The Changing Face