Patient-centered medical homes (PCMHs) are primary care practices that offer an extra level of care. This team-based approach to care creates a hub or medical “home” where patients can receive collaborative and coordinated care. Here’s how patient-centered medical homes work:
- A primary care physician leads a team of healthcare professionals who work together to help patients improve their health.
- Patients have a nurse case manager to follow their care, answer questions, make appointments, and more.
- The PCMH team coordinates care with other specialists and community services as needed.
- PCMHs use health information technology (computer-based tools) to help track the progress of their patients (for example, to ensure that diabetic patients have received necessary lab work, that patients are taking prescribed medications, etc.).
PCMH provides members with:
- Access to a comprehensive team of care providers
- Extended office hours
- Appointment and medication reminders
- Disease management outreach
- Hospital discharge support
- Expanded community resources