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PATIENT-CENTERED MEDICAL HOME

WHAT'S IT MEAN?
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SCHC is recognized as a Patient Centered Medical Home (PCMH). This is a model of care that puts patients at the forefront of care.  PCMHs focus on building better relationships between patients and their clinical care teams. To gain recognition as a PCMH, we've gone through rigorous reviews to ensure our standards of care are top-notch.  Our goal as your medical home is to proactively help you maintain your health.

There are six concepts that form the foundation of PCMH recognition:

  1. Team-Based Care and Practice Organization: Helps structure a practice’s leadership, care team responsibilities and how the practice partners with patients, families and caregivers.

  2. Knowing and Managing Your Patients: Sets standards for data collection, medication reconciliation, evidence-based clinical decision support and other activities.

  3. Patient-Centered Access and Continuity: Guides practices to provide patients with convenient access to clinical advice and helps ensure continuity of care.

  4. Care Management and Support: Helps clinicians set up care management protocols to identify patients who need more closely-managed care.

  5. Care Coordination and Care Transitions: Ensures that primary and specialty care clinicians are effectively sharing information and managing patient referrals to minimize cost, confusion and inappropriate care.

  6. Performance Measurement and Quality Improvement: Improvement helps practices develop ways to measure performance, set goals and develop activities that will improve performance. 

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