Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM On Twitter
  • JABFM On YouTube
  • JABFM On Facebook
Research ArticleHealth Policy

Defining the Medical Home: The Oregon Experience

Robert J. Stenger, Jeanene Smith, J. Bart McMullan, Glenn S. Rodriguez, David A. Dorr, Mary Minniti, Arthur Jaffe, David Pollack, Mitchell Anderson, Charles M. Kilo and John W. Saultz
The Journal of the American Board of Family Medicine November 2012, 25 (6) 869-877; DOI: https://doi.org/10.3122/jabfm.2012.06.120026
Robert J. Stenger
the Providence Medical Group, Missoula, MT (RJS); the Office for Oregon Health Policy and Research, Salem, OR (JS); the Oregon Health Leadership Council, Portland, OR (JBM); Providence Health and Services, Portland, OR (GSR); Oregon Health and Science University, Portland, OR (DAD, DP; CMK; JWS); the PeaceHealth Medical Group, Eugene, OR (MM); and the Benton County Health Department, Corvallis, OR (MA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jeanene Smith
the Providence Medical Group, Missoula, MT (RJS); the Office for Oregon Health Policy and Research, Salem, OR (JS); the Oregon Health Leadership Council, Portland, OR (JBM); Providence Health and Services, Portland, OR (GSR); Oregon Health and Science University, Portland, OR (DAD, DP; CMK; JWS); the PeaceHealth Medical Group, Eugene, OR (MM); and the Benton County Health Department, Corvallis, OR (MA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
J. Bart McMullan Jr.
the Providence Medical Group, Missoula, MT (RJS); the Office for Oregon Health Policy and Research, Salem, OR (JS); the Oregon Health Leadership Council, Portland, OR (JBM); Providence Health and Services, Portland, OR (GSR); Oregon Health and Science University, Portland, OR (DAD, DP; CMK; JWS); the PeaceHealth Medical Group, Eugene, OR (MM); and the Benton County Health Department, Corvallis, OR (MA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Glenn S. Rodriguez
the Providence Medical Group, Missoula, MT (RJS); the Office for Oregon Health Policy and Research, Salem, OR (JS); the Oregon Health Leadership Council, Portland, OR (JBM); Providence Health and Services, Portland, OR (GSR); Oregon Health and Science University, Portland, OR (DAD, DP; CMK; JWS); the PeaceHealth Medical Group, Eugene, OR (MM); and the Benton County Health Department, Corvallis, OR (MA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David A. Dorr
the Providence Medical Group, Missoula, MT (RJS); the Office for Oregon Health Policy and Research, Salem, OR (JS); the Oregon Health Leadership Council, Portland, OR (JBM); Providence Health and Services, Portland, OR (GSR); Oregon Health and Science University, Portland, OR (DAD, DP; CMK; JWS); the PeaceHealth Medical Group, Eugene, OR (MM); and the Benton County Health Department, Corvallis, OR (MA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mary Minniti
the Providence Medical Group, Missoula, MT (RJS); the Office for Oregon Health Policy and Research, Salem, OR (JS); the Oregon Health Leadership Council, Portland, OR (JBM); Providence Health and Services, Portland, OR (GSR); Oregon Health and Science University, Portland, OR (DAD, DP; CMK; JWS); the PeaceHealth Medical Group, Eugene, OR (MM); and the Benton County Health Department, Corvallis, OR (MA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Arthur Jaffe
the Providence Medical Group, Missoula, MT (RJS); the Office for Oregon Health Policy and Research, Salem, OR (JS); the Oregon Health Leadership Council, Portland, OR (JBM); Providence Health and Services, Portland, OR (GSR); Oregon Health and Science University, Portland, OR (DAD, DP; CMK; JWS); the PeaceHealth Medical Group, Eugene, OR (MM); and the Benton County Health Department, Corvallis, OR (MA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David Pollack
