Reform of the U.S. health care system is at hand. On June 28, 2012, the Supreme Court of the United States (SCOTUS) upheld one of the most historic health care laws in the U.S. since the establishment of the Medicare and Medicaid programs in 1965 under President Lyndon Johnson—the Affordable Care Act (ACA). Last year, 21.4 cents of every Federal income tax dollar received went to Medicare and health care spending, second only to the military in U.S. expenditures. According to the last report by the Congressional Budget Office (CBO) issued in March 2012, ACA will cost $1.76 trillion (net cost of $1.1 trillion) to fully implement between now and 2022. That amount represents significant provisions to fuel reform. Prior to ACA, use of electronic health records (EHR) was triggered under the American Recovery and Reinvestment Act of 2009 (ARRA). The HITECH component of this law is specifically designed to reward and accelerate interoperable EHR adoption by hospitals and providers through an incentive program known as Meaningful Use. Between ARRA and ACA, delivery of health care in America will look very different in the next five years. The following numbers and metrics are brought to you by SuccessEHS and tell the tale of health care transformation. Enjoy!

2. Part tWO
eLECTRONIC HEALTH rECORD aDOPTION
& hEALTH iNFORMATION eXCHANGE
hipaa pRIVACY, sECURITY & bREACH nOTIFICATION
pRIORITY pRIMARY cARE pROVIDERS
cOMMUNITY hEALTH cENTERS
b.R.I.E.F. SURVEY RESULTS
CITATIONS

3. ehr adoption & health
information exchange
Since the Meaningful Use program launched in January 2011, the U.S. has seen a
significant up-tick in adoption of certified EHR technology (CEHRT). Additionally,
HITECH provisioned cooperative agreements with every state and territory to “get
wired” for health information exchange (HIE). Although the adoption and use of
CEHRT and HIE is not pervasive in the marketplace, the growth is recognizable.

4. ehr adoption & hIE
$30,000,000,000
Amount that has been spent by the federal
government since 2009 under the HITECH Act
57
57
Percent of U.S. Physicians
to advance EHR & HIE adoption who report using “any”
17 EHR technology in 2011,
as compared to only 17
40.2
2002 2011 percent in 2002
40.2
Percent of primary
care physicians in the
U.S. who report using
basic EHR at the end
34
Percent of U.S. physicians
17.1 34 who report using “basic”
of 2011, up from 12 EHR functionality in 2011,
17.1 percent in 2002 a significant increase from
2002 2011 2007 2011 just 12 percent in 2007
85
Number of ambulatory Number of operational HIEs
6,879 practices (3 percent total)
participating in HIEs that
are operational
that were identified in the
U.S. in 2011; another 98
were in the planning phase

5. ehr adoption & hIE
30.9
Percent of specialists who 88
2011
2010
18
30.9 report using basic EHR in
12.4
2011, compared to 12.4
percent in 2002
2002 2011 Percent of operational
HIEs that are exchanging Percent of U.S. hospitals that were shown to
test results, the most have adopted basic EHR functionality in
common exchange; 2011, compared to just 11.5 percent in 2010
demographic information
follows at 76 percent for
ambulatory settings
40
2011
2010
8.7
Percent growth rate that was
Percent of hospitals that adopted
seen in the HIE market from comprehensive EHRs in 2011,
2010 to 2011 compared to only 2.6 percent in 2010

6. hipaa privacy, security &
breach notification
Contained in ARRA, HIPAA privacy and security was supplemented with new
regulations requiring all physicians covered under HIPAA to notify patients of
security breaches of their protected health information. This is known as the
HIPAA Breach Notification Rule. In addition to notifying affected individuals, HIPAA
covered entities must also report PHI breaches to the Secretary of HHS and, in
some cases, to the media. HIPAA breaches can carry stiff penalties regardless of
the size of the covered entity. The idea is to strengthen the fabric of public trust
that having PHI “out there” in digital form is safe, private and secure.

