Challenges and strategies in serving the uninsured in Nashville, Tennessee

Janice S. Emerson, Pamela C. Hull, Van A. Cain, Meggan L. Novotny, Celia O. Larson, Robert S. Levine

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


The patient-centered medical home (PCMH) is being promoted as a cornerstone for transforming primary care. Physician organizations (POs) are playing a more prominent role by facilitating practices' transformation to PCMH. Using a framework of organizational integration, we investigate the changing relationship between POs and practices through qualitative interviews. Through increased integration, POs can support both the big-picture and day-to-day activities of practice transformation. Most PO-practice unit connections reflected new areas of engagement-competencies that POs were not developing in the past-that are proving integral to the broad-scale practice change of PCMH implementation.

Original languageEnglish
Pages (from-to)324-335
Number of pages12
JournalJournal of Ambulatory Care Management
Issue number4
StatePublished - Oct 2012

ASJC Scopus subject areas

  • Health Policy


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