the Providence Medical Group, Missoula, MT (RJS); the Office for Oregon Health Policy and Research, Salem, OR (JS); the Oregon Health Leadership Council, Portland, OR (JBM); Providence Health and Services, Portland, OR (GSR); Oregon Health and Science University, Portland, OR (DAD, DP; CMK; JWS); the PeaceHealth Medical Group, Eugene, OR (MM); and the Benton County Health Department, Corvallis, OR (MA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mitchell Anderson
the Providence Medical Group, Missoula, MT (RJS); the Office for Oregon Health Policy and Research, Salem, OR (JS); the Oregon Health Leadership Council, Portland, OR (JBM); Providence Health and Services, Portland, OR (GSR); Oregon Health and Science University, Portland, OR (DAD, DP; CMK; JWS); the PeaceHealth Medical Group, Eugene, OR (MM); and the Benton County Health Department, Corvallis, OR (MA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Charles M. Kilo
the Providence Medical Group, Missoula, MT (RJS); the Office for Oregon Health Policy and Research, Salem, OR (JS); the Oregon Health Leadership Council, Portland, OR (JBM); Providence Health and Services, Portland, OR (GSR); Oregon Health and Science University, Portland, OR (DAD, DP; CMK; JWS); the PeaceHealth Medical Group, Eugene, OR (MM); and the Benton County Health Department, Corvallis, OR (MA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
John W. Saultz
the Providence Medical Group, Missoula, MT (RJS); the Office for Oregon Health Policy and Research, Salem, OR (JS); the Oregon Health Leadership Council, Portland, OR (JBM); Providence Health and Services, Portland, OR (GSR); Oregon Health and Science University, Portland, OR (DAD, DP; CMK; JWS); the PeaceHealth Medical Group, Eugene, OR (MM); and the Benton County Health Department, Corvallis, OR (MA).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    1. Grundy P,
    2. Hagan KR,
    3. Hansen JC,
    4. Grumbach K
    . The multi-stakeholder movement for primary care renewal and reform. Health Aff (Millwood) 2010;29:791–8.
    OpenUrlAbstract/FREE Full Text
  2. 2.↵
    1. Fields D,
    2. Leshen E,
    3. Patel K
    . Driving quality gains and cost savings through adoption of medical homes. Health Aff (Millwood) 2010;29:819–26.
    OpenUrlAbstract/FREE Full Text
  3. 3.↵
    1. Bitton A,
    2. Martin C,
    3. Landon BE
    . A nationwide survey of patient centered medical home demonstration projects. J Gen Intern Med 2010;25:584–92.
    OpenUrlCrossRefPubMedWeb of Science
  4. 4.↵
    1. Buxbaum J,
    2. Takach M
    . State multi-payer medical home initiatives and Medicare's advanced primary care demonstration [Internet]. Portland, ME: National Academy for State Health Policy; 2010. Available at http://www.nashp.org/node/1689. Accessed November 30, 2010.
  5. 5.↵
    1. Kellerman R,
    2. Kirk L
    . Principles of the patient centered medical home. Am Fam Physician 2007;76:774–5.
    OpenUrlPubMedWeb of Science
  6. 6.↵
    Patient-centered primary care collaborative [homepage on the Internet]. Available at http://www.pcpcc.net. Accessed November 30, 2010.
  7. 7.↵
    1. Stange KC,
    2. Nutting PA,
    3. Miller WL,
    4. Jaén CR,
    5. Crabtree BF,
    6. Flocke SA,
    7. et al
    . Defining and measuring the patient-centered medical home. J Gen Intern Med 2010;25:601–12.
