Patient Centered Medical Home Model of Care and Healthy People 2020

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Healthy People 2020 provides one lens for examining the connections between the Patient Centered Medical Home Model of Care (PCMH) and community health improvement.  This article provides a brief overview of Healthy People 2020, and a draft framework for linking the PCMH model to Healthy People 2020 objectives.  We welcome your feedback for improving this framework.

Healthy People is a project of the U.S. Department of Health and Human Services (HHS).  Healthy People 2020 provides science-based, 10-year national objectives for improving the health of all Americans. For 3 decades, Healthy People has established benchmarks and monitored progress over time in order to:

  • Encourage collaborations across communities and sectors.
  • Empower individuals toward making informed health decisions.
  • Measure the impact of prevention activities.

Hundreds of communities across the country use Healthy People 2020 as a framework for focusing community health improvement efforts.  Click here to learn more about Healthy People 2020 topics and objectives.

Connecting Patient Centered Medical Home and Healthy People 2020

In an effort to explore connections between the Patient Centered Medical Home (PCMH) and Healthy People 2020, Community Health Solutions performed a side-by-side analysis of the National Committee for Quality Assurance (NCQA) PCMH Recognition standards and the more than 1,400 Healthy People 2020 objectives.  Please note the following qualifiers:

  • Given that the Collaborative has been primarily focused on adult health care, the analysis focused on Healthy People 2020 objectives for adults, excluding objectives for maternal, infant, child, and adolescent health.
  • Healthy People 2020 objectives classified as being in the ‘developmental stage’ by HHS are excluded.
  • ‘Sub-objectives’ that overlap major objectives listed in Healthy People 2020 are excluded.
  • Objectives that are primarily the responsibility of the public health system or the public behavioral health system are excluded.

The results of the analysis are presented in the interactive table below.  Given the qualifiers outlined above, some inclusions and exclusions are certainly debatable. The results are for discussion only. We welcome your feedback for improvement.  To explore these objectives, click the arrow associated with any of the categories listed.


Click here to load this Caspio Online Database.

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