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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 Medical Home Model Example

In the medical home model, a patient with diabetes will come in once a year for a physical and then every three months to have a blood test.

In addition, that patient will meet with a nurse specialist between visits to discuss medications and lifestyle issues. This nurse will also be available by phone or email to answer questions.

This approach helps keep patients out of the hospital, which in turn helps reduce everyone’s healthcare costs. The medical home offers better care in a more cost-effective manner.

Electronic Medical Records

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.

Learn more about NSPG's move toward the patient-centered medical home model