TY - JOUR KW - Attitude of Health Personnel KW - Case Management/organization & administration/standards KW - Delivery of Health Care/organization & administration/standards KW - Electronic Health Records/standards KW - Humans KW - Interdisciplinary Communication KW - Patient-Centered Care/organization & administration/standards KW - Physicians, Primary Care KW - Primary Health Care/organization & administration/standards KW - United States AU - C. A. Sinsky A1 - AB - The American College of Physicians' position paper on the patient-centered medical home neighbor (PCMH-N) extends the work of the patient-centered medical home (PCMH) as a means of improving the delivery of health care. Recognizing that the PCMH does not exist in isolation, the PCMH-N concept outlines expectations for comanagement, communication, and care coordination and broadens responsibility for safe, effective, and efficient care beyond primary care to include physicians of all specialties. As such, it is a fitting follow-up to the PCMH and moves further down the road toward improved care for complex patients. Yet, there is more work to be done. Truly transforming the U.S. health care system around personalized medical homes embedded in highly functional medical neighborhoods will require better staffing models; more robust electronic information tools; aligned incentives for quality and efficiency within payment and regulatory policies; and a culture of greater engagement of patients, their families, and communities. BT - Annals of Internal Medicine C5 - Medical Home CP - 1 CY - United States DO - https://doi.org/10.7326/0003-4819-154-1-201101040-00010 IS - 1 JF - Annals of Internal Medicine N2 - The American College of Physicians' position paper on the patient-centered medical home neighbor (PCMH-N) extends the work of the patient-centered medical home (PCMH) as a means of improving the delivery of health care. Recognizing that the PCMH does not exist in isolation, the PCMH-N concept outlines expectations for comanagement, communication, and care coordination and broadens responsibility for safe, effective, and efficient care beyond primary care to include physicians of all specialties. As such, it is a fitting follow-up to the PCMH and moves further down the road toward improved care for complex patients. Yet, there is more work to be done. Truly transforming the U.S. health care system around personalized medical homes embedded in highly functional medical neighborhoods will require better staffing models; more robust electronic information tools; aligned incentives for quality and efficiency within payment and regulatory policies; and a culture of greater engagement of patients, their families, and communities. PP - United States PY - 2011 SN - 1539-3704; 0003-4819 SP - 61 EP - 62 EP - T1 - The patient-centered medical home neighbor: A primary care physician's view T2 - Annals of Internal Medicine TI - The patient-centered medical home neighbor: A primary care physician's view U1 - Medical Home U2 - 21200041 U3 - https://doi.org/10.7326/0003-4819-154-1-201101040-00010 VL - 154 VO - 1539-3704; 0003-4819 Y1 - 2011 ER -