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Patient Centered Medical Home

A Medical Home – It’s all About You

Our goal is to work WITH YOU to ensure your best possible health.  Caring about you is the most important job of your Patient Centered Medical Home.  In this personal model of health care, your primary provider leads the team of health care professionals to ensure you get the care you need to heal your body, mind and spirit.

What is a Patient-Centered Medical Home?

  • A medical practice that coordinates and provides for your medical needs.
  • A Team Approach to your complete healthcare as certified by the National Center for Quality Assurance.  This virtual home is a way of coordinating care and proactively involving patients to engage in their healthcare in partnership with their healthcare team.  Watch the video to learn more.

Who is the Medical Home Team?

Your team may include a doctor, nurse practitioner, registered nurse, licensed practice nurse, medical assistant, or health educator, as well as other health professionals. These professionals work together to help you get healthy, stay healthy, and get the care and services that are right for you.  When needed, your personal doctor arranges for appropriate care with qualified specialists.

The Medical Home Advantage

With a medical home you’ll benefit from:

  • Comprehensive care that helps you address any health issue at any given stage of your life
  • Continuous care that occurs over time and you can expect continuity in accurate, effective and timely communication about the services you want or need, from any member of your health care team
  • Proactive care to ensure you and your provider will build a care plan to address your health goals to keep you well, including preventive care and immunizations
  • Educational opportunities for living a healthy lifestyle and to address chronic health conditions
  • Care coordination with a team of healthcare providers including a RN care coordinator to help facilitate follow-up visits, provide medication reconciliation and case management services for patients needing assistance
  • Improved access and communication through the patient portal, expanded office hours and increased same-day appointments; we also seek your feedback through patient surveys so that we may continue to improve our services and processes
  • History review, physical examination and laboratory and other ancillary study recommendations appropriate for your age and health status

Let’s Form a Partnership:

  • We want to get to know you, your family, your life situation, and preferences, and suggest treatments that make sense for you.
  • We want to treat you as a full partner in your care.
  • We want to communicate effectively with you.
  • We want to give you time to ask questions and we want to answer them in a way you understand.
  • We want to make sure you know and understand all of your options for care.
  • We want to help you decide what care is best for you.  Sometimes more care is not better care.
  • We want to ask you for feedback about your care experience.

We Want to Support You in Caring For Yourself:

  • We want to make sure you develop a clear idea of how to care for yourself.
  • We want to help you set goals for your care and help you meet your goals one step at a time.
  • We want to give you information about classes, support groups, or other types of services to help you learn more about your condition and stay healthy.
  • We want to encourage you to fully participate in recommended

What You Can Do

Actively Participate in Your Care

You are the most important member of the medical home team.

  • Understand that you are a full partner in your own health care
  • Learn about your condition and what you can do to stay as healthy as possible
  • As best you can, follow the care plan that you and your medical team have agreed is important for your health

Communicate with Your Medical Home Team

  • Bring a list of questions to each appointment.  Also, bring a list of any medicines, vitamins, or remedies you use.
  • If you don’t understand something your doctor or other member of your medical home team says, ask them to explain it in a different way.
  • If you get care from other health professionals, always tell your medical home team so they can help coordinate for the best care possible.
  • Talk openly with your care team about your experience in getting care from the medical home so they can keep making your care better.

A better approach to healthcare

Watch a video about Patient Centered Medical Home

Primary Care