Medical homes are not policies but persons.

It's interesting for me to read about the policy push for medical homes on the state and federal level. As a previous solo practice primary care doctor in a town of 950, a lot of what is described feels a lot like what I was doing and many other physicians. At the end of the day, to me, the medical home is not something that can be written into existence by policy, it needs a physician who cares to BE the medical home for his patients. If the physician could care less about all the issues facing his patient and wanting to be involved, neither will his staff. The office policies and procedures will not be medical home friendly either. Some primary care physicians will always care about their patients on a deeper level, wanting to be involved in their care, others never will.

Before I ramble too much more, here's a very good article that describes the essence of a medical home.