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The Patient-Centered Medical Home

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

AJN The American Journal of Nursing: December 2012 - Volume 112 - Issue 12 - p 54–59
doi: 10.1097/01.NAJ.0000423506.38393.52
Feature Articles

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

This article discusses the guiding principles of the patient-centered medical home and presents the experience of a care coordinator in Maine.

Susan Henderson is nursing professor emeritus at Saint Joseph's College of Maine in Standish, where Sharon D. Martin is an associate professor of nursing. Catherine O. Princell is a health coach and care coordinator at Blue Hill Family Medicine in Blue Hill, ME. Contact author: Susan Henderson, The authors have disclosed no potential conflicts of interest, financial or otherwise.

© 2012 Lippincott Williams & Wilkins, Inc.