Implementation of the Patient-Centered Medical Home in the Veterans Health Administration

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Abstract
Although the patient-centered medical home (PCMH) has been endorsed by most major primary care groups as a promising model to strengthen primary care, decrease costs, and improve quality,1 early assessment of PCMH impact have yielded mixed results.2-10 Since 2010, the Veterans Health Administration (VHA) has undertaken national adoption of a PCMH model, called PACT (Patient Aligned Care Team).11 The focus of PACT has been to restructure primary care to provide team-based care that is more comprehensive, coordinated, and patient centered.11