This study describes how 4 primary care practices deliver components of the patient-centered medical home (PCMH) model. Interviews with administrators and clinicians were conducted and analyzed. All practices had achieved National Committee for Quality Assurance Level 3 Medical Home Accreditation. Yet, the manner in which some of the core PCMH components were delivered varied across sites. For example, information technology is used in different ways and to different degrees although the same electronic medical record is employed in all settings. Evaluations of the PCMH model must account for differences in approach to truly assess its effectiveness.
Department of Health Services Research, Management, and Policy, College of Public Health and Health Professions, University of Florida, Gainesville (Dr Hall and Ms Tamayo-Friedel); and Community Health and Family Medicine, College of Medicine, University of Florida, Jacksonville (Dr Webb).
Correspondence: Allyson Hall, PhD, Department of Health Services Research, Management, and Policy, College of Public Health and Health Professions, University of Florida, PO Box 100195, Gainesville, FL 32610 (firstname.lastname@example.org).
The Aetna Foundation provided financial support for this research. No conflicts of interest to report.