Patient-centered medical home services in 29 rural primary care practices: a work in progress.

The patient-centered medical home (PCMH) is an increasingly endorsed primary care delivery model. Multiple definitions of PCMH exist. Most describe a PCMH as the infrastructure (providers, staff, health information technology, care processes, etc.) that supports proactive prevention, care coordination, and patient-centered health care. Providing PCMH services and processes can require significant practice transformation: practices must shift clinic emphasis from patient care that is visit-focused and based on fee-for-service to patient care that is comprehensive and longitudinal.