The Patient-Centered Medical Home (PCMH) is a care delivery model in which patient treatment is coordinated through primary care physicians to ensure patients receive the necessary care when and where they need it, in a manner they can understand.
The goal of the PCMH model is to:
- Strengthen the role of the PCP in the delivery and coordination of health care through a team-based approach
- Support population health management, which uses a variety of individual, organizational and cultural interventions to help improve the illness and injury burden and the healthcare use of defined populations
- Ensure effective communication, coordination and integration among all PCP and specialist practices, including appropriate flow of patient care information, and clear definitions of roles and responsibilities
- Support the quintuple aim (reduce cost, improve appropriate utilization, quality, health outcomes, patient experience, and provider well-being)