PCPCH:
Patient Centered Primary Care Home
Core Values:
Patient centered, Relationship based, Patient engagement, Proactive, Focused on improving health outcomes, Team based, Coordinated care, Access centered on patient needs
Patient Centered:
Work within culture and values of patient.
Engage and support patients in self-management.
Communication at the level patient understands
Relationship Based:
They know you, you know them. Its a relationship.
Patient Engagement:
Active involvement in model. Changes our roles and work environment. Infrastructure needs: space, EHR, time for team meetings. Challenging in terms of reimbursement. Quality Improvement Initiatives
Proactive:
Always doing something to make situation better.
Focused on improved health outcomes:
Health Maintenance
Risk assessment
Immunizations
Use of care team to actively work with patients