PT  - JOURNAL ARTICLE
AU  - Robert J. Stenger
AU  - Jeanene Smith
AU  - J. Bart McMullan, Jr.
AU  - Glenn S. Rodriguez
AU  - David A. Dorr
AU  - Mary Minniti
AU  - Arthur Jaffe
AU  - David Pollack
AU  - Mitchell Anderson
AU  - Charles M. Kilo
AU  - John W. Saultz
TI  - Defining the Medical Home: The Oregon Experience
AID  - 10.3122/jabfm.2012.06.120026
DP  - 2012 Nov 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 869--877
VI  - 25
IP  - 6
4099  - http://www.jabfm.org/content/25/6/869.short
4100  - http://www.jabfm.org/content/25/6/869.full
SO  - J Am Board Fam Med2012 Nov 01; 25
AB  - 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 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.