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PCMH Resources for Researchers
Use information in this section to improve evaluations of the medical home. Resources include papers describing what we know about the medical home and its effects and areas in which further research is needed, as well as information on evaluation methods and measures. To learn more about PCMH citations, select here for a search of our citations database.
| Type | Title | Abstract | HTML | |
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| White Paper | Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms | “Neighbors” in the medical neighborhood include the medical home, specialists, hospitals, health plans, and other stakeholders. This paper describes how these neighbors could work together better, thus allowing the medical home to reach its full potential to improve patient outcomes. | (PDF-663.28KB)
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| White Paper | Coordinating Care for Adults with Complex Care Needs in the Patient-Centered Medical Home: Challenges and Solutions | Patients who have complex health needs typically require both medical and social services and support from a wide variety of providers and caregivers. This paper discusses strategies that are needed to help primary care practices perform as effective medical homes to coordinate such services for patients with complex care needs. |
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| White Paper | Building the Evidence Base for the Medical Home: What Sample and Sample Size Do Studies Need? | Evaluations of the medical home should account for clustering of patients within practices. This paper describes why and how to do this, and what samples of patients and practices are needed for studies to achieve adequate statistical power. | (PDF-368.48KB)
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| White Paper | Engaging Patients and Families in the Medical Home | A key element of the PCMH model is engaging patients and caregivers in their care. This paper offers policymakers and researchers insights into opportunities to engage patients and families in the medical home and includes a framework for conceptualizing opportunities for engagement. It also reviews the evidence base for these activities, and offers examples of existing efforts as well as implications for policy and research. | (PDF-526.27KB)
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| White Paper | The Medical Home: What Do We Know, What Do We Need to Know?: A Review of the Current State of the Evidence on the Effects of the Patient Centered Medical Home Model | Amid burgeoning efforts to create medical homes across the U.S., this paper describes the evidence we have so far on the effects of precursors to the medical home model on key outcomes, and how to improve studies in the future. |
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| Report | Care Coordination Measures Atlas | This resource lists existing measures of care coordination, with a focus on ambulatory care, and presents a framework for understanding care coordination measurement. The Atlas is useful for evaluators of projects aimed at improving care coordination and for quality improvement practitioners and researchers studying care coordination. | (PDF-2.2MB)
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| Report | The Roles of Patient-Centered Medical Homes And Accountable Care Organizations in Coordinating Patient Care | PCMH and ACO models of care delivery can work in tandem to increase the effectiveness of care coordination. Medical homes can directly coordinate services, while ACOs can facilitate and incentivize collaboration across various providers and organizations. | (PDF-340.27KB)
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| Report | Practice-Based Population Health: Information Technology to Support Transformation to Proactive Primary Care | Practice-Based population health is an approach to care that uses information on a group of patients within a primary care practice(s) to improve the care and clinical outcomes of patients within that practice. This report describes this approach and discusses the information management functionalities that may help primary care practices to move forward with this type of proactive management. | (PDF-752.49KB)
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| Catalog | Catalog of Federal PCMH Activities | This resource summarizes PCMH-related work of Departments and Agencies participating in a Federal PCMH Collaborative, including AHRQ, DOD, HRSA, NIH/NCI, SAMHSA, and the VA. | HTML |
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