About Patient Centered Medical Homes

A Patient Centered Medical Home (PCMH) is a model of health care that is team focused to provide accessible, comprehensive, coordinated, continuous, and proactive patient care. The goal of a PCMH is to shape services around the needs and preferences of patients and their families, while continuously improving efficiency and effectiveness through cycles of quality improvements.

History of PCMH

The concept of a medical home is not new. The American Academy of Pediatrics (AAP) introduced the medical home concept in 1967. In its 2002 policy statement, the AAP expanded the medical home concept to include these operational characteristics: accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective care.

The American Academy of Family Physicians (AAFP) and the American College of Physicians (ACP) have since developed their own models for improving patient care called the “medical home” (AAFP, 2004) or “advanced medical home” (ACP, 2006).

In September of 2007 the Kansas organizations representing primary care physicians convened and formed the Kansas Primary Care Physicians Coalition, focusing on initiatives surrounding the PCMH. 

What is a PCMH?

PCMH Principles

  • Personal physician
  • Physician-directed practice
  • Whole person orientation
  • Coordination and integration of care
  • Quality and safety
  • Enhanced access
  • Appropriate payment to providers

State Law Defines Patient Centered Medical Home

The definition of a medical home, according to Kansas law (K.S.A. 75-7429) is: "A health care delivery model in which a patient establishes an ongoing relationship with a pysician or other personal care provider in a physician-directed team, to provide comprehensive, accessible and continuous evidence-based primary and preventive care, and to coordinate the patient's health care needs across the health care system in order to improve quality and health outcomes in a cost effective manner."

Your Medical Home Team

What we commit to:

  • Deliver personalized care -- get to know you, your family, your life situation, and preferences.
  • Manage acute and chronic diseases.
  • Timely access to care.
  • Timely after-hours access to your physician on call after regular business hours for urgent/emergency needs.
  • Help you set goals for your care, and help you meet your goals one step at a time.
  • Treat you as a full partner in your own health care.

We want patients to:

  • Actively participate in their care. Describe needs or concerns every step of the way.
  • Learn about your condition and what you can do to stay as healthy as possible.
  • As best you can, follow the care plan you and provider have agreed is important to your health.
  • If you don't understand something your provider or other member of the care team says or writes, ask them to explain it in a different way.