References
Legislation and proposals:
1. Patient Protection and Affordable Care Act, Section 3502: Establishing community health
teams to support the patient-centered medical home (2010).
http://docs.house.gov/energycommerce/ppacacon.pdf
Summary: This section of federal health care reform describes the stipulations for
physicians, hospitals and other providers wishing to participate in the CMS PCMH
demonstration.
2. Patient-Centered Medical Home 2011 Draft Standards Overview. National Committee for
Quality Assurance.
http://www.ncqa.org/Portals/0/PublicComment/Draft_Standards_PCMH.pdf
Summary: The article lays out the proposed, up-to-date NCQA draft standards for the
patient-centered medical home, building upon the existing 2008 standards with new goals to
increase patient-centeredness, align the requirements with processes that improve quality,
increase the emphasis on patient feedback, enhance the use of clinical performance
measure results, integrate behaviors affecting health, mental health and substance abuse
and enhance care coordination.
3. Multi-Payer Advanced Primary Care Practice Demonstration Fact Sheet. Centers for
Medicare & Medicaid Services (2010).
http://www.cms.gov/demoprojectsevalrpts/md/itemdetail.asp?itemid=cms1230016
Summary: The fact sheet describes the parameters of participation in CMS‘s MAPCP
demonstration.
Evaluation of demonstration projects:
4. Crabtree, B.F., Nutting, P.A., Miller, W.L., Stange, K.C., Stewart, E.E., Jaen, C.R. (2010)
Summary of the National Demonstration Project and Recommendations for the Patient-Centered Medical Home. Annals of Family Medicine (Vol. 8, Supplement 1).
http://www.annfammed.org/content/vol8/Suppl_1/
Summary: The article summarizes findings from the National Demonstration Project, a
PCMH test of 36 family care practices. The article concludes that PCMH initiatives should
focus more on patient-centered care and proven primary care practices than on disease
management and information technology. The article also argues that the PCMH model is
dependent on widespread systemic reform.
