The Patient-centered Medical Home Movement — Promise and Peril for Family Medicine

John C. Rogers, MD, MPH, MEd


J Am Board Fam Med. 2008;21(5):370-374. 

In This Article

Action Agenda

I suggest a simple yet difficult and demanding action agenda.

Clinical Care

We move swiftly with wise, reasoned, and paced change toward the PCMH principles in every one of our clinical practices. All of us must become change agents advocating for advances in the care we provide. We must regularly measure our practices against the external benchmarks provided by the TransforMED Medical Home IQ and NCQA PPC-PCMH Recognition Program.


We quickly identify the key questions regarding the effectiveness and implementation of the PCMH principles. We must determine what is effective and how to achieve it.


We specify the teaching practices and teaching methods necessary to prepare students, residents, and faculty for practice in PCMHs. Given vary rapidly evolving medical care and the PCMH model, we also must identify the best methods for rapid just-in-time skill acquisition.


We clearly, consistently, continuously and loudly articulate our vision for patient-centered, family-centered, relationship-centered care. We must stay "on message" about the PCMH. We must not let others co-op the PCMH concept. We must never forget, or let others forget, that care is what we do, and infrastructure supports that role.


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