TY - JOUR KW - Attitude of Health Personnel KW - Case Management/organization & administration/standards KW - Delivery of Health Care/organization & administration/standards KW - Humans KW - Interdisciplinary Communication KW - Patient-Centered Care/organization & administration/standards KW - Primary Health Care/organization & administration/standards KW - Specialization KW - United States AU - H. F. Yee A1 - AB - To achieve the benefits of the patient-centered medical home (PCMH) model, the American College of Physicians has issued a policy paper addressing the relationship between specialist and subspecialist physicians and PCMH practices. This paper represents a significant step toward improving care coordination and quality by demonstrating that this model is supported by numerous specialties and subspecialties, recognizing the importance of building a strong medical neighborhood, and providing a framework that will foster improvements in care at the interface of PCMHs and PCMH neighbors (PCMH-Ns). Construction of a well-functioning medical neighborhood will, however, require some refinements. First, the proposed interaction typology between PCMHs and PCMH-Ns must be expanded to include innovative forms of interaction that do not depend on traditional office visits, but for which there are clear incentives. Second, the recommended care coordination agreements must be better standardized for the sake of practicality. Finally, genuine dialogue between PCMH and PCMH-N practices needs to be realized. BT - Annals of Internal Medicine C5 - Medical Home; Healthcare Policy CP - 1 CY - United States DO - 10.7326/0003-4819-154-1-201101040-00011 IS - 1 JF - Annals of Internal Medicine N2 - To achieve the benefits of the patient-centered medical home (PCMH) model, the American College of Physicians has issued a policy paper addressing the relationship between specialist and subspecialist physicians and PCMH practices. This paper represents a significant step toward improving care coordination and quality by demonstrating that this model is supported by numerous specialties and subspecialties, recognizing the importance of building a strong medical neighborhood, and providing a framework that will foster improvements in care at the interface of PCMHs and PCMH neighbors (PCMH-Ns). Construction of a well-functioning medical neighborhood will, however, require some refinements. First, the proposed interaction typology between PCMHs and PCMH-Ns must be expanded to include innovative forms of interaction that do not depend on traditional office visits, but for which there are clear incentives. Second, the recommended care coordination agreements must be better standardized for the sake of practicality. Finally, genuine dialogue between PCMH and PCMH-N practices needs to be realized. PP - United States PY - 2011 SN - 1539-3704; 0003-4819 SP - 63 EP - 64 EP - T1 - The patient-centered medical home neighbor: A subspecialty physician's view T2 - Annals of Internal Medicine TI - The patient-centered medical home neighbor: A subspecialty physician's view U1 - Medical Home; Healthcare Policy U2 - 21200042 U3 - 10.7326/0003-4819-154-1-201101040-00011 VL - 154 VO - 1539-3704; 0003-4819 Y1 - 2011 ER -