Christine Laine, MD, MPH, Editor in Chief
Laine C.; Welcome to the Patient-Centered Medical Neighborhood. Ann Intern Med. 2011;154:60. doi: 10.7326/0003-4819-154-1-201101040-00009
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Published: Ann Intern Med. 2011;154(1):60.
A patient-centered medical home (PCMH) is a clinical practice that functions as the central hub of patient information, primary care, and care coordination for a defined group of patients. Within a PCMH, each patient has an ongoing relationship with a personal physician who directs a team of health care professionals that is responsible for providing all of the patient's health care needs within the practice or by arranging care with other qualified professionals. Care coordination, quality improvement, and enhanced access are additional features of the PCMH model. In October 2010, the American College of Physicians (ACP) released a position paper, “The Patient-Centered Medical Home Neighbor: The Interface of the Patient-Centered Medical Home with Specialty/Subspecialty Practices.” This document (available at www.acponline.org/advocacy/where_we_stand/policy/pcmh_neighbors.pdf) introduces the concept of the subspecialty practice as a PCMH neighbor (PCMH-N); provides a framework to categorize the different types of interactions between PCMH and PCMH-N practices; and defines a set of principles to facilitate coordination and integration between the practices to provide efficient, high-quality patient care (Table). It seems fitting that an internal medicine organization that represents a specialty whose practitioners include those who will lead PCMHs and those who will be neighbors is taking a lead in discussions about PCMH-Ns.
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