7. hipaa privacy, security &
breach notification
70,982 16,259
Number of cases investigated since
Number of HIPAA complaints that
April 2003 resulting in changes in
have been registered with the HHS
privacy practice & other corrective
Office of Civil Rights since April 2003
actions by the covered entities
91
500+
Number of individuals affected
$1,000 19
Amount per violation that Millions of Americans
by unsecured protected health is applied for violations that have experienced a
information (PHI) breaches that deemed secondary to a major HIPAA breach
will result in public posting on since effective date of
the HHS website of the breach
“reasonable cause” with
the HIPAA breach
Percent of the in accordance with the Interim an annual maximum of notification IFR in late
above-noted complaints Final Rule for Breach Notification $100,000 under the IFR 2009
(or 64,449) that were
resolved through
$50,000
investigation & Amount per violation (up to $1.5 million
enforcement, a finding of for repeat occurrences) in fines that is
no violation or ineligibility applied for breaches deemed the result
for enforcement of willful neglect

8. hipaa privacy, security &
breach notification
40,396
Number of patients on average who
were affected per each of the 385 PHI Percent of all breaches
breaches that occured in 2011 59 in 2011 that involved a
business associate
3.25
Millions of dollars that were paid by CVS 97 39
Percent of all breaches
in 2011 that occurred
on a laptop or other
Pharmacy, Inc. & Rite Aid Corporation in
portable device
January 2009 & July 2010, respectively,
to resolve violations of the Privacy Rule
Percent increase in total
records breached that was Percent of all breaches
$100,000 25
realized from 2010 to 2011 in 2011 that occurred
on a desktop PC or
server
1.7
Millions of dollars
Amount that was reached as a settlement that were applied
for HIPAA federal by Phoenix Cardiac in federal penalties
Surgery in June 2012 Percent of all breaches
to the Alaska
Department of Health & Social
Services (Medicaid) for HIPAA
60 in 2011 that resulted
from malicious intent
such as theft or hacking
violations in July 2012

9. priority primary care providers
According to the National Association of Community Health Centers, the U.S. is
faced with nearly 60 million disenfranchised patients who do not have adequate
access to primary care services. Approximately 75 percent of the 2,050 rural
U.S. counties include a primary care health professional shortage area. HITECH
gives priority for needing health IT—or a Priority Primary Care Provider (PPCP).
The formal definition of a PPCP is a licensed MD, DO, nurse practitioner or
physician assistant with prescriptive privileges who provides primary care
services in the area of Family Practice, Internal Medicine, OB/Gynecology and/or
Pediatrics practicing in an individual or small practice (10 or less) serving the
uninsured, underinsured and medically underserved populations.

10. priority primary care providers
Primary Care Providers (PCPs)
60
Millions of
are defined as physicians working in family
practice, geriatrics, general practice, general
internal medicine and general pediatrics.
Americans who
lack adequate
624,434
access to primary Number of physicians who
care providers due work in direct patient care in
each individual = 1 million to a shortage the United States
52 33.5 43.4 25 48.1
Percent of nurse Percent of physicians in Percent of physician Percent increase in the Percent of visits to
practitioners practicing in the U.S. that are assistants practicing in yearly number of primary care physicians
primary care in the U.S. - classified as primary care primary care in the U.S. - ambulatory visits from in office-based practices
approximately 55,625 - approximately 209,000 approximately 30,400 1997 to 2007

11. priority primary care providers
16.4 81 9.3 5.2 4.3
Percent of visits to Average percent of PCPs Average percent of PCPs Average percent of PCPs Average percent of PCPs
surgical specialists that practice in an urban that practice in a large, that practice in a small, that practice in a remote,
setting (including nurse rural setting defined as rural setting defined as rural or frontier market
practitioners & physician having a population of having a population of defined as having a
assistants) 10,000 to 50,000 2,500 to 9,999 population less than 2,500
250
18.4
1.2
Billions of visits to
physician offices,
hospital emergency
departments & outpatient
Percent of visits to
medical specialists centers
Millions of dollars that are earmarked
under the Affordable Care Act & the
Public Health Fund to train
professionals in primary care

12. Community health centers
Community Health Centers (CHCs) are non-profit ambulatory care clinics
designed to enhance the health and well-being of all people, with particular
emphasis on those patients who are medically underserved. CHCs offer
affordable health care services through well-trained professional staff at
accessible locations throughout the country. Delivering a dedicated staff to
populations and areas that have too few options, CHCs will play a key role in
caring for newly covered Americans under the Affordable Care Act.

