PCMH                                                          

What is a Patient Centered Medical Home?

A Patient-Centered Medical Home (PCMH) is a trusted partnership between a patient and a doctor-led healthcare team. It focuses on providing coordinated, whole-person care that is centered around the patient’s needs, goals, and overall health.

PCMH is built on a shared commitment between the patient and the healthcare team, where both work together to support better health outcomes.

What can Patient Centered Medical Home do for you?

• A PCMH can help by:

  • Providing more personalized care because your healthcare team knows you and your health history.
  • Helping guide you through the healthcare system to ensure you receive the care you need.
  • Coordinating care between your primary care provider, specialists, hospitals, pharmacies, and other healthcare services.
  • Improving access to healthcare services and communication with your care team.
  • Supporting preventive care and healthy lifestyle choices.

How does Northern Pines Health Center fit this model?

At Northern Pines Health Center (NPHC), your care team includes providers, nurses, and office staff who work together to coordinate the best possible care for you.

Your team helps connect you with:

• Hospitals
• Referral providers and specialists
• Nursing homes
• Pharmacies
• Community resources and support services

The goal is to ensure your care is organized, efficient, and focused on your individual needs.

What we ask of our patients: 

• We trust our patients to:

  • Share information about their health and illnesses.
  • Tell us about their needs and concerns.
  • Participate in planning their care.
  • Follow the agreed-upon care plan, or let us know if there are challenges so we can help adjust the plan.
  • Keep us informed about medications and request refills during office visits when possible.
  • Tell us when they see other healthcare providers and inform us about any medication changes.
  • Ask other providers to send us reports about their care.
  • Seek our advice before seeing specialists whenever possible.
  • Learn about wellness, disease prevention, and insurance coverage.
  • Respect healthcare staff as partners in care.
  • Keep scheduled appointments or notify us if they must cancel.
  • Pay required visit fees at the time of service.
  • Provide feedback to help improve our services.

  
   

What NPHC commits to Providing:

We will continue to:

• Provide a care team that knows you and your family.
• Treat every patient with dignity and respect regardless of race, religion, gender, age, sexual orientation, or disability.
• Protect your privacy and confidentiality.
• Deliver team-based care led by your provider.
• Provide care when you need it.
• Offer care that aligns with your goals and values.
• Focus on quality and patient safety.
• Maintain physician on-call coverage 24 hours a day, 7 days a week.
• Care for short-term illnesses and long-term health conditions.
• Provide guidance to help you stay healthy.
• Explain health conditions and treatments clearly.
• Continue improving care through electronic health records and e-prescribing technology.

What you May Notice Over Time:

• As part of our commitment to the PCMH model, you may notice that:

  • We ask about your personal health goals.
  • We involve you more directly in care planning.
  • We provide written care plans.
  • Different care team members may assist with parts of your care.
  • We discuss the most appropriate tests and treatments during visits.
  • We may ask you to complete lab work before appointments.
  • We continue exploring new ways to improve patient care and self-management support.