Key Elements
  • Access to care based on an ongoing relationship with a personal physician who provides first-contact, continuous, and comprehensive care
  • Care provided by a physician-led team within the practice who collectively takes responsibility for patient needs, whether within the practice or through referral
  • Care coordinated and/or integrated across all elements of the health care system and the patient’s community
  • Care facilitated by the use of office practice systems such as registries, information technology, health information exchange, and other systems to assure that patients get care when and where they need and want it
  • A reimbursement structure that supports and encourages this model of care
  • Joint Principles of the Patient Centered Medical Home []
Promotes a Patient-Physician Partnership
  • Centerpiece of the PCMH model
  • Recognizes patients as full participants in care
  • Terms of engagement include:
    • Define and agree on roles and responsibilities
    • Shared information
    • Shared decision making
    • Goal setting



  • Supporting Patient Engagement in the Patient-Centered Medical Home. [Download PDF]
  • Transforming the Patient Experience. Center for Informed Medical Decisions: Four patients share their stories about how they became active participants in their medical decisions. Patient experiences include heart disease, type 2 diabetes, back pain, and early stage breast cancer. [Link to Video]
  • Patient-Physician Partnership Agreement for Diabetes. [Download PDF]]






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