Table 1.

Joint Policy Statement: Patient-Centered Medical Home Principles*

Personal physician
  • Patients have an ongoing relationship with a personal physician

  • First contact, continuous and comprehensive care

Physician-directed medical practice
  • Personal physician leads a team of individuals at the practice level

  • Collective responsibility for the ongoing care of patients

Whole-person orientation
  • Medical home provides for all the patient's health care needs or appropriately arranges care with other qualified professionals

  • Care for all stages of life: acute care, chronic care, preventive services, and end-of-life care

Care is coordinated and/or integrated
  • Coordination of care across the health care system and patient's community

  • Care is facilitated by registries, information technology, health information exchange, use of interpreters, and other means

Quality and safety
  • Quality and safety improvement are hallmarks of the medical home

  • Specific activities could include individualized care plans, evidence-based decision support tools, collection and reporting of quality improvement data, use of information technology, and voluntary certification of practices as medical homes

Enhanced access
  • Patients can easily access health care via their medical home

  • Specific improvements could include open access scheduling, expanded hours, and enhanced phone or e-mail communication

  • Increased payments support the added level of service and value provided to patients who receive care from a medical home

  • * Issued jointly by the American Academy of Family Physicians, American College of Physicians, the American Academy of Pediatrics, and the American Osteopathic Association.