Skip Navigation LinksHome > December 2012 - Volume 112 - Issue 12 > The Patient-Centered Medical Home
AJN, American Journal of Nursing:
doi: 10.1097/01.NAJ.0000423506.38393.52
Feature Articles

The Patient-Centered Medical Home

Henderson, Susan BS, MA, RN; Princell, Catherine O. MS, RN; Martin, Sharon D. PhD, MSN, RN

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Abstract

Overview: The passage of the Patient Protection and Affordable Care Act (ACA) of 2010 has helped reshape primary care by funding the development of care approaches that better integrate and coordinate services, such as the patient-centered medical home (PCMH). Primary care practices that adopt this model offer the comprehensive, patient-centered care that is especially needed by those who are chronically ill. In a significant change from traditional reimbursement policies, the ACA offers incentives and resources that allow for care coordinators—who are typically nurses—to be recognized and paid for their efforts.

This article discusses the guiding principles of the PCMH model, nurse care coordination, reimbursement and implementation, cost-effectiveness and quality improvement, and the need for greater nurse advocacy. Finally, the experience of a care coordinator in a rural PCMH in Maine is presented

© 2012 Lippincott Williams & Wilkins, Inc.

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