13. Community health centers
1,137 Number of Community Health
Centers (CHCs) that are
established in the U.S. 8,649 Number of CHC clinic sites
that are available to deliver
safety net services
20.2 1.7
Millions of patients who Billions of dollars in
109
Millions of dollars that
650
Number of CHCs, roughly,
were awarded to 278 that offer safety net dental
were served by CHCs in Affordable Care Act (ACA)
school-based health services (of the 1,137
2011 (including grants that were awarded center programs in available), supplying 7-8
members of ethnic & to the Health Center FY2011 & to 45 programs million of the underserved
minority groups) Program in FY2011 in FY2012 under ACA with dental care
80
Millions of Americans
9,900 Number of physicians
serving patients in CHCs
7.4 71
who are disenfranchised
for general dental care
6,900 Number of mid-level
providers serving in CHCs Percent of babies with a
low birthrate in CHCs, as
compared to the national
Percent of diabetics
treated at CHCs that had
control over diabetes with
average at 8.16 percent a hemoglobin A1C < 9

14. About the b.r.i.e.f. readers
In June, SuccessEHS surveyed around 500 readers of it publication known as The
B.R.I.E.F. (Bringing Relevant Information & EHR Facts) to get their thoughts on key
issues and topics. Around 22 percent of readers responded. Approximately 71
percent were affiliated with primary care providers, 28 percent with specialty
providers, and 2 percent hospital administration. Here are the results.

15. About the b.r.i.e.f. readers
50.5 34.2 25.2 36.9
61.3
Percent of readers who use Percent of readers that
advanced Certified EHR Percent of readers that
Percent of readers that have performed the first year
technology to provide Percent of readers that have or will perform 90
performed Year One adopt, of 90 continuous days of
point-of-care alerts when continuous days of
evidence-based clinical events
have registered for implement or upgrade as Meaningful Use in
required under the Medicaid Meaningful Use in
for wellness, prevention or CMS EHR Incentive CY2011
Meaningful Use program CY2012
chronic disease management Programs
are outstanding on a patient
59 56 75
20.7 30.6
Percent of readers that
identified the Percent of readers that listed
Percent of readers that list
Percent of readers that Patient-Centered Medical Accountable Care
ICD-10, Meaningful Use
Percent of readers that have received Year One Home, Health Information Organizations, Value-Based
Stage 1 or Meaningful Use
Exchange or Physician Modifiers, ePrescribing or
have been paid for Year AIU Incentives under Stage 2 as the number one
Quality Reporting System as HIPAA security as the least
One of the Medicare Medicaid stressful matter to health care
the second most stressful stressful matter to health
Meaningful Use program stakeholders today
matter to stakeholders care stakeholders

16. CITATIONS
The American Patient
- United Nations, Population and Vital Statistics Report, Series A, Vol. LXIV, January 1, 2012, http://unstats.un.org/unsd/demographic/products/vitstats/sets/Series_A_2012.pdf
- Ibid.
- L. Murphy, J. Xu, K. Kochanek, National Vital Statistics Reports, Deaths: Preliminary Data for 2010, Volume 60, Number 4, January 11, 2012,
http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_04.pdf
- Central Intelligence Agency, The World Factbook, Country Comparison: Life Expectancy at Birth, 2011, https://www.cia.gov/library/publications/the-world-
factbook/rankorder/2102rank.html
- U.S. Census Bureau, Profile America, Facts for Features, Older Americans Month: May 2012, March 1, 2012,
http://www.census.gov/newsroom/releases/archives/facts_for_features_special_editions/cb12-ff07.html
- Department of Defense, Military Personnel Statistics, December 31, 2011, http://www.usa.gov/Federal-Employees/Active-Military-Records.shtml#Data_and_Statistics
- CDC/NCHS, Data Brief No. 82, Prevalence of Obesity in the U.S. 2009-2010, January, 2012, http://www.cdc.gov/nchs/data/databriefs/db82.pdf
- R. Hammond, Brookings, Obesity, Prevention, and Health Care Costs, May 4, 2012, http://www.brookings.edu/research/papers/2012/05/04-health-care-hammond
- American Cancer Society, Cancer Facts and Figures 2012, http://www.cancer.org/Research/CancerFactsFigures/CancerFactsFigures/cancer-facts-figures-2012
- L. Murphy, J. Xu, K. Kochanek, National Vital Statistics Reports, Deaths: Preliminary Data for 2010, Volume 60, Number 4, January 11, 2012,
http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_04.pdf
- American Heart Association and American Stroke Association, Statistical Fact Sheet, 2012 Update, http://www.heart.org/idc/groups/heart-
public/@wcm/@sop/@smd/documents/downloadable/ucm_319585.pdf
- Ibid.
- Alzheimer’s Association, 2012 Alzheimer’s Disease Facts and Figures, Alzheimer’s & Dementia, Volume 8, Issue 2, 2012, http://www.heart.org/idc/groups/heart-
public/@wcm/@sop/@smd/documents/downloadable/ucm_319585.pdf
- J. Loyd, USA Today, Many with mental illness go without treatment, Survey Says, January 19, 2012,
http://www.usatoday.com/news/health/medical/health/medical/mentalhealth/story/2012-01-19/Many-with-mental-illness-go-without-treatment-survey-says/52653166/1
- Pratt LA, Brody DJ, Gu Q. Antidepressant use in persons aged 12 and over: United States, 2005–2008. NCHS data brief, no 76. Hyattsville, MD: National Center for Health
Statistics. 2011
- Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Expenditure Projections 2010-2020, http://www.cms.gov/Research-Statistics-Data-and-
Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Downloads/Proj2011PDF.pdf
- Henry J. Kaiser Foundation, Health Care Costs: A Primer, Key Information on Health Care Costs and Their Impact, May, 2012, http://www.kff.org/insurance/upload/7670-03.pdf
- Martin A.B. et al., “Growth In US Health Spending Remained Slow in 2010; Health Share of Gross Domestic Product Was Unchanged from 2009,” Health Affairs, 2012,
http://content.healthaffairs.org/content/31/1/208.short
- Ibid.
- CDC/NCHS, Health, United States, 2011, Tables 138, 140, and 141. Data from the National Health Interview Survey (NHIS).
- CDC/NCHS, Health, United States, 2011, Table 99. Data from the National Health and Nutrition Examination Survey (NHANES).
- Henry J. Kaiser Foundation, Health Care Costs: A Primer, Key Information on Health Care Costs and Their Impact, May, 2012, http://www.kff.org/insurance/upload/7670-03.pdf
- Ibid.
- Ibid.

