The patient-centered medical home, while not a new concept, has evolved to define a model of primary care excellence that is patient-centered, comprehensive, coordinated, accessible, and committed to quality and safety. Below is a description of key events over the primary care medical home's lifetime.
1967
The American Academy of Pediatrics (AAP) introduces the term “medical home” to describe primary care that is accessible, family-centered, coordinated, comprehensive, continuous, compassionate, and culturally effective.
1978
The Declaration of Alma-Ata is introduced at the International Conference on Primary Health Care, and is the first international declaration of primary health care's key role in promoting the health of all people. The World Health Organization (WHO) lends its support of this principle in their Primary Health Care report of the same year.
1996
Influenced by the Declaration, The Institute of Medicine (IOM) publishes Primary Care: America's Health in a New Era and redefines primary care as "the provision of integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health needs, developing a sustained partnership with patients, and practicing in the context of family and community." The publication also mentions medical home.
2002
2005
Renowned researcher and primary care champion Dr. Barbara Starfield publishes Contribution of primary care to health systems and health, a seminal work that acknowledges the six primary care mechanisms that benefit health: (1) greater access to needed services (2) better quality of care (3) a greater focus on prevention (4) early management of health problems (5) the cumulative effect of primary care delivery; and (6) the role of primary care in reducing unnecessary or harmful specialty / inpatient services.
2006
2007
The major primary care physician associations develop and endorse the Joint Principles of the Patient-Centered Medical Home.
2008
2010
The Patient Protection and Affordable Care Act (ACA or health care reform law) is signed into law by President Barack Obama on March 23rd, and includes numerous provisions for enhancing primary care and medical homes, such as primary care payment increases through Medicare and Medicaid, expansion of insurance coverage, and signifcant investments in medical home pilots, workforce development and training, prevention and wellness, community health centers, and additional care delivery innovations.
2011
As a result of the Affordable Care Act:
2012
2013
As a result of the Affordable Care Act: