TY - JOUR
KW - Delivery of Health Care/organization & administration
KW - Health Policy
KW - Humans
KW - Organizational Innovation
KW - Patient-Centered Care/organization & administration
KW - Quality of Health Care
KW - Specialization
KW - United States
AU - N. Kirschner
AU - M. S. Barr
A1 - 
AB - This article provides an overview of the Patient-Centered Medical Home (PCMH) care model. It provides a history and definition of the concept, a discussion of its growing acceptance by the health-care community, and a review of current public and public-private demonstration projects testing the concept. The role of specialty/subspecialty practices within the PCMH model is described, with a focus on the potential for these practices to serve as a PCMH for a subgroup of patients or, alternatively, as a PCMH "neighbor" that interfaces effectively with PCMH practices. The authors conclude that the model for effective connections between the PCMH and specialty/subspecialty practices requires further development, including the cross-specialty establishment of guidelines and processes regarding referrals, information flow, transitions in care, and accountability. The efforts of the American College of Physicians' Council of Subspecialty Societies PCMH Workgroup to further develop this model are described. The authors encourage involvement from all interested stakeholders to ensure that the issues and challenges identified are addressed through collaboration and consensus based on available evidence.
BT - Chest
C5 - Medical Home
CP - 1
CY - United States
DO - 10.1378/chest.09-0060
IS - 1
JF - Chest
N2 - This article provides an overview of the Patient-Centered Medical Home (PCMH) care model. It provides a history and definition of the concept, a discussion of its growing acceptance by the health-care community, and a review of current public and public-private demonstration projects testing the concept. The role of specialty/subspecialty practices within the PCMH model is described, with a focus on the potential for these practices to serve as a PCMH for a subgroup of patients or, alternatively, as a PCMH "neighbor" that interfaces effectively with PCMH practices. The authors conclude that the model for effective connections between the PCMH and specialty/subspecialty practices requires further development, including the cross-specialty establishment of guidelines and processes regarding referrals, information flow, transitions in care, and accountability. The efforts of the American College of Physicians' Council of Subspecialty Societies PCMH Workgroup to further develop this model are described. The authors encourage involvement from all interested stakeholders to ensure that the issues and challenges identified are addressed through collaboration and consensus based on available evidence.
PP - United States
PY - 2010
SN - 1931-3543; 0012-3692
SP - 200
EP - 204
EP - 
T1 - Specialists/subspecialists and the patient-centered medical home
T2 - Chest
TI - Specialists/subspecialists and the patient-centered medical home
U1 - Medical Home
U2 - 19505988
U3 - 10.1378/chest.09-0060
VL - 137
VO - 1931-3543; 0012-3692
Y1 - 2010
ER -