PCMH Foundations

AHRQ recognizes that the full potential of the PCMH will not be reached without key input from three foundational supports: Health IT, Workforce, and Finance.

Health IT

Health IT can support the PCMH model by collecting, storing, and managing personal health information, as well as aggregate data that can be used to improve processes and outcomes. Health IT can also support communication, clinical decisionmaking, and patient self-management.

Resources for Using Health Information Technology to Support Quality Improvement

White Papers

General Resources

Briefs

Strategies to Ensure HITECH Supports the Patient Centered Medical Home HITECH programs and other current Federal legislation are necessary but not sufficient for driving widespread adoption of the medical home model.
(PDF Version — 321KB)
HITECH programs and other current Federal legislation are necessary but not sufficient for driving widespread adoption of the medical home model. This brief discusses the ways in which HITECH and broader health reform legislation could ensure EHRs are implemented in a way that supports primary care transformation.

White Papers

Reports

Practice-Based Population Health: Information Technology to Support Transformation to Proactive Primary Care
(PDF Version — 752KB)
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.

Websites

AHRQ Health IT
AHRQ's Health IT Portfolio develops and disseminates evidence to inform policy and practice on how health information technology can improve the quality of health care.

HealthIt.gov
The Office of the National Coordinator for Health Information Technology (ONC) is the principal federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information.

Research Articles

View search results for PCMH and Health IT in our Citations Collection.

Search the Citations Collection: Health IT

Workforce

A strong primary care workforce including physicians, physician assistants, nurses, medical assistants, nutritionists, social workers, and care managers is a critical element of the PCMH model. Amid a primary care workforce shortage, it is imperative to develop a workforce trained to provide care based on the elements of the PCMH.

White Papers

Creating Patient-centered Team-based Primary Care
(PDF Version — 971KB)
Well-implemented team-based care has the potential to improve the overall quality and comprehensiveness of primary care. However, team-based approaches also may disrupt or change specific aspects of care, such as ongoing relationships, that are important to patients and providers. This paper offers a conceptual model and specific strategies to help primary care practices successfully transition to patient-centered team-based care.

Research Articles

View search results for Primary Care Workforce Issues in our Citations Collection.

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Finance

Current fee for service payment policies are inadequate to fully achieve PCMH goals. Providers are not routinely compensated for care coordination or enhanced access, contributions of the full team are often not reimbursed, and there is no incentive to reduce duplication of services across the care continuum. Payment reform is needed to achieve the potential of primary care and the medical home.

Briefs

Research Articles

View search results for PCMH and Financing in our Citations Collection.

Search the Citations Collection: Finance