Patient-Centered Medical Homes
Who Are We?
The Ohio Department of Health is leading a statewide expansion of the Patient-Centered Medical Home (PCMH) model of primary care in Ohio in order to:
A PCMH is not an institution, nursing home, or home health agency. A PCMH is a medical office or clinic that offers coordinated, comprehensive primary care that is personal and focused on making sure the patient’s health care needs are met.
Seven of the 10 leading causes of death in Ohio are lifestyle oriented – most of which are avoidable – and approximately 75 percent of all health care spending goes to address chronic diseases. Payment systems are based on volume with no expectation of outcomes and the current system of care does not reward doctors for being comprehensive, thorough, or providing good continuity of care to patients.
The Patient-Centered Medical Home model of care is one that facilitates partnerships between individual patients and their personal healthcare providers and, when appropriate, the patient’s family. Care is managed using modern tools such as registries, information technology, health information exchange and other means to assure that patients get the appropriate care when and where they need and want it in a culturally appropriate manner.
ODH’s first major step in moving toward this model is the recent establishment of the Ohio Patient-Centered Primary Care Collaborative (OPCPCC). The OPCPCC is a coalition of primary care providers, insurers, employers, consumer advocates, government officials and public health professionals who are joining forces to create a more effective and efficient model of healthcare delivery in Ohio.
By moving to a system where primary care and prevention are the foundations of medical practices and one in which providers are paid for improving the health of their patients and clients through measurable outcomes, we can finally get our health care spending under control and give Ohioans the quality of care and information they need to increase their level of health at every stage of life.
Features of a Medical Home
The patient-centered medical home is an approach to the delivery of primary care that is:
- Patient-centered: Supports patients in learning to manage and organize their own care at the level they choose, and ensures that patients and families are fully informed partners in developing care plans.
- 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: Ensures that care is organized across all elements of the broader health care system, including specialty care, hospitals, home health care, and community services and supports.
- Accessible: Delivers accessible services with shorter waiting times, enhanced in-person hours, 24/7 electronic or telephone access, and alternative methods of communication through health IT innovations.
- Committed to quality and safety: Demonstrates commitment to quality improvement through the use of health IT and other tools to guide patients and families to make informed decisions about their health.
Contact the PCMH program with questions at PCMH@odh.ohio.gov.
Go to PCMH Consumer Web page