This book discusses the application of complex adaptive systems theory to the design and evaluation of patient-centered medical homes (PCMHs). The three defining goals of PCMHs are to spread patient-care roles among healthcare team members, focus on disease prevention, and include the patient in the healthcare team. It explains why some PCMH pilots are highly successful while others do not show much benefit, covers specific sub-theories that allow for bracketing of different aspects of the clinic system, and highlights strategies by which institutions can engage in this process. Interprofessional Education in Patient-Centered Medical Homes is a valuable resource for faculty and managers of health professions teaching clinics, deans of medical and health professional schools, and medical administrators.

C. Scott Smith, MD

Professor of Medicine

Adjunct Professor of Behavioral Informatics and Medical Education/Evaluation Division

University of Washington,

Seattle, Washington

and

Physician Consultant

Centers of Excellence in Primary Care Education

VA Office of Academic Affiliations

Winslow G. Gerrish, PhD

Clinical Assistant Professor

Psychiatry and Behavioral Sciences

University of Washington, Seattle, Washington

and

Director of Behavioral Sciences, Research, & Grants

Family Medicine Residency of Idaho, Boise, Idaho

William G. Weppner, MD, MPH

Assistant Professor of Medicine

University of Washington

Seattle, Washington

and

Associate Director, Clinical Outcomes

Center of Excellence in Primary Care Education, Boise VA Medical Center

The Argument for Interprofessional Education.- The Argument for the Patient-Centered Medical Home Replicating Good Primary Care.- A Brief Introduction to Systems.- The Training Clinic as a System.- SHED: Four Important Sub-Theories that Help Us to 'Bracket'.- Implications for Design.- Implications for Evaluation.- Implications for Institutions.