The Patient-Centered Medical Home (PCMH) is a primary care model that provides coordinated and comprehensive care to\r\npatients to improve health outcomes. This paper addresses practical issues that arise when transitioning a traditional primary\r\ncare practice into a PCMH recognized by the National Committee for Quality Assurance (NCQA). Individual organizations�\r\nexperiences with this transition were gathered at a PCMH workshop in Alexandria, Virginia in June 2010. An analysis of their\r\nexperiences has been used along with a literature review to reveal common challenges that must be addressed in ways that are\r\nresponsive to the practice and patients� needs. These are: NCQA guidance, promoting provider buy-in, leveraging electronic\r\nmedical records, changing office culture, and realigning workspace in the practice to accommodate services needed to carry out\r\nthe intent of PCMH. The NCQA provides a set of standards for implementing the PCMH model, but these standards lack many\r\nspecifics that will be relied on in location situations. While many researchers and providers have made critiques, we see this\r\nvagueness as allowing for greater flexibility in how a practice implements PCMH.
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