How Do Innovative Primary Care Practices Achieve the Quadruple Aim?

J Ambul Care Manage. Oct/Dec 2018;41(4):288-297. doi: 10.1097/JAC.0000000000000249.


The Patient-Centered Medical Home (PCMH) now defines excellent primary care. Recent literature has begun to elucidate the components of PCMHs that improve care and reduce costs, but there is little empiric evidence that helps practices, payers, or policy makers understand how high-performing practices have improved outcomes. We report the findings from 38 such practices that fill this gap. We describe how they execute 8 functions that collectively meet patient needs. They include managing populations, providing self-management support coaching, providing integrated behavioral health care, and managing referrals. The functions provide a more actionable perspective on the work of primary care.

MeSH terms

  • Cost Control
  • Health Services Research
  • Humans
  • Organizational Innovation*
  • Patient Care Team / organization & administration
  • Patient-Centered Care / economics
  • Patient-Centered Care / organization & administration*
  • Practice Management, Medical / economics
  • Practice Management, Medical / organization & administration*
  • Primary Health Care / economics
  • Primary Health Care / organization & administration*
  • Program Development
  • Program Evaluation
  • Quality Assurance, Health Care
  • United States