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For Patients

The Patient’s Medical Home (PMH) is a primary care setting where patients feel most comfortable—most at home—presenting and discussing their personal and family health and medical concerns. It is the central hub for the timely provision and coordination of comprehensive health and medical services. Patients, their families and their caregivers are listened to and respected as active participants in decision-making about and provision of their ongoing care.

The PMH is the home base for continuous interaction between patients and their main healthcare provider, supported by a team or network of caregivers, including nurses and other health professionals (on site or linked virtually from different practice sites). The PMH provides and coordinates the services each patient requires. Therapeutic relationships are developed and strengthened over time, enabling the best possible health outcomes for each person, for the practice population and for the community.

Adapted from CFPC

 



CONTINUING TO MAKE IT BETTER

  • Measurement, Research, Continuous Quality Improvement & Evaluation
  • Training, Education & Continuous Professional Development
  • Leadership, Governance & Management

FUNCTIONS: 

ACCESSIBLE AND EQUITABLE CARE

Adopting advanced and timely access, virtual access, and team-based approaches, accessible care ensure that a patient can be seen quickly regardless of location

CONTINUITY AND COORDINATED CARE

Patients live healthier, fuller lives when they receive care from a responsible provider that journeys with them throughout their lifespan and care is organized across the ‘medical neighbourhood’

PATIENT AND FAMILY CENTRED CARE

Family practices must respond to the unique needs of every patient and every family, creating an environment that understands context and enables patient support.

IN A CONTINUING RELATIONSHIP WITH PHYSICIAN/ CLINICIAN*

COMPREHENSIVE TEAM-BASED WHOLE-PERSON CARE

provided by a FP with IHP Team that offers a broad range of services. The patient does not always see the FP but interactions with all team members are communicated efficiently within a PMH and may or may not be co-located.

COMMUNITY AND SOCIAL ACCOUNTABILITY

When a practice is designed to acknowledge and address aspects of social and cultural context of the patient’s experience, both the individual and community benefit. 

FOUNDATIONAL SUPPORTS:

Appropriate Infrastructure/ Administration and Funding / Connected Care

Health IT & Integrated EMRs/ Aligned Payments


4.18 min Video: What Is a Medical Home and Why Do I Need One?

Defining the Patient Centered Medical Home

(Agency for Healthcare Research and Quality)

https://pcmh.ahrq.gov/page/defining-pcmh



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