“We always thought of ourselves as a patient-centered medical home,” Connie said. “We called ourselves a medical home long before there was that designation, not knowing what NCQA's version of patient-centered medical home was. And we felt that it was coming and we wanted to be ahead of the curve.” After she returned from Baltimore, Connie presented the requirements of PCMH to practice leaders. They understood the effort the program would require. After careful consideration, the practice decided to move forward. “We just need to do it,” Connie said, “because it's the right thing to do for the patients.” New approaches to workflows The team’s first step was to examine the six standards — or themes — of PCMH, and the various requirements of each. They would need to document p

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