The Patient-Centered Medical Home (PCMH) model emphasizes meeting the needs of the whole person through team-based coordinated care and continually improving quality and safety. A growing number of health centers are seeking formal PCMH recognition, accreditation, or certification as a way to demonstrate increased quality of services. Health centers are uniquely positioned to become medical homes because they have expertise and experience in providing culturally and linguistically appropriate comprehensive primary care services that take into consideration the unique needs of their patient populations and communities. Health centers provide a variety of enabling services that help increase access to health care by overcoming barriers like limited transportation options and lack of language services. Outreach programs, in particular, support health centers in building trusting, ongoing relationships with their patients, their patients’ families, and the communities they serve.

HOP reviewed existing sources and conducted interviews with key staff from health centers, health departments, Primary Care Associations, and other technical assistance providers to identify concrete strategies for using outreach teams to enhance PCMH recognition and implementation.