    OpenUrlCrossRefPubMedWeb of Science
  8. 8.↵
    National Committee for Quality Assurance. Standards and guidelines for physician practice connections–patient-centered medical home [Internet]. Washington, DC: National Committee for Quality Assurance; 2008.
  9. 9.↵
    Minnesota Department of Health. Health care homes (aka medical homes)-adopted rule-January 11, 2010 [Internet]. Available at http://www.health.state.mn.us/healthreform/homes/standards/adoptedrule.html. Accessed November 30, 2010.
  10. 10.↵
    1. Malouin RA,
    2. Starfield B,
    3. Sepulveda MJ
    . Evaluating the tools used to assess the medical home. Manag Care 2009;18:44–8.
    OpenUrlPubMed
  11. 11.↵
    TransforMED. Medical home implementation quotient (MHIQ) [Internet]. Leawood KS: TransforMED; 2010. Available at http://www.transformed.com/MHIQ/welcome.cfm. Accessed November 30, 2010.
  12. 12.↵
    Patient-Centered Primary Care Collaborative (PCPCC). Pilots and demonstrations (self-reported) [Internet]. Washington, DC: PCPCC; 2010. Available at http://www.pcpcc.net/pcpcc-pilot-projects. Accessed November 30, 2010.
  13. 13.↵
    1. Fisher ES
    . Building a medical neighborhood for the medical home. N Engl J Med 2008;359:1202–5.
    OpenUrlCrossRefPubMedWeb of Science
  14. 14.↵
    1. Berenson RA,
    2. Hammons T,
    3. Gans DN,
    4. et al
    . A house is not a home: keeping patients at the center of practice redesign. Health Aff (Millwood) 2008;27:1219–30.
    OpenUrlAbstract/FREE Full Text
  15. 15.↵
    1. Kuzel AJ,
    2. Skoch EM
    . Achieving a patient-centered medical home as determined by the NCQA – at what cost, and to what purpose? Ann Fam Med 2009;7:85–6.
    OpenUrlFREE Full Text
  16. 16.↵
    1. Rittenhouse DR,
    2. Shortell SM
    . The patient-centered medical home: will it stand the test of health reform? JAMA 2009;301:2038–40.
    OpenUrlCrossRefPubMedWeb of Science
  17. 17.↵
    1. Nutting PA,
    2. Miller WL,
    3. Crabtree BF,
    4. Jaén CR,
    5. Stewart EE,
    6. Stange KC
    . Initial lessons from the First National Demonstration Project on practice transformation to a patient-centered medical home. Ann Fam Med 2009;7:254–60.
    OpenUrlAbstract/FREE Full Text
  18. 18.↵
    1. Landon BE,
    2. Gill JM,
    3. Antonelli RC,
    4. Rich EC
    . Prospects for rebuilding primary care using the patient-centered medical home. Health Aff (Millwood) 2010;29:827–34.
    OpenUrlAbstract/FREE Full Text
  19. 19.↵
    1. Browne K,
    2. Roseman D,
    3. Shaller D,
    4. Edgman-Levitan S
    . Measuring patient experience as a strategy for improving primary care. Health Aff (Millwood) 2010;29:921–5.
    OpenUrlAbstract/FREE Full Text
  20. 20.↵
    1. Torregrosa AS
    . Pennsylvania's Effort to Transform Primary Care. Webinar for the Connecticut Health Policy Project; 2010. Available from: http://www.cthealthpolicy.org/webinars/20100223_atorregrossa_webinar.pdf. Accessed September 26, 2012.
  21. 21.↵
    Health Team Works. Colorado Patient Centered Medical Home Pilot [Internet]. Lakewood, CO; 2012. Available at: http://www.healthteamworks.org/medical-home/pcmh-pilot.html. Accessed September 26, 2012.
  22. 22.↵
    Vermont Department of Health. Vermont Blueprint for Health 2009 annual report [report on the Internet]. Burlington VT: Vermont Department of Health; 2010. Available at http://hcr.vermont.gov/sites/hcr/files/pdfs/BP2009AnnualReport2010_03_29.pdf. Accessed November 30, 2010.
  23. 23.↵
    Blue Cross and Blue Shield of Michigan (BCBSM). Michigan Blues launch nation's largest program for patient-centered medical home [article on the Internet]. Detroit MI: BCBSM; 2009. Available at http://www.bcbsm.com/pr/pr_04–21-2009_80449.shtml. Accessed November 30, 2010.