17. CITATIONS
Meaningful Use
- Harvard School of Public Health, Mathematica Policy Research, Robert Wood Johnson Foundation, Health Information Technology in the United States: Driving Toward Delivery
System Change, 2012, http://www.rwjf.org/files/research/74262.5822.hit.full.rpt.final.041612.pdf
- Ibid.
- Centers for Medicare & Medicaid Services, Data and Reports, June, 2012, http://www.cms.gov/Regulations-and-
Guidance/Legislation/EHRIncentivePrograms/DataAndReports.html
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
Electronic Health Record Adoption & Health Information Exchange
- H. Anderson, Information Security Media Group, $30 Billion: Money Well Spent?, February 3, 2012, http://www.govinfosecurity.com/blogs.php?postID=1185
- Harvard School of Public Health, Mathematica Policy Research, Robert Wood Johnson Foundation, Health Information Technology in the United States: Driving Toward Delivery
System Change, 2012, http://www.rwjf.org/files/research/74262.5822.hit.full.rpt.final.041612.pdf
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Chilmark Research, 2012 HIE Market Report, June 25, 2012, http://healthinformationexchanges.org/perspectives-on-the-trends-in-the-hie-market/
- Harvard School of Public Health, Mathematica Policy Research, Robert Wood Johnson Foundation, Health Information Technology in the United States: Driving Toward Delivery
System Change, 2012, http://www.rwjf.org/files/research/74262.5822.hit.full.rpt.final.041612.pdf
- Ibid.
- Ibid.

