Table 3. Costs of Patient-centered Medical Home Recognition via 2011 Standards among 4 Practices

Practice	Costs By Category ($)
Practice	Nonstaff^* (Application Fees, Supplies)	Development Phase^* (Creating New Processes, Reports, Policies)	Implementation Phase^* (Providing Enhanced Care Services^{^†})	Application Document Prep^*^{^‡} (Screen Shots)	Total Costs to Apply^*^{^§}	Maintenance Phase (Ongoing Costs for Staff and Supplies), Annualized
1 (Pediatrics)	696	9,294	2,606	975	13,571	10,151
2 (Pediatrics)	419	7,249	3,649	137	11,453	7,789
3 (Pediatrics)	554	8,643	3,487	846	13,531	0
4 (Family medicine)	131	3,275	12,269	303	15,977	23,494

Costs are expressed as per full-time provider (nurse practitioner/physician assistant/DO/MD).
↵* Costs accrued from decision date to apply for patient-centered medical home status to application date. The time interval for the activities listed before the maintenance phase ranged from 9 to 18 months in this sample of practices.
↵† Includes both new hires and enhanced activities and training for existing staff.
↵‡ Does not include staff time dedicated to uploading and sending application to the National Committee for Quality Assurance.
↵§ Does not include practice level consultation costs listed in Table 4.