Supporting HIV care through education and innovation

Topic: Medical Homes


A patient centered medical home (PCMH) is a health care setting that seeks to deliver care in a culturally and linguistically appropriate manner through a collection of strategies like registries, information technology, health information exchange, and other means. PCMH is an accreditation program that requires compliance with multiple criteria in order to be recognized as such under new health care reform and reimbursement policies. The HRSA HAB supported HIV/AIDS Medical Homes Resource Center supports the Ryan White Community in this process.


  • The following tools were designed to promote an engaged leadership that fosters commitment, demonstrates clear vision, and develops resources for transformation to motivate staff and improve care. 


  • National Committee for Quality Assurance
    January 2012

    Online home for a major patient-centered medical home accreditation program. Includes information and training resources.

  • Hands with House
    April 2014

    Resources address the development of services that integrate primary care with behavioral health services to better address mental health and substance use needs. 

  • Patient-Centered Primary Care Collaborative
    January 2012
    The Patient-Centered Primary Care Collaborative was created in late 2006, when several large national employers came together with the four major U.S.
    January 2011
    Patient‐Centered Medical/Health Home (PCMHH) Initiative helps health centers gain medical home recognition.
  • Joint Commission on Accreditation of Healthcare Organizations

    This website provides information on Joint Commission accreditation programs for Primary Care Medical Homes, including in hospital and ambulatory care settings.

  • American Academy of Pediatrics
    This website contains The National Center for Medical Home’s links and resources for organizations that have developed or are currently developing programs that recognize and accredit healthcare organizations as medical homes based on a specific standards and guidelines developed in 2011. Contents include descriptions of recognition and accreditation programs from the National Committee for Quality Assurance, URAC, the Joint Commission, and the Accreditation Association for Ambulatory Health Care, as well as program comparisons.
  • National Committee for Quality Assurance

    This page contains an index of the NCQA’s recognition programs, including the most up-to-date link to access information on the Patient-Centered Medical Home (PCMH 2011) recognition program.

  • The Commonwealth Fund, Qualis Health, and the MacColl Center for Health Care Innovation at the Group Health Research Institute

    This site describes a five-year collaborative initiative to help 65 primary care sites in five states become high-performing patient-centered medical homes.

  • The Agency for Healthcare Research and Quality

    This website provides access to evidence-based resources about the patient-centered medical home concept and practice.

  • American Association of Family Physicians

    This website describes a process of practice redesign of primary care practices into patient-centered medical homes and evaluates their efforts using the TransforMED Patient-Centered Model. The site includes information and resources for physicians, payers, and hospitals.



  • HIV/AIDS Medical Homes Resource Center (HIV-MHRC), Health Resources and Services Administration (HRSA) HIV/AIDS Bureau, Rutgers, The State University of New Jersey, University of California San Francisco
    March 2014

    This document is a comprehensive bibliography of references on Primary Care Medical Homes and related topics from a wide range of print resources including major medical journals, healthcare organization publications, etc. Topics include: general references, coaching/practice facilitation, electronic medical records, leadership, self-management, and evaluation.

Slide sets




  • American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Physicians (ACP), American Osteopathic Association (AOA)
    February 2011

    This document contains guidelines to assist with the development and use of accreditation and recognition programs that assess whether a medical practice qualifies as a primary care medical home.

Best practices

  • American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Physicians (ACP), American Osteopathic Association (AOA)
    March 2007

    This document describes the collaborative criteria of major primary care associations for establishing a patient-centered medical home. It features statements on how to best structure, provide care, and encourage patient engagement in a medical home environment.