biostudies-literatureStockdale SEVAU.S. Department of Veterans Affairs2717-2723https://www.ebi.ac.uk/biostudies/studies/S-EPMC8390729biostudies-literatureUnknown36(9)<h4>Background</h4>Intensive primary care (IPC) programs for patients with complex needs do not generate cost savings in most settings. Strengthening existing patient-centered medical homes (PCMH) to address the needs of these patients in primary care is a potential high-value alternative.<h4>Objectives</h4>Explore PCMH team functioning and characteristics that may impact their ability to perform IPC tasks; identify the IPC components that could be incorporated into PCMH teams' workflow; and identify additional resources, trainings, and staff needed to better manage patients with complex needs in primary care.<h4>Methods</h4>We interviewed 44 primary care leaders, PCMH team members (providers, nurses, social workers), and IPC program leaders at 5 VA IPC sites and analyzed a priori themes uJournal of general internal medicineWhat Do Patient-Centered Medical Home (PCMH) Teams Need to Improve Care for Primary Care Patients with Complex Needs?PMC8390729XVA 65-054Chang ETDenietolis AZulman DMKatz MLStockdale SEBergman AAfalseWhat Do Patient-Centered Medical Home (PCMH) Teams Need to Improve Care for Primary Care Patients with Complex Needs?<h4>Background</h4>Intensive primary care (IPC) programs for patients with complex needs do not generate cost savings in most settings. Strengthening existing patient-centered medical homes (PCMH) to address the needs of these patients in primary care is a potential high-value alternative.<h4>Objectives</h4>Explore PCMH team functioning and characteristics that may impact their ability to perform IPC tasks; identify the IPC components that could be incorporated into PCMH teams' workflow; and identify additional resources, trainings, and staff needed to better manage patients with complex needs in primary care.<h4>Methods</h4>We interviewed 44 primary care leaders, PCMH team members (providers, nurses, social workers), and IPC program leaders at 5 VA IPC sites and analyzed a priori themes u2021-01-01T00:00:00Z2021 Sep2025-04-04T09:37:37.638Z2025-04-04T09:37:37.638ZS-EPMC83907293351156410.1007/s11606-020-06563-x