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This page contains several recent articles on Lean in Healthcare and the Patient-Centered Medical Home Model of care. Please if you have questions or comments or if you would like to make recommendations for new resources.


  • Creating a Lean Practice. Endsley, S., et al. Family Practice Management. April 2006.

Lean in Healthcare

  • Going Back to the ‘Roots’ of PDCA Cycle: Mazur, L. NC State University. NC State of Business. Industrial Extension Service. October 2008.
  • Going Lean in Health Care: Strategies, examples, rationale for using Lean to improve productivity, cost, quality, and timely delivery of health care. Institute for Healthcare Improvement. 2005. www.ihi.org.
  • Fixing Health Care from the Inside, Today. Spear S. Harvard Business Review. September 2005.
  • Applying Lean Techniques to Improve the Patient Scheduling Process: One practice details their Lean success experience. Includes Current and Future state Value Stream Maps. Wojtys, E. et al. Journal for Healthcare Quality. May 2009.

Extended Access Scheduling

  • The Outcomes of Open-Access Scheduling. O’Hare C.D. and Corlett, J. Family Practice Management. February 2004.
  • Implementing Advanced Access in a Group Practice Network. Pierdon, S., et al. Family Practice Management. May 2004.

Patient-Centered Medical Home

  • Trends in Quality During Medical Home Transformation. Solberg, L. et al. Annals of Family Medicine. Vol. 9, No. 6, November/December 2011.
  • Journey toward a Patient-Centered Medical Home: Readiness for Change in Primary Care Practices. Wise, C. et al. The Milbank Quarterly., Vol. 89, No. 3, 2011.
  • Patient-Centered Medical Home Demonstration – A Prospective, Quasi-Experimental, Before and After Evaluation: PCMH implementation in one health system leads to improvements in patient experience, clinical burnout, and quality, with no increase in total cost. Reid, R. et al. The American Journal of Managed Care. September 2009.
  • Health Information Technology Implementation in Primary Care Practices: Supporting Patient Centered Care. Yoder, E., et al. Michigan Primary Care Consortium, 2011. www.mipcc.org.
  • Driving Value in Medicaid Primary Care: The Role of Shared Support Networks for Physician Practices. Highsmith, N. and Berenson, J. Driving Value in Medicaid Primary Care: The Role of Shared Support Networks for Physician Practices, The Commonwealth Fund, March 2011.
  • Methods for Evaluating Practice Change Toward a Patient-Centered Medical Home. Jaén, C. et al. Annals of Family Medicine. Vol. 8, supplement 1, 2010.
  • Family Practice Management, May/June 2011 : The latest issue of the journal Family Practice Management features articles chronic disease care, medical registries, motivational interviewing, and more.
  • Evaluation of Patient Centered Medical Home Practice Transformation Initiatives: Results from nine different investigations into Patient Centered Medical Home implementation strategies are discussed. Crabtree, B. et al. Medical Care. January 2011.
  • Michigan Physician practices chosen for medical home study : As the national leader in development of patient-centered medical homes, Michigan is one of eight states selected to participate in a Medicare demonstration project to prove the value of medical homes. Crain’s Detroit Business. Modified December 2010.
  • The Outcomes of Implementing Patient-Centered Medical Home Interventions: A Review of the Evidence on Quality, Access and Costs from Recent Prospective Evaluation Studies Statistics showing improved quality, access, and reduced costs. UCSF Center for Excellence in Primary Care. August 2009.
  • Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient Centered Medical Home: Recommendations for implementing PCMH based on an evaluation of 36 family practices. Nutting, P. et al. Annals of Family Medicine. June 2009.
  • A Survivor’s Guide for Primary Care Physicians: How to improve a primary care practice by building strong relationships among physicians and staff and by reaching out to the community. Crabtree, B. et al. The Journal of Family Practice. August 2009.

Patient Self-Management

  • Partnering in Self-Management Support: A Toolkit for Clinicians. Institute for Healthcare Improvement. May 2009. www.ihi.org.

Quality in Healthcare

  • Health Affairs May 2010 – Volume: 29 Issue: 5 Published: June 2010: The recently published Health Affairs Journal is full of literature and recent findings regarding a wide range of current healthcare issues such as the future of primary care, practice redesign and transformation, PCMH, health system reform, medical homes and cost-savings, and many other relevant health care topics. www.healthaffairs.org.
  • Crossing the Quality Chasm: A New Health System for the 21st Century This is a report brief of the book that was released by the Institute of Medicine’s Committee on Quality of Health Care in America and published by the National Academy Press, Washington D.C., 2001.