18. CITATIONS
HIPAA Privacy, Security & Breach Notifications
- U.S. Department of Health & Human Services, Office for Civil Rights, Enforcement Highlights, May 31, 2012,
http://www.hhs.gov/ocr/privacy/hipaa/enforcement/highlights/index.html
- Ibid.
- Ibid.
- U.S. Department of Health & Human Services, Office for Civil Rights, Breaches Affecting 500 or More Individuals,
http://www.hhs.gov/ocr/privacy/hipaa/administrative/breachnotificationrule/postedbreaches.html
- U.S. Department of Health & Human Services, Office for Civil Rights, Breach Notification Rule,
http://www.hhs.gov/ocr/privacy/hipaa/administrative/breachnotificationrule/index.html
- Ibid.
- H. Anderson, Information Security Media Group, $30 Billion: Money Well Spent?, February 3, 2012, http://www.govinfosecurity.com/blogs.php?postID=1185
- Redspin, Breach Report 2011, Protected Health Information, http://www.redspin.com/docs/Redspin_PHI_2011_Breach_Report.pdf
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- U.S. Department of Health & Human Services, Office for Civil Rights, Annual Report to Congress on HIPAA Privacy Rule and Security Rule Compliance for Calendar Years 2009
and 2010, http://www.hhs.gov/ocr/privacy/hipaa/enforcement/compliancerept.pdf
- M. Tremoglie, Legal Newsline, Alaska Fined for HIPAA Violation, July 3, 2012, http://www.legalnewsline.com/news/236619-alaska-fined-for-hipaa-violation
- C. Scott, Becker’s Spine Review, Physicians Beware, HIPAA Violations can Affect Your Bottom Line Regardless of the Size of Your Practice, June 13, 2012,
http://beckersorthopedicandspine.com/hitmeaningful-useemr/item/12239-physician-beware-hipaa-violations-can-affect-your-bottom-line-regardless-of-the-size-
of-your-practice
Priority Primary Care Providers
- National Association of Community Health Centers, Access Endangered: Profiles of the Medically Disenfranchised, August 8, 2011,
http://www.nachc.org/client//NACHC__Access_Endangered_2011.pdf
- Primary Care Workforce Facts and Stats No. 1: The Number of Practicing Primary Care Physicians in the United States. AHRQ Publication No. 12-P001-2-EF, October 2011.
Agency for Health Care Policy and Research, Rockville, MD. http://www.ahrq.gov/research/pcwork1.htm
- Ibid.
- Primary Care Workforce Facts and Stats No. 2: The Number of Nurse Practitioners and Physician Assistants Practicing Primary Care in the United States. AHRQ Publication No.
12-P001-3-EF, October 2011. Agency for Health Care Policy and Research, Rockville, MD. http://www.ahrq.gov/research/pcwork2.htm
- Ibid.
- Schappert S, Rechtsteiner E: Ambulatory Medical Care Utilization Estimates for 2007, from National Center for Health Statistics Vital and Health Statistics, April, 2011,
http://www.cdc.gov/nchs/data/series/sr_13/sr13_169.pdf

19. CITATIONS
Priority Primary Care Providers continued
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Primary Care Workforce Facts and Stats No. 3: Distribution of the U.S. Primary Care Workforce. AHRQ Publication No. 12-P001-4-EF, January 2012. Agency for Health Care
Policy and Research, Rockville, MD. http://www.ahrq.gov/research/pcwork3.htm
- Ibid.
- Ibid.
- Ibid.
- Patient Protection and Affordable Care Act of 2010, http://www.healthcare.gov/law/resources/authorities/patient-protection.pdf
The Affordable Care Act
- Patient Protection and Affordable Care Act of 2010, http://www.healthcare.gov/law/resources/authorities/patient-protection.pdf
- Health Care and Education Reconciliation Act of 2010, http://www.healthcare.gov/law/resources/authorities/reconciliation-law.pdf
- Constitution of the United States of America, http://www.constitution.org/cs_found.htm
- Patient Protection and Affordable Care Act of 2010, http://www.healthcare.gov/law/resources/authorities/patient-protection.pdf and Health Care and Education Reconciliation
Act of 2010, http://www.healthcare.gov/law/resources/authorities/reconciliation-law.pdf
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- C-Span, Oral Argument on Anti-Injunction Act and Health Care Law, March 26, 2012, http://www.c-span.org/Events/Oral-Argument-on-Anti-
Injunction-Act-and-Health-Care-Law/10737429097/
- SCOTUS Slip Opinion, National Federation of Independent Business, et al v. Sebelius, Secretary of Health and Human Services, et al., June 28, 2012,
http://www.supremecourt.gov/opinions/11pdf/11-393c3a2.pdf
- Ibid.
- Ibid.
Accountable Care Organizations
- Muhlestein, D., Croshaw, A., Merrill, T., & Peña, C. (2012). Growth and dispersion of Accountable Care Organizations: June 2012 update. Retrieved July 5, 2012, from
http://leavittpartners.com/wp-content/uploads/2012/06/Growth-and-Dispersion-of-ACOs-June-2012-Update2.pdf
- Ibid.
- Ibid.

