Patient-Centered Medical Home

About Patient-Centered Medical Home

What is a Patient-Centered Medical Home (PCMH)?

Led by your primary care provider, a PCMH is a system of care that allows you to have a personalized care team. Your team may include nurses, health educators, specialists or any other medical personnel who are ready to help you achieve your health and wellness goals.

What are the benefits?

Teamwork – Your care team will work with you and your family to design a care plan that’s best suited for your wellness needs.
Prevention – Learn how to self-manage chronic conditions (such as asthma and diabetes) to help stay healthy.
Easy Access to Care – If you need to reach any member of your team, simply call 713.223.4466 during normal business hours. A member of your team will provide you with the appropriate contact information should you need to access them after-hours.

Our Commitment to You

As partners committed to you and your wellness, we’ll work with you and your family to coordinate easy access to care. We’ll help you select a primary care provider (if you don’t already have one) and will involve you in every step of your care plan. Our electronic health record technology will allow us to easily and efficiently coordinate your plan both with you and your team. Your new team will be there to coach and encourage you to meet your wellness goals. We’ll also refer you to other providers as needed, including specialists or second opinions outside Navigation Medical Center.

Your Commitment to You

By sharing your health history with us, you allow us to design care plans that will be customized specifically for you. We’ll give you the tools necessary to help light your path to wellness. By maintaining these wellness goals, you’ll show your commitment to yourself and your family that you are dedicated to your health. Having trouble sticking to one of your goals? No problem. Just contact a member of your care team and they’ll work with you to create alternatives.

To learn more about what a PCMH is, click here to view a video.
To learn more about the accreditation process, click here.
To check our patient-centered medical home agreement with our patients, click here.

General Information

The medical home is best described as a model or philosophy of primary care that is patient-centered, comprehensive, team-based, coordinated, accessible, and focused on quality and safety. It has become a widely accepted model for how primary care should be organized and delivered throughout the health care system, and is a philosophy of health care delivery that encourages providers and care teams to meet patients where they are, from the most simple to the most complex conditions. It is a place where patients are treated with respect, dignity, and compassion, and enable strong and trusting relationships with providers and staff. Above all, the medical home is not a final destination instead, it is a model for achieving primary care excellence so that care is received in the right place, at the right time, and in the manner that best suits a patient's needs.

In 2007, the major primary care physician associations developed and endorsed the Joint Principles of the Patient-Centered Medical Home. The model has since evolved, and today the PCPCC actively promotes the medical home as defined by the Agency for Healthcare Research and Quality (AHRQ).

Features of the Medical Home:

  • Patient-centered: A partnership among practitioners, patients, and their families ensures that decisions respect patients’ wants, needs, and preferences, and that patients have the education and support they need to make decisions and participate in their own care.
  • Comprehensive: A team of care providers is wholly accountable for a patient’s physical and mental health care needs, including prevention and wellness, acute care, and chronic care.
  • Coordinated: Care is organized across all elements of the broader health care system, including specialty care, hospitals, home health care, community services and supports.
  • Accessible: Patients are able to access services with shorter waiting times, "after hours" care, 24/7 electronic or telephone access, and strong communication through health IT innovations.
  • Committed to quality and safety: Clinicians and staff enhance quality improvement through the use of health IT and other tools to ensure that patients and families make informed decisions about their health.