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American Academy of Family Physicians
Tuesday Mar 22, 2011

All good things come to an end

This will be my final post. I want to thank all of my followers. I sincerely hope you have learned from our experience as part of the National Demonstration Project. It is hard to believe that the study has been finished for nearly three years! It was one of the first patient-centered medical home (PCMH) pilots in the country. We learned from this process that transformation is difficult. Change management is a skill that can be learned, but requires personal transformation on the part of the manager and the physician. We learned that transformation is an ongoing process that never truly reaches a finishing point. We learned that initial transformation into a PCMH takes much longer than two years.

Today, there are more than 100 PCMH pilots in the country; some complete, some ongoing. Results confirm the notion that the PCMH-way of providing medical care delivers. Patients and providers love it. Quality numbers are better. Outcomes are better. Practice and patient finances are better. Perhaps the most exciting pilots are those in the residency programs. It will be exciting to see results of those studies. See TransforMed's P4P for such a program.

I encourage all readers to continue on their journey toward building a PCMH. If you are interested enough to seek out information, you are likely very deep in creating your own PCMH. I hope you all keep in contact with wonderful resources like Family Practice Management, AAFP, Patient-Centered Primary Care Collaborative (PCPCC) and Delta Exchange. I hope to meet many of you as I continue my journey into the future of family medicine.

–Melissa Gerdes, MD

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