational Case Studies KW - Patient-Centered Care KW - Pilot Projects KW - Washington AU - J. T. Tufano AU - J. D. Ralston AU - P. Tarczy-Hornoch AU - R. J. Reid A1 - AB - This paper describes one organization's interpretation of the Patient-Centered Medical Home concept and the healthcare delivery system that has emerged from their participatory redesign initiative. Group Health, a large integrated healthcare system based in Seattle, Washington, USA initiated a Patient-Centered Medical Home care delivery system transformation in January 2007. Current theories and evidence about the Patient-Centered Medical Home (PCMH), the Chronic Care Model, and effective primary care were interpreted via a facilitated group process and translated into a core set of 5 system design principles. These design principles guided all subsequent system transformation activities. The central organizing principle is supporting and sustaining the patient-primary care physician relationship. The emergent PCMH healthcare delivery system comprises both opportunistic point-of-care and outreach components, many of which leverage and enhance the organization's health information and communication technologies. BT - Studies in health technology and informatics C5 - Medical Home CY - Netherlands JF - Studies in health technology and informatics N2 - This paper describes one organization's interpretation of the Patient-Centered Medical Home concept and the healthcare delivery system that has emerged from their participatory redesign initiative. Group Health, a large integrated healthcare system based in Seattle, Washington, USA initiated a Patient-Centered Medical Home care delivery system transformation in January 2007. Current theories and evidence about the Patient-Centered Medical Home (PCMH), the Chronic Care Model, and effective primary care were interpreted via a facilitated group process and translated into a core set of 5 system design principles. These design principles guided all subsequent system transformation activities. The central organizing principle is supporting and sustaining the patient-primary care physician relationship. The emergent PCMH healthcare delivery system comprises both opportunistic point-of-care and outreach components, many of which leverage and enhance the organization's health information and communication technologies. PP - Netherlands PY - 2010 SN - 0926-9630; 0926-9630 SP - 59 EP - 65 EP - T1 - Participatory (re)design of a sociotechnical healthcare delivery system: The Group Health Patient-Centered Medical Home T2 - Studies in health technology and informatics TI - Participatory (re)design of a sociotechnical healthcare delivery system: The Group Health Patient-Centered Medical Home U1 - Medical Home U2 - 20543368 VL - 157 VO - 0926-9630; 0926-9630 Y1 - 2010 ER -