referral tracking systems / long-term services / decision-support tools / secure community-based services / health services / medical and social services / families coordinate services / http /
MedicalCondition
disease / chronic care / /
MedicalTreatment
self-care / /
Organization
American Osteopathic Association / American Academy of Family Physicians / US Federal Reserve / American Academy of Pediatrics / American College of Physicians / Team / Medicare / /
Patient-Centered Medical Home Decisionmaker Brief Ensuring That Patient-Centered Medical Homes Effectively Serve Patients With Complex Health Needs Question: How can decisionmakers help smaller primary care practices b