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Objective: Conduct a literature review on existing patient-centered medical home (PCMH) models and outline the differences and contributions. Data sources: Systematic PCMH review data from PubMed database, from January 2000 to March 2013. Results: Forty-eight (48) papers on various PCMH were included in the analysis. The types of collaborative PCMH models were compared in accordance to the scope of current PCMH demonstration projects, patient types, implementation strategy, and crossfunctional team recruiting. The performance measurement tools and methods for data collection/analysis were thoroughly explored. Finally, the outcomes from PCMH models were evaluated in regard to patient experience, staff experience, quality of care, and economic outcomes. Limitations: This review excluded the collaborative models which are not patient centered or patient oriented. Conclusions and implications: Healthcare systems and their primary care practices are redesigning to achieve goals identified in PCMH models. However, implementation of these models requires major transformation. The Department of Veterans Affairs (VA) PCMH model, Patient Aligned Care Teams (PACT) model, has improved patients’ and staff experience and care processes. PACT also includes innovative resources and tools to help healthcare teams develop a systematic approach to data-driven decision-making in healthcare transformation and should be considered when benchmarking for future PCMH model planning.

The Veterans Affairs Patient Aligned Care Team (VA PACT), a New Benchmark for Patient-Centered Medical Home Models: A Review and Discussion