Patient Centered Medical Home

The Patient-Centered Medical Home (PCMH) is a team-based health care delivery model that emphasizes care coordination and communication regarding all aspects of a patient’s health care needs. This includes the management of chronic conditions, reminders of needed checkups and tests, and care transitions to and from specialist and hospital visits.

The Health Resources and Services Administration (HRSA) encourages all Section 330 funded health centers to become recognized or accredited as a PCMH. Medical homes can lead to higher quality and lower costs and can improve patients’ and providers’ experience of care. In addition, PCMH recognition will help CHCs fill a critical role in serving an expanded number of Medicaid-eligible and insured patients, better position CHCs to be eligible for enhanced reimbursement, and enable them to participate and succeed in Accountable Care Organizations (ACOs) and Independent Practice Associations (IPAs).

The goal of the WVPCA is to work with community health centers to develop a sustainable implementation model for medical home transformation and offer support to facilitate their journey.  

The West Virginia Primary Care Association is committed to helping all WV Community Health Centers achieve Patient Centered Medical Home (PCMH) recognition and offer a variety of resources to assist.

The QI_PCMH ListServ was developed to assist any CHC staff member involved in quality improvement work, including Patient Centered Medical Home. The ListServ provides a means for the WVPCA staff to forward important information, but more importantly, it is an opportunity to broaden your professional network and create a culture of resource sharing that benefits everyone!
Participants are encouraged to ask questions, share best practices, and resources on Quality Improvement related issues, including, but not limited to:

  • PCMH
  • Clinical Quality Improvement
  •  Meaningful Use
  • Care Coordination
  • Clinical Policies and Procedures
  • Evidence-Based Guidelines
  • QI/QA Systems
  • Clinical Measures (UDS, HEDIS, etc.)
  • Social Determinants of Health
  • Population Health
  • Team Based Care
  • Integration
  • Performance Improvement
  • QI related to Health Information Technology (HIT)
To subscribe, please email Aaron Johnson at

For more information about PCMH, contact Shannon Parker at 304.346.0032 or 304.772.4509.