TY - JOUR AU - D. R. Rittenhouse AU - L. P. Casalino AU - S. M. Shortell AU - S. R. McClellan AU - R. R. Gillies AU - J. A. Alexander AU - M. L. Drum A1 - AB - The patient-centered medical home has become a prominent model for reforming the way health care is delivered to patients. The model offers a robust system of primary care combined with practice innovations and new payment methods. But scant information exists about the extent to which typical US physician practices have implemented this model and its processes of care, or about the factors associated with implementation. In this article we provide the first national data on the use of medical home processes such as chronic disease registries, nurse care managers, and systems to incorporate patient feedback, among 1,344 small and medium-size physician practices. We found that on average, practices used just one-fifth of the patient-centered medical home processes measured as part of this study. We also identify internal capabilities and external incentives associated with the greater use of medical home processes. BT - Health affairs (Project Hope) C5 - Medical Home; Healthcare Policy CP - 8 CY - United States DO - 10.1377/hlthaff.2010.1210 IS - 8 JF - Health affairs (Project Hope) N2 - The patient-centered medical home has become a prominent model for reforming the way health care is delivered to patients. The model offers a robust system of primary care combined with practice innovations and new payment methods. But scant information exists about the extent to which typical US physician practices have implemented this model and its processes of care, or about the factors associated with implementation. In this article we provide the first national data on the use of medical home processes such as chronic disease registries, nurse care managers, and systems to incorporate patient feedback, among 1,344 small and medium-size physician practices. We found that on average, practices used just one-fifth of the patient-centered medical home processes measured as part of this study. We also identify internal capabilities and external incentives associated with the greater use of medical home processes. PP - United States PY - 2011 SN - 1544-5208; 0278-2715 SP - 1575 EP - 1584 EP - T1 - Small and medium-size physician practices use few patient-centered medical home processes T2 - Health affairs (Project Hope) TI - Small and medium-size physician practices use few patient-centered medical home processes U1 - Medical Home; Healthcare Policy U2 - 21719447 U3 - 10.1377/hlthaff.2010.1210 VL - 30 VO - 1544-5208; 0278-2715 Y1 - 2011 ER -