RT Journal Article
SR Electronic
T1 Defining the Medical Home: The Oregon Experience
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 869
OP 877
DO 10.3122/jabfm.2012.06.120026
VO 25
IS 6
A1 Robert J. Stenger
A1 Jeanene Smith
A1 J. Bart McMullan, Jr.
A1 Glenn S. Rodriguez
A1 David A. Dorr
A1 Mary Minniti
A1 Arthur Jaffe
A1 David Pollack
A1 Mitchell Anderson
A1 Charles M. Kilo
A1 John W. Saultz
YR 2012
UL http://www.jabfm.org/content/25/6/869.abstract
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.