Primary Care Medical Home Philosophy

• Patient-centered care: Relationship-based care focuses on the whole person and understanding and respecting each patient’s needs, culture, values and preferences.

• Comprehensive care: A team of providers (may include physicians, advanced practice nurses, physician assistants, nurses, pharmacists, nutritionists, mental health workers, social workers and others) work to meet each patient’s physical and mental health care needs, including prevention and wellness, acute care and chronic care.

• Superb access to care: Patients have access to services with shorter waiting times for urgent needs, enhanced in-person hours, around the clock telephone or electronic access to members of the care team and alternative methods of communication.

• Systems-based approach to quality and safety: We use evidence-based medicine and clinical decision support tools, engage in performance measurement and improvement, measure and responds to patient experiences and satisfaction, practice population health management, and publicly share robust quality and safety data and improvement activities.

• Coordinated care: Care is coordinated across the broader health care system, including specialty care and the provision of community and support services. This is particularly critical during transitions between sites of care.

• Educate our patients and encourage them to self-manage their condition or disease.

• Allow our patients to take an active and decision-making role in their care.

• Give patients increased access to their primary care clinician and interdisciplinary care team, including after-hour phone access.

• Track and coordinate our patients’ care with health information technology, such as email, video chat, mobile apps and electronic resources.