Patient-Centered Medical Homes

PCMH Provider Maps

Patient-Centered Medical Home (PCMH) primary care practice sites are located across the state of Ohio. To view PCMH recognized sites and the 50 PCMH Education Pilot Project sites under Ohio House Bill 198, follow the link below. For more information about health care providers and facilities in Ohio, utilize the drop down menu located above the map tool.

Click Here to access a map of National Committee for Quality Assurance (NCQA) recognized PCMH practices in Ohio. NCQA recognizes clinician primary care practices functioning as medical homes by using systematic, patient-centered and coordinated care management processes. The NCQA is a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality.

Click Here to access a map of the Accreditation Association for Ambulatory Health Care (AAAHC) recognized PCMH primary care practices in Ohio. The AAAHC accreditation is a voluntary process through which an ambulatory health care organization is able to measure the quality of its services and performance against nationally recognized standards.

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:

• Control costs
• Improve health outcomes
• Enhance the patient experience
• Ensure healthcare in Ohio is affordable

The Problem

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 Solution

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.

In a new Commonwealth Fund report, researchers from the MacColl Institute for Healthcare Innovation and Qualis Health lay out the changes that most medical practices will need to make to become patient-centered medical homes. Read the full report to learn more about the keys to becoming a patient-centered medical home.

Joint Principles of the Patient-Centered Medical Home

The American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Physicians (ACP), and the American Osteopathic Association (AOA) have come together to develop the following seven joint prinicples of the patient-centered medical home:

1. Personal physician - Each patient has an ongoing relationship with a personal physician trained to provide first contact, continuous and comprehensive care.

2. Physician directed medical practice - The personal physician leads a team of individuals at the practice level who collectively take responsibility for the ongoing care of patients.

3. Whole-person orientation - The personal physician is responsible for providing for all the patient’s health care needs or taking responsibility for appropriately arranging care with other qualified professionals. This includes for all stages of life: acute care; chronic care; preventive services; and end-of-life care.

4. Care is coordinated and/or integrated across all elements of the complex health system (e.g. subspecialty care, hospitals, home health agencies, nursing homes) and the patient’s community (e.g. family, public and private community based services). Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it, in a culturally and linguistically appropriate manner.

5. Quality and safety are hallmarks of the medical home.

6. Enhanced Access to care is available through systems such as open-access scheduling, extended hours, and new options for communications between patients, their personal physician and practice staff.

7. Payment appropriately recognizes the added value provided to patients who have a PCMH.

Contact the PCMH program at PCMH@odh.ohio.gov.