Medical Home Certification
Principles for Patient-Centered-Care
As an organization representing a broad and diverse array of consumer interests, we believe the following should guide the development and implementation of the medical home model of care:
In a patient-centered medical home, and interdisciplinary team guides care in a continuous, accessible, comprehensive and coordinated manner.
• The patient is the center of the care team. Family members and other caregivers may also be a central part of the team.
• The care team includes professionals inside the medical office or health center, as well as clinical and non-clinical professionals in the community.
• The team provides initial and routine assessments of the patient’s health status, and places a high priority on preventive care, care coordination and chronic care management to help patients get and stay healthy and maintain maximum function.
• The care team is led by a qualified provider of the patient’s choice, and different types of health professionals can serve as team leader.
Goal: Tracking to ensure patients are seen by their designated provider
Result: 88% on average were able to see their designated provider
Goal: Tracking to ensure follow up calls are made for patients being discharged from the hospital
Result: 99.47% received a follow up call post discharge
Goal: Patient access – Survey result for question #11: In the last 6 months, when you contacted this provider’s office during regular office hours, how often did you get an answer to your medical question that same day?
Baseline result: 71%
Action to improve: Hired more staff, changed incoming greeting, added RX line to reduce volume
**pending re measurement in the Fall of 2023
Survey Results – click link below:
“Excellent medical care”
“What an amazing bunch of caregivers – great job”
“We have always been treated very well and we have great confidence in our Physician”