20. CITATIONS
Accountable Care Organizations continued
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- Center for Medicare and Mediciad Innovation. (2012). Pioneer Accountable Care Organization model: General fact sheet. Retrieved July 6, 2012, from
http://innovations.cms.gov/Files/fact-sheet/Pioneer-ACO-General-Fact-Sheet.pdf
- Centers for Medicare and Medicaid Services. (2012). Medicare shared savings program Accountable Care Organizations. Start date: April 1, 2012. Retrieved July 6, 2012,
from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/MSSP-ACOs-List.pdf
- Centers for Medicare and Medicaid Services. (2012). Advance payment ACO model. Retrieved June 6, 2012, from http://www.innovations.cms.gov/initiatives/aco/advance-
payment/
- McGinnis, T., Small, D. M., & Center for Health Care Strategies, Inc. (2012). Accountable Care Organizations in Medicaid: Emerging practices to guide program design.
Retrieved July 6, 2012, from http://www.chcs.org/usr_doc/Creating_ACOs_in_Medicaid.pdf
Patient-Centered Medical Home
- Centers for Disease Control and Prevention, Obesity, Halting the Epidemic by Making Health Easier, At a Glance 2011, May 26, 2011,
http://www.cdc.gov/chronicdisease/resources/publications/AAG/obesity.htm#aag
- Ibid.
-American Diabetes Association, Health Care Reform and People with and at-risk for Diabetes, February, 2011, http://www.diabetes.org/assets/pdfs/advocacy/hcr-and-people-
with-diabetes.pdf
- Ibid.
- Centers for Disease Control and Prevention, Diabetes, Successes and Opportunities for Population-Based Prevention and Control, At a Glance 2011, August 1, 2011,
http://www.cdc.gov/chronicdisease/resources/publications/aag/ddt.htm
- Norris SL, Kansagara D, Bougatsos C, et al. Screening Adults for Type 2 Diabetes: A Review of the Evidence for the U.S. Preventive Services Task Force. AHRQ Publication No.
08-05116-EF-4, June 2008. http://www.uspreventiveservicestaskforce.org/uspstf08/type2/type2art.htm
- Centers for Disease Control and Prevention, Tobacco Use, Targeting the Nation’s Leading Killer, At a Glance, February 22, 2011,
http://www.cdc.gov/chronicdisease/resources/publications/aag/osh.htm
- Free & Clear, Cancer & Lifestyle: How Employers Can Help Fight Cancer through the Promotion of Healthy Behaviors, 2010,
http://www.alerewellbeing.com/_assets/cms_uploads/WP_Cancer_Lifestyle_ACS.pdf
- American Cancer Society, Cancer Prevention & Early Detection, Facts & Figures 2012, Atlanta: American Cancer Society; 2012.
- NCQA, Standards and Guidelines for NCQA’s Patient-Centered Medical Home (PCMH) 2011, January, 2011.
- Patient Centered Medical Home Resource Center, Catalogue of Federal PCMH Activities, Agency for Healthcare Research and Quality, March 2011,
http://pcmh.ahrq.gov/portal/server.pt/community/pcmh__home/1483/pcmh_federal_pcmh_activities_v2

21. CITATIONS
Patient-Centered Medical Home continued
- NCQA Clinician Directory and Search, July, 2012, http://recognition.ncqa.org/
- The Joint Commission, Primary Care Medical Home Certified Organizations, June 19, 2012, http://www.jointcommission.org/pcmh_certified_providers/
- National Academy for State Health Policy, Building Medical Homes: Lessons from Eight States with Emerging Programs, December, 2011,
http://nashp.org/sites/default/files/building.medical.homes_.emerging.states.pdf
- National Academy for State Health Policy, Medical Home & Patient-Centered Care, January, 2012, http://nashp.org/med-home-map
- BlueCross BlueShield Association, Patient-Centered Medical Home (PCMH), 2012, http://www.bcbs.com/why-bcbs/patient-centered-medical-home/#navtab-2
- A. Bitton, C. Martin, and B.E. Landon, “A Nationwide Survey of Patient-Centered Medical Home Demonstration Projects,” Journal of General Internal Medicine, June 2010
25(6):584-92.
- Ibid.
Community Health Centers
- Health Resources and Services Administration, Data Warehouse, National Summary, July 12, 2012, http://datawarehouse.hrsa.gov/hitnFactSheet.aspx
- Ibid.
- Health Resources and Services Administration, The Affordable Care Act and Health Centers, Health Center Fact Sheet, 2012,
http://bphc.hrsa.gov/about/healthcenterfactsheet.pdf
- Ibid.
- Ibid.
- Ibid.
- Ibid.
- J. Breslow, Frontline, Dollars and Dentists, How to Fix a Broken Dental Safety Net, June 27, 2012, http://www.pbs.org/wgbh/pages/frontline/health-science-
technology/dollars-and-dentists/how-to-fix-a-broken-dental-safety-net/
- Ibid.
- Health Resources and Services Administration, The Affordable Care Act and Health Centers, Health Center Fact Sheet, 2012,
http://bphc.hrsa.gov/about/healthcenterfactsheet.pdf
- Ibid.