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J Am Board Fam Med. 2014 May-Jun;27(3):312-3. doi: 10.3122/jabfm.2014.03.130267.

National Committee for Quality Assurance (NCQA) patient-centered medical home (PCMH) recognition is suboptimal even among innovative primary care practices.

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the Department of Family Medicine and Community Health, Rutgers University, Robert Wood Johnson Medical School, New Brunswick, NJ; and the Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond.


The National Committee for Quality Assurance (NCQA) has promoted patient-centered medical home (PCMH) recognition among primary care practices since 2008 as a standard indicator of which practices have transformed into medical homes. A 40% PCMH adoption rate among a large national cohort of identified practices with innovative staffing (n = 131) calls into question whether the NCQA recognition process is truly transformative and patient-centered or simply another certificate to hang on the wall.


Medical Home; Patient-Centered Care; Practice-based Research

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