Finally, the medical home based services are defined by its primary care types services that are utilized from within the facility which are used to initiate a simple philosophy of delivering the best health care services for patients with several complex conditions. “Julie Schilz and Lesley Reeder (2011) reports the Agency for Healthcare Research and Quality defines PCMH as patient-centered, comprehensive, coordinated, accessible, and continuously improved through a systems-based approach to quality and safety. Developing a functional PCMH requires support for health information technology, expanded skills development for clinical and nonclinical staff, and payment systems that support delivery of high-performing primary care services. Nurse
