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PCMH

The Patient-Centered Medical Home (PCMH) is a health care centered on you, the patient.  It is a partnership between you and your doctor.  Your doctor leads a team of health care professionals in a medical practice committed to improving your overall health and to helping you reach your health goals.

Instead of just being treated for a problem here and there without making a connection between symptoms, the Patient Centered Medical Home (PCMH) focuses on connecting the dots and coordinating care.

Your healthcare team may consist of your primary care doctor, nurses, specialty physicians, pharmacists, dietician s, care coordinators and others depending on your needs.

Primary Care Physician’s Role:

The primary care physician's role in the Patient Centered Medical Home (PCMH) is to provide a relationship based on patient well-being and trust. The physician will care for his patient and consult with patient's family to ensure patient's physical and mental healthcare needs are being met.

  • Planned care visits are dedicated time for clinicians to spend with patient(s) who have a chronic disease in a one-on-one or in a group/shared medical appointment format. These individualized appointments allow clinicians to work with patients on their care and treatment plan.

  • Group visits provide the opportunity for patients to receive services in a supportive environment that also motivates them to achieve better health outcomes.

  • Non-physician services may be provided by Grace Medical of Troy staff to target same day appointments, 24-hour access via telephone or e-mail, follow-up care, answer patient inquiries, or return patient phone calls.

  • Physicians and their staff will actively involve patients in their own care by teaching and encouraging management of their chronic illness with a plan based on evidence-based guidelines when needed.

The Patient's Role:
Patients will be provided with materials and clinical assistance so that they will be familiar with the PCMH. The ability of the patient to embrace the PCMH is crucial to their success at Grace Medical of Troy environment, because patients will actively participate in their own healthcare. Patient’s first step is to partner with a physician to establish a relationship to address his health care needs. Patients must actively participate in the decision making to ensure that their expectations are being met, keep all scheduled appointments & report any changes or symptoms, share concerns and questions.

The Patient's Role:
Patients will be provided with materials and clinical assistance so that they will be familiar with the PCMH. The ability of the patient to embrace the PCMH is crucial to their success at Grace Medical of Troy environment, because patients will actively participate in their own healthcare. Patient’s first step is to partner with a physician to establish a relationship to address his health care needs. Patients must actively participate in the decision making to ensure that their expectations are being met, keep all scheduled appointments & report any changes or symptoms, share concerns and questions.

The Patient's Role:
Patients will be provided with materials and clinical assistance so that they will be familiar with the PCMH. The ability of the patient to embrace the PCMH is crucial to their success at Grace Medical of Troy environment, because patients will actively participate in their own healthcare. Patient’s first step is to partner with a physician to establish a relationship to address his health care needs. Patients must actively participate in the decision making to ensure that their expectations are being met, keep all scheduled appointments & report any changes or symptoms, share concerns and questions.

The Patient's Role:
Patients will be provided with materials and clinical assistance so that they will be familiar with the PCMH. The ability of the patient to embrace the PCMH is crucial to their success at Grace Medical of Troy environment, because patients will actively participate in their own healthcare. Patient’s first step is to partner with a physician to establish a relationship to address his health care needs. Patients must actively participate in the decision making to ensure that their expectations are being met, keep all scheduled appointments & report any changes or symptoms, share concerns and questions.

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