Edwards ST, Bitton A, Hong J, Landon BE. Patient-centered medical home initiatives expanded in 2009–13: providers, patients, and payment incentives increased. Health Affairs. 2014 Oct 1;33(10):1823-31.
Group Health (a health care insurance plan and integrated delivery system in western Washington state) implemented a series of clinical, staffing and structural reforms to improve efficiency and access within a single metropolitan Seattle clinic.Core change components focused on 4 domains: clinic or team structure, point of care, patient outreach, and clinic management.