As defined by the agency for Healthcare Research and Quality (AHQR) the medical home is not simply a place but a model of the organization of primary care that delivers the core functions of primary care. In working as a medical home we strive to encompass the following five functions and attributes.1. Comprehensive Care:
We strive to meet the physical, mental preventative, acute, and chronic care needs of our patients.
We utilize the latest information technology to prescribe, track test results, and obtain clinical information.2. Patient-Centered:
We foster relationship based care built on respect on patients' unique needs, cultures, values, and preferences.
We actively involve patients and support patients in self managing and organizing their own care.
We actively involve patients in health care decision-making.3. Coordinated Care:
We strive to coordinate across all elements of patient care.
*This includes care from specialists, hospitals, home health care, and community services.
We help patients through transitions of care like discharges from the hospitals and rehabilitation facilities.4. Accessible Services:
We have regular extended patient office hours beyond normal 9 to 5 business hours.
We have a physician on call for emergency after hours.
We strive to achieve excellent communication among patients, physicians and staff.5. Quality and Safety:
We use evidence based medicine.
We engage in physician and office performance measurement and strive to improve on a regular basis.
We regularly measure patient experience and satisfaction using a suggestion box and random patient satisfaction surveys.