Patient-Centered Medical Home

As health care reform evolves, creative models for delivering quality and equitable care are emerging. The patient-centered medical home is one such model.

  • Review the Patient-centered Medical Home Transformation site and define the qualities of the patient-centered medical home.
  • Study one of the five regional coordinating centers, provide an overview of the center’s program, and discuss how the program is meeting the standards of the medical home.
  • Discuss the nurse’s role in the patient-centered medical home.

Your initial post is to be about 150 words, referenced with at least one APA-formatted reference.

Expert Solution Preview


The Patient-Centered Medical Home (PCMH) is a model of primary care that aims to provide comprehensive, patient-centered, coordinated, and accessible care to patients. The PCMH is a crucial component of health care reform, and as a medical professor, it is essential to impart knowledge regarding the PCMH to medical college students. In this assignment, the qualities of the PCMH, regional coordinating centers’ roles, and the nurse’s role in the PCMH will be discussed.

Answer 1:
The PCMH is a model of primary care that aims to provide comprehensive, patient-centered, coordinated, and accessible care to patients. The qualities of the PCMH include providing patients with personalized, holistic care that meets their unique needs and preferences. In addition, the PCMH aims to promote patient engagement in decision-making, continuous coordinated care over time, and the use of evidence-based practices to improve patient outcomes. The PCMH model also encourages practices in which patients have access to health care providers through various modes of communication and emphasizes the integration of patients into an active role in their care.

Answer 2:
One of the five regional coordinating centers is the Comprehensive Primary Care Plus (CPC+), which is a model that aims to advance primary care through a multi-payer payment arrangement that rewards high-quality primary care. The CPC+ program supports primary care practices to adopt the PCMH model’s functions by offering them financial incentives to implement care delivery and payment reform. CPC+ aims to enhance practice capabilities through targeted investments, such as health information technology, access to population health data, and training for care management, allowing practices to deliver better patient care.

Answer 3:
The nurse’s role in the PCMH is vital for the implementation and success of the model. Nurses’ function in the PCMH is not limited to providing direct patient care but also includes coordinating care across multiple providers and specialties, facilitating communication between patients and healthcare team members, and conducting patient education. Nurses play a significant role in the PCMH model in educating patients about chronic disease management, medication management, and healthy lifestyle choices. Additionally, nurse-led care management assists in improving patient outcomes and reducing hospital readmissions. Without the nurse’s role in the PCMH, the model’s comprehensive, patient-centered, coordinated, and accessible care goals may not be attained.


Patient-Centered Primary Care Collaborative. (2017). What is a patient-centered medical home (PCMH)? Retrieved from

Centers for Medicare and Medicaid Services. (2016). Comprehensive Primary Care Plus (CPC+) model. Retrieved from


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