Guiding transformation : how medical practices can become patient-centered medical homes Health Services Accessibility -- trends Patient Care Management -- organization & administration Patient-Centered Care -- organization & administration Primary Health Care -- organization & administration The patient-centered medical home has been proposed as a model for transforming primary care and improving efficiency and effectiveness in the health care system. This report outlines and describes the changes that most medical practices would need to make to become patient-centered medical homes. The broad "change concepts," as the report terms them, include: engaged leadership; a quality improvement strategy; empanelment or linking patients with specific providers to ensure the continuity of the patient-provider relationship; continuous and team-based healing relationships, including cross-training staff to allow team members to play various roles; organized, evidence-based care, including the use of decision support systems; patient-centered interactions to increase patients' involvement in their own care; enhanced access to ensure patients have access to care and their clinical information after office hours; and care coordination to reduce duplication of services and increased anxiety and financial costs for patients and their families. [New York, N.Y.] : Commonwealth Fund, [2012] Wagner, Edward H. Coleman, Katie. Reid, Robert J. Phillips, Kathryn. Sugarman, Jonathan R. Commonwealth Fund. Technical Report Text Illustrations nlm:nlmuid-101579362-pdf 101579362 http://resource.nlm.nih.gov/101579362 English United States Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. https://creativecommons.org/licences/by/4.0