FeatureExploring the Medical Home in Ryan White HIV Care Settings: A Pilot StudyBeane, Stephanie N., MEd; Culyba, Rebecca J., PhD; DeMayo, Michael, MPH; Armstrong, Wendy, MDAuthor Information Financial support for this study was received from a Developmental Core Micro Grant from the Center for AIDS Research at Emory University (P30 AI05409). Stephanie N. Beane, MEd, is Associate Director, Research and Evaluation Projects, Southeast AIDS Training and Education Center, Department of Family and Preventive Medicine, Emory University, Atlanta, Georgia, USA. Rebecca J. Culyba, PhD, is Program Administrator, UPMC Center for High-Value Health Care, Pittsburgh, Pennsylvania, USA. Michael DeMayo, MPH, is Project Manager, Southeast AIDS Training and Education Center, Department of Family and Preventive Medicine, Emory University, Atlanta, Georgia, USA. Wendy Armstrong, MD, is Medical Director, Grady Ponce De Leon Center, Atlanta, Georgia, USA. Journal of the Association of Nurses in AIDS Care: May 2014 - Volume 25 - Issue 3 - p 191-202 doi: 10.1016/j.jana.2013.10.007 Buy Metrics Abstract Amid increased attention to the cost of health care, health information technology, and specialization and fragmentation in medicine, the medical home has achieved recognition as a model for more effective and efficient health care. Little data are available on recently funded HIV medical home demonstration projects, and no research richly describes existing medical home characteristics, implementation challenges, and impact on outcomes in longstanding HIV outpatient settings. The Ryan White HIV/AIDS Program (RWP) provides federal funding for primary and specialty care for people living with HIV. Although RWP clinics developed independently of the medical home model, existing data indirectly support that, with emphasis on primary, comprehensive, and patient-centered care, RWP clinics operate as medical homes. This study explores the development, definition, and implementation of medical home characteristics by RWP-funded providers in order to better understand how it fits with broader debates about medical homes and health care reform. © 2014Elsevier, Inc.