Defining the Medical Home: The Oregon Experience

R. J. Stenger, J. Smith, J. B. McMullan, G. S. Rodriguez, D. A. Dorr, M. Minniti, A. Jaffe, D. Pollack, M. Anderson, C. M. Kilo, J. W. Saultz
2012 Journal of the American Board of Family Medicine  
Objective: The patient-centered medical home (PCMH) is emerging as a key strategy to improve health outcomes, reduce total costs, and strengthen primary care, but a myriad of operational measures of the PCMH have emerged. In 2009, the state of Oregon convened a public, legislatively mandated committee charged with developing PCMH measures. We report on the process of, outcomes of, and lessons learned by this committee. Methods: The Oregon PCMH advisory committee was appointed by the director of
more » ... by the director of the Oregon Department of Human Services and held 7 public meetings between October 2009 and February 2010. The committee engaged a diverse group of Oregon stakeholders, including a variety of practicing primary care physicians. Results: The committee developed a PCMH measurement framework, including 6 core attributes, 15 standards, and 27 individual measures. Key successes of the committee's work were to describe PCMH core attributes and functions in patient-centered language and to achieve consensus among a diverse group of stakeholders. Conclusions: Oregon's PCMH advisory committee engaged local stakeholders in a process that resulted in a shared PCMH measurement framework and addressed stakeholders' concerns. The state of Oregon now has implemented a PCMH program using the framework developed by the PCMH advisory committee. The Oregon experience demonstrates that a brief public process can be successful in producing meaningful consensus on PCMH roles and functions and advancing PCMH policy. (J Am Board Fam Med 2012;25:869 -877.) The patient-centered medical home (PCMH) is a promising strategy to achieve the triple aim of improved health outcomes, better patient experiences, and reduced per-capita costs by strengthening primary care. 1-4 Professional organizations Conflict of interest: none declared.
doi:10.3122/jabfm.2012.06.120026 pmid:23136328 fatcat:f2tj5wk7unfwxczrtaifwzdvqe