A “medical home” is a medical office or clinic where a team of healthcare professionals work together to provide a new expanded type of care to patients.
Who is my medical home team?
The team is led by your primary care provider and may include other healthcare professionals. The members of your team are committed to:
Learning about you
Communicating with you and other members of the team
Learning about caring for you
Supporting you in caring for yourself
What should I expect?
Responsible for meeting the patient’s physical and mental health care needs
This team may include: Physicians, APRNs, PAs, RNs, Behavioral Health Therapists, Pharmacists, Nutritionists, and Care Coordinators
Provides care that addresses various phases of patient’s lifespan, including end of life
Provides disease and chronic care management services to its patients
Provides care that is relationship-based geared towards the whole person
Practices supports patients in learning to manage and organize their own care at a level the patient chooses
Coordinates care across all elements of health care system including: specialty care, hospitals, home health care, and community services and supports
Delivers accessible services with short waiting times for urgent needs, enhanced in-person hours, 24/7 telephone or electronic access to a member of the care team, and alternative methods of communications such as email, telephone care, and patient portal
Quality and Safety
Demonstrates a commitment to quality and quality improvement by using evidence based medicine and clinical decision support tools to guide shared decision making with patients and families
Evaluates how effectively the primary care clinician and team work in partnership with the patient to support the continuity of care and the provision of comprehensive and coordinated care, treatment, or services
Organization wide patient safety program in which all departments participate