The Agency for Healthcare Research and Quality convenes a collaborative group of Executive Branch employees in Federal agencies and departments that are currently doing work related to the PCMH or have an interest in the PCMH.
The Collaborative provides opportunities to increase cooperation and collaboration on PCMH-related activities and minimize duplication of effort among Federal agencies. It also provides an opportunity for Federal personnel in the Washington, DC, metropolitan area to develop a common base of knowledge about the PCMH model through in-person presentations by colleagues and by non-Federal experts.
AHRQ convenes a group of Executive Branch employees in Federal agencies and departments with an interest in the PCMH. The Collaborative provides opportunities to increase cooperation and collaboration on PCMH-related activities and minimize duplication of effort among Federal agencies.
Catalogue of Federal PCMH Activities
The Catalogue of Federal PCMH Activities summarizes the PCMH-related work of Departments and Agencies participating in the Federal PCMH Collaborative (see description below). The Collaborative created this Catalogue so that people can find out easily about the PCMH work being done by participating agencies. The Catalogue also provides information about ways the agencies are working together to promote a strong primary care delivery system, which includes supporting promising models of primary care transformation like the PCMH.
A large number of research and technical assistance activities are currently underway at AHRQ that are designed to advance the conceptualization of the medical home model and help primary care practices transform to deliver more patient-centered care. AHRQ is collaborating with most of the agencies in the Federal sector that work on medical homes and is in a unique position to convene the disparate Federal agencies to advance collaboration and consensus within the field.
The CMS Center for Medicare and Medicaid Innovation (CMMI) has implemented the Medicare Multi-Payer Advanced Primary Care Practice Demonstration (MAPCP) and Federally Qualified Health Center Advanced Primary Care Demonstration (FQHC APCP). They are also developing other demonstration projects that will test and evaluate advanced primary care models of care delivery and payment.
DOD has a variety of internal marketing materials, policies and demonstrations that are being used to evaluate its transition to PCMH-based model of healthcare for beneficiaries in the direct care system. In addition, the DOD works closely with the Department of Veterans Affairs (VA) to achieve mutual goals.
HRSA has been funding projects on the medical home concept since the 1980s, and is currently engaged in a number of projects related to the PCMH. HRSA has collaborated with many agencies on the PCMH, as well as a number of private organizations and associations. It has produced several toolkits and other resources related to the PCMH which are publically available.
SAMHSA funds a variety of behavioral health-specific programs and hopes to promote their use in primary care and PCMH settings. In addition, SAMHSA is providing substance abuse and mental health expertise to other agencies working to develop and implement medical home models of care.
NCI primarily funds research activities and has published a variety of reports and tools that are of use to the design and improvement of a medical home model.
VA has funded a significant number of pilot projects, training programs, and system improvements that promote a medical home model of care. The Department sees the PCMH as central to its mission to deliver direct care to veterans, and as such, has partnered with several agencies and regularly shares its experiences with interested stakeholders.
Tables that summary PCMH activities across the participating agencies and highlights areas of collaboration can be accessed by clicking on the PDF and HTML links here:
Table 1: Patient-Centered Medical Home (PCMH) Activities across Federal Agencies as of March 2011 (PDF - 308.74KB) PDF Help (HTML)
Table 2: Cross-Agency Collaborations on the PCMH as of September 2010 (PDF - 264.80KB) PDF Help (HTML)
Developing the Catalogue Summaries
To gather information for the Catalogue, AHRQ and Mathematica Policy Research staff conducted telephone discussions in August and September 2010 with individuals from agencies participating in the Federal PCMH Collaborative. From these conversations, they created summaries of activities for each agency and a table that compares activities across all agencies. Each agency updated the project information in March/April 2011, and reviewed and approved its summary before the information was posted to the AHRQ PCMH Web site.
Maintaining and Updating Catalogue Content
The agency summaries are maintained by members of the Federal PCMH Collaborative Steering Committee and updated several times each year. If you would like to contact an agency’s Steering Committee Representative, or give general feedback on the Federal Catalogue of PCMH activities, please contact Dr. Janice Genevro at the Agency for Healthcare Research and Quality (Janice.Genevro@ahrq.hhs.gov).
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