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Federal PCMH Activities

Table 1. Patient-Centered Medical Home (PCMH) Activities across Federal Agencies as of March 2011

Agency/Division Represented:	AHRQ/CP3	CMS/ORDI, CMS/CSP	DOD/TMA	HRSA/BPHC, HRSA/OHIT	IHS/IPC	SAMHSA/CMHS, SAMHSA/CSAT	VA/PCPO	NIH/NCI
Relationship of PCMH to the Strategic Goals of the Operating Division/Department	Strategic goals explicitly support advancing the PCMH	Strategic goals not yet developed	Strategic goals explicitly support advancing the PCMH	Strategic goals explicitly support advancing the PCMH	No information provided	Strategic goals align with the principles of the PCMH	Strategic goals explicitly support advancing the PCMH	Research initiatives support advancing the PCMH
	Primary Areas of PCMH Activity
*Direct Provision of Health Care Services or Funding of Care*	Not applicable	Medicare Multi-Payer Advanced Primary Care Practice Demonstration	TRICARE	Technical assistance and coverage of the recognition fee for NCQA PCMH recognition Capital Improvement Grants to community health centers adopting Electronic Health Records Expansion grants to increase behavioral health capacity	No information provided	Substance abuse treatment and prevention block grant (SAPTBG) Discretionary Grants, including SBIRT	Payment model reform for the Veteran’s Health Administration	Not applicable
*Pilot or Demonstration Programs*	Infra- structure for Maintaining Primary Care Transformation (IMPaCT)	Medicare Multi-Payer Advanced Primary Care Practice Demonstration Federally Qualified Health Center (FQHC) Advanced Primary Care Practice Demonstration	MHS Business Planning Pilot	Promoting the Pediatric Medical Home	No information provided	Primary and Behavioral Health Care Integration Program (PBHCI)	Demonstration Labs Centers of Excellence	Not applicable
*Technical Assistance, Implementation Assistance*	Expert working group for PCMH Facilitation TeamSTEPPS	Regulations to define an Accountable Care Organization Technical assistance to FQHCs participating in the demonstration	Technical Assistance and Program Coordination for PCMH Implementation	Providing technical assistance for achieving NCQA PCMH recognition and transforming to a medical home Funding of the National Center on Medical Home Implementation Grants to support state-, community-, and practice- level PCMH implementation Learning collaborative to promote quality improvement for pediatric care Funding for Family-to-Family Health Information Centers Technical Assistance Center for Integrating Behavioral Health and Primary Care Cooperative Agreements with state Primary Care Associations and the National Association of Community Health Centers Transformational TA	No information provided	Medicaid Health Homes State Plan Review Technical Assistance to states for Medicaid Health Home implementation National Technical Assistance Center (TA)	Increased staffing at primary care sites PACT Compass and quality measurement PACT Learning Collaborative Transformation Initiative Learning Centers Consultation teams Mini-residency in specialty care for primary care providers Telemedicine Computerized Patient Record System enhancements	Not applicable
*Research (Includes Evaluation)*	Transforming Primary Care evaluation grants Retrospective evaluations on long-term medical home models A Research Agenda for the Patient-Centered Medical Home Foundational white papers Decision-maker briefs Review of the evidence on PCMH publications	Evaluation of Medicare Multi-Payer Advanced Primary Care Practice Demonstration Evaluation of Federally Qualified Health Center Advanced Primary Care Practice Demonstration	Not applicable	Grants to support the Community Health Applied Research Network Grants for PCMH models focusing on maternal and child health Surveys on children and medical homes Supporting research that integrates oral health/dental home with the medical home	No information provided	Screening, Brief Intervention, Referral, and Treatment for substance use disorders (SBIRT) Discretionary Grant Database PBHCI Program Evaluation	Demonstration Labs Centers of Excellence	Monograph on Patient-Centered Communication in Cancer Care DEcIDE Network research on patient-centered communication Methods for Longitudinal Assessment of Patient-centered Care (MAPCare)
*Other*	Care Coordination Measure Atlas CAHPS tool for the PCMH Investigator-initiated Grant Programs	Not applicable	Not applicable	Performance Measure Development Assorted Projects on Pediatric Care in a Medical Home	No information provided	Not applicable	Not applicable	Cancer CAHPS tool
	Materials to Share with PCMH Partners
*Toolkits*	Toolkit for Practice Redesign	None	None	HRSA Health IT Adoption Toolkit Building Your Medical Home toolkit Toolkit for Meaningful Use HRSA Quality Toolkit	No information provided	None	None	None
*Seminars and Presentations*	None	None	PCMH in the context of the Military Health System	None	No information provided	None	None	None
*Websites*	The Patient-Centered Medical Home Resource Center Citations Database PCMH Federal Collaborative Portal	CMS and Medicare Demonstrations websites	Uniformed Services Academy of Family Physicians (USAFP) Website	Healthcare communities.org National Center for Medical Home Implementation Cultural Competency and Health Literacy Resources for Health Care Providers	No information provided	SBIRT website	None	None
*Policies and Guidelines*	None	Regulations to define an Accountable Care Organization	Compendium of Service Policies Marketing Campaign for PCMH users	Guidelines on measuring meaningful use of health information technology Program Assistance Letter on the HRSA Patient-Centered Medical/Health Home Initiative	No information provided	Certification requirements for physicians to administer buprenorphine	Communication plan and other materials for internal use	None
*Reports and Monographs*	”Necessary, but not sufficient: The HITECH Act's Potential to Build Medical Homes” ”Engaging Patients and Families in the Medical Home” ”Integrating Mental Health and Substance Use Treatment in the Patient-Centered Medical Home” “The Roles of Patient-Centered Medical Homes and Accountable Care Organizations in Coordinating Patient Care” “Strategies to Ensure HITECH Supports the Patient-Centered Medical Home” ”Strategies to Put Patients at the Center of Primary Care” ”Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms”	None	Advances in Patient Safety: From Research to Implementation	”Recommend-ations for Improving Access to Pediatric Subspecialty Care through the Medical Home” “Measuring Medical Homes – Tools to Evaluate the Pediatric Patient- and Family-Centered Medical Home” “The Dental Home”	No information provided	None	None	“Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering.” “Toward Improving the Quality of Cancer Care: Addressing the Interfaces of Primary and Oncology-Related Subspecialty Care”

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