  24. 24.↵
    Community Care of North Carolina [homepage on the Internet]. Available at http://www.communitycarenc.com. Accessed November 30, 2010.
  25. 25.↵
    1. Bodenheimer T
    . The Oregon Health Plan–lessons for the nation. First of two parts. N Engl J Med 1997;337:651–5.
    OpenUrlCrossRefPubMedWeb of Science
  26. 26.↵
    1. Bodenheimer T
    . The Oregon Health Plan–lessons for the nation. Second of two parts. N Engl J Med 1997;337:720–3.
    OpenUrlCrossRefPubMed
  27. 27.↵
    Oregon Health Services Commission. Prioritized list of health services [Internet]. Salem, OR: Oregon Health Services Commission; 2010. Available at http://www.oregon.gov/OHA/OHPR/Pages/herc/Current-Prioritized-List.aspx.
  28. 28.↵
    An Act Relating to Health Care, June 26, 2009. HB 2009. 75th Oregon Legislative Assembly, 2009 Regular Session.
  29. 29.↵
    1. Stenger RJ,
    2. DeVoe J
    . Policy challenges in building the medical home: do we have a shared blueprint? J Am Board Fam Med 2010;23:384–92.
    OpenUrlAbstract/FREE Full Text
  30. 30.↵
    1. Merrell K,
    2. Berenson RA
    . Structuring payment for medical homes. Health Aff (Millwood) 2010;29:852–8.
    OpenUrlAbstract/FREE Full Text
  31. 31.↵
    1. Berenson RA,
    2. Rich EC
    . How to buy a medical home? Policy options and practical questions. J Gen Intern Med 2010;25:619–24.
    OpenUrlCrossRefPubMedWeb of Science
  32. 32.↵
    An Act Relating to Health Care, June 26, 2009. HB 2009. Section 1163. 75th Oregon Legislative Assembly, 2009 Regular Session.
  33. 33.↵
    Public Meetings. Ore Rev Stat §192.610 to 192.690.
  34. 34.↵
    1. Donaldson M,
    2. Yordy K,
    3. Vanselow N
    (eds). Defining primary care: an interim report. Institute of Medicine. Washington DC: National Academy Press; 1994.
  35. 35.↵
    Oklahoma Health Care Authority (OHCA). Patient-centered medical home: SoonerCare choice redesign [Internet]. Oklahoma City, OK: OHCA; 2010. Available at http://www.okhca.org/providers.aspx?id=8470&menu=74&parts=8482_10165&terms=medical+home. Accessed November 30, 2010.
  36. 36.↵
    The MacColl Institute for Healthcare Innovation, Group Health Research Institute. Assessment of chronic illness care, version 3.5 [Internet]. Seattle, WA: The MacColl Institute for Healthcare Innovation; 2000. Available at http://www.improving chroniccare.org/index.php?p=Survey_Instruments&s=165. Accessed November 30, 2010.
  37. 37.↵
    Center for Medical Home Improvement (CMHI). Medical home index–adult long version 1.1 [Internet]. Concord, NH: CMHI; 2008. Available at http://www.medicalhomeimprovement.org/pdf/CMHI-MHI-Adult-Primary-Care_Full-Version.pdf.
  38. 38.↵
    1. Starfield B,
    2. Shi L
    . Primary care assessment tools [Internet]. Baltimore, MD: The Johns Hopkins Primary Care Policy Center, Johns Hopkins Bloomberg School of Public Health; 2009. Available at http://www.jhsph.edu/pcpc/pca_tools.html. Accessed November 30, 2010.
  39. 39.↵
    1. Flocke SA
    . Measuring attributes of primary care: development of a new instrument. J Fam Pract 1997;45:64–74.
    OpenUrlPubMedWeb of Science
  40. 40.↵
    1. Safran DG,
    2. Kosinsk MI,
    3. Tarlov AR,
    4. et al
    . The Primary Care Assessment Survey: tests of data quality and measurement performance. Med Care 1998;36:728–39.
    OpenUrlCrossRefPubMedWeb of Science
  41. 41.↵
    1. Safran DG,
    2. Karp M,
    3. Coltin K,
    4. et al
    . Measuring patients' experiences with individual primary care physicians: results of a statewide demonstration project. J Gen Intern Med 2006;21:13–21.
    OpenUrlCrossRefPubMedWeb of Science
  42. 42.↵
    Agency for Healthcare Research and Quality (AHRQ). The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Program. Clinician and group surveys [Internet]. Rockville, MD: AHRQ; 2006. Available at http://www.cahps.ahrq.gov/clinician_group/. Accessed November 30, 2010.
  43. 43.↵
    Office for Oregon Health Policy and Research. Final report of the Patient Centered Primary Care Home Standards Advisory Committee [report on the Internet]. Salem, OR: OHPR; 2010. Available at http://www.oregon.gov/oha/OHPB/meetings/2010/100309-pcphc-fnl-rpt.pdf. Accessed November 30, 2010.
  44. 44.↵
    Office for Oregon Health Policy and Research. Oregon Patient-centered primary care home program [Internet]. Salem, OR: OHPR; 2011. Available at http://www.primarycarehome.oregon.gov. Accessed December 1, 2011.
  45. 45.↵
    National Committee for Quality Assurance. Patient-centered medical home (PCMH) 2011 [Internet]. Washington, DC: NCQA; 2011. Available at http://www.ncqa.org/tabid/631/Default.aspx. Accessed August 9, 2011.
  46. 46.↵
    The Joint Commission. Primary care medical home [Internet]. Washington, DC: Joint Commission; 2011. Available at http://www.jointcommission.org/accreditation/pchi.aspx. Accessed August 9, 2011.
  47. 47.↵
    URAC. URAC's patient centered health care home programs [Internet]. Washington, DC: URAC; 2011. Available at http://www.urac.org/healthcare/prog_accred_pchch_toolkit.aspx. Accessed August 9, 2011.
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 25 (6)
The Journal of the American Board of Family Medicine
Vol. 25, Issue 6
November-December 2012
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Defining the Medical Home: The Oregon Experience
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
15 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Defining the Medical Home: The Oregon Experience
Robert J. Stenger, Jeanene Smith, J. Bart McMullan, Glenn S. Rodriguez, David A. Dorr, Mary Minniti, Arthur Jaffe, David Pollack, Mitchell Anderson, Charles M. Kilo, John W. Saultz
The Journal of the American Board of Family Medicine Nov 2012, 25 (6) 869-877; DOI: 10.3122/jabfm.2012.06.120026

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Defining the Medical Home: The Oregon Experience
Robert J. Stenger, Jeanene Smith, J. Bart McMullan, Glenn S. Rodriguez, David A. Dorr, Mary Minniti, Arthur Jaffe, David Pollack, Mitchell Anderson, Charles M. Kilo, John W. Saultz
The Journal of the American Board of Family Medicine Nov 2012, 25 (6) 869-877; DOI: 10.3122/jabfm.2012.06.120026
Reddit logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusions
    • Notes
    • References
  • Figures & Data
  • Info & Metrics
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Prostate Cancer Decision-Making, Health Services, and the Family Physician Workforce
  • Google Scholar

More in this TOC Section

  • Primary Care Implications of the Expanded National Guidelines for Germline Testing of Patients Previously Diagnosed with Colorectal Cancer
  • Policy Considerations for Routine Screening for Adverse Childhood Events (ACEs)
  • Post-Pandemic Telehealth Policy for Primary Care: An Equity Perspective
Show more Health Policy

Similar Articles

Keywords

  • Health Policy
  • Medical Home
  • Patient-Centered Care
  • Primary Health Care

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2023 American Board of Family Medicine

Powered by HighWire