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Patient-Centered Medical Home



Watch Liz Walker's Channel 5 program on connected health at NSPG  >>

Patient-centered medical home is an integrated approach to care, where primary care physicians lead a team of care providers focused on the needs of each patient. Nurses, care managers, nutritionists, behavioral health specialists and pharmacists work in conjunction with the primary care physician to manage the patient’s care in a proactive manner, with a focus on wellness and prevention.

Patient-centered care is facilitated through technology like electronic medical records, which enable physicians to measure quality, determine the best course of treatment, and closely track each patient’s care. In many cases, the team actively reaches out to patients instead of waiting for them to come to the doctor.

Remote Monitoring

Remote monitoring programs help patients and providers effectively manage chronic conditions and incorporate health into patients’ day-to-day lives.  Offered in a number of primary care practices within the Partners HealthCare network, remote monitoring programs allow patients to track their health, securely share their health data with their provider and become collaborative partners in their care.  The remotely monitored data – including blood pressure, blood glucose and weight – is viewable within the medical record, giving clinicians a more complete picture of the patient's condition in order to more effectively assess the patient's status and provide just-in-time care.  Patients can also monitor their own health data via the Partners secure patient portal.

Learn more at the Center for Connected Health >>