Defining the medical home: The Oregon experience

Robert J. Stenger, Jeanene Smith, J. Bart McMullan, Glenn S. Rodriguez, David Dorr, Mary Minniti, Arthur Jaffe, David Pollack, Mitchell Anderson, Charles Kilo, John Saultz

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: The patient-centered medical home (PCMH) is emerging as a key strategy to improve health outcomes, reduce total costs, and strengthen primary care, but a myriad of operational measures of the PCMH have emerged. In 2009, the state of Oregon convened a public, legislatively mandated committee charged with developing PCMH measures. We report on the process of, outcomes of, and lessons learned by this committee. Methods: The Oregon PCMH advisory committee was appointed by the director of the Oregon Department of Human Services and held 7 public meetings between October 2009 and February 2010. The committee engaged a diverse group of Oregon stakeholders, including a variety of practicing primary care physicians. Results: The committee developed a PCMH measurement framework, including 6 core attributes, 15 standards, and 27 individual measures. Key successes of the committee's work were to describe PCMH core attributes and functions in patient-centered language and to achieve consensus among a diverse group of stakeholders. Conclusions: Oregon's PCMH advisory committee engaged local stakeholders in a process that resulted in a shared PCMH measurement framework and addressed stakeholders' concerns. The state of Oregon now has implemented a PCMH program using the framework developed by the PCMH advisory committee. The Oregon experience demonstrates that a brief public process can be successful in producing meaningful consensus on PCMH roles and functions and advancing PCMH policy.

Original languageEnglish (US)
Pages (from-to)869-877
Number of pages9
JournalJournal of the American Board of Family Medicine
Volume25
Issue number6
DOIs
StatePublished - Nov 2012

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Patient-Centered Care
Advisory Committees
Consensus
Primary Care Physicians
Primary Health Care

Keywords

  • Health policy
  • Medical home
  • Patient-centered care
  • Primary health care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice

Cite this

Defining the medical home : The Oregon experience. / Stenger, Robert J.; Smith, Jeanene; McMullan, J. Bart; Rodriguez, Glenn S.; Dorr, David; Minniti, Mary; Jaffe, Arthur; Pollack, David; Anderson, Mitchell; Kilo, Charles; Saultz, John.

In: Journal of the American Board of Family Medicine, Vol. 25, No. 6, 11.2012, p. 869-877.

Research output: Contribution to journalArticle

Stenger, RJ, Smith, J, McMullan, JB, Rodriguez, GS, Dorr, D, Minniti, M, Jaffe, A, Pollack, D, Anderson, M, Kilo, C & Saultz, J 2012, 'Defining the medical home: The Oregon experience', Journal of the American Board of Family Medicine, vol. 25, no. 6, pp. 869-877. https://doi.org/10.3122/jabfm.2012.06.120026
Stenger, Robert J. ; Smith, Jeanene ; McMullan, J. Bart ; Rodriguez, Glenn S. ; Dorr, David ; Minniti, Mary ; Jaffe, Arthur ; Pollack, David ; Anderson, Mitchell ; Kilo, Charles ; Saultz, John. / Defining the medical home : The Oregon experience. In: Journal of the American Board of Family Medicine. 2012 ; Vol. 25, No. 6. pp. 869-877.
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