Patient Centered Medical Home (PCMH)

Patient Centered medical Home is a team-based approach to health care that puts the patient at the forefront of care; led by a primary health care provider, the model provides comprehensive and continuous medical care to patients in an effort of obtaining maximal health outcomes. The term was first introduced by the American Academy of Pediatrics in 1967; here the home was proposed as a central source for all the medical information about a child. It has since evolved and in 2007, a coalition of the American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic Association— released the Joint Principles of the Patient-Centered Medical Home. The principles include (at the clinic level):

  • Personal physician: each patient has an ongoing relationship with a personal physician  
  • Physician directed medical practice: the personal physician leads a team of individuals who collectively take responsibility for the patient’s care.
  • Whole person orientation: the personal physician/team is responsible for providing for all the patient’s health care  
  • Care is coordinated and/or integrated Care is coordinated and/or integrated among complex health care systems,  
  • Quality and safety
    • Partnerships between the patient, physicians, and their family  
    • decision-making rooted in evidence-based medicine  
    • engagement in performance measurements  
    • Patients are involved in decision-making  
    • Utilization of informational technology to ensure optimal patient care,   
    • Enhanced access to care is available   

  Research has shown that Patient Centered Medical Home (PCMH) practices improve quality and the patient experience, and increase staff satisfaction—while reducing health care costs; thus satisfying the quadruple aim of medicine. Practices that earn recognition have made a commitment to continuous quality improvement and a patient-centered approach to care.

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