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Explaining the Medical Home - Talking Points
Center for Medical Home Improvement (CMHI )

  • A medical home combines place, process, and people -
    • the central place where primary care is provided
    • the process and scope of care in that place, and
    • the team of people delivering and coordinating care
  • Patients and families expect that their medical home staff will:
      • know and remember them
      • respect their ideas, customs and beliefs, and
      • help them coordinate care and information among multiple professionals and services
  • The primary care medical home strives to improve health outcomes and quality of life for patients and families - while improving the experience of providing healthcare for its office staff
  • Care received in a medical home can be good, better, or great depending upon the openness to change and commitment to partner with families/consumers to make things better
  • Improving care for children or adults with more complex health needs enhances the medical home experience for all patients; medical home is about practice-wide improvement - not a special, separate primary care program
  • A “great” medical home declares itself to be a medical home, and
    • knows its patients and patient populations
    • partners with and learns from youth and families
    • uses a proactive team approach to chronic condition care
      • including planned visits, coordination of complex services, co-management with specialists, and assistance with transitions - especially to adult services
    • connects with other community-based organizations
    • offers safe, efficient care while preventing unnecessary or duplicative services, thus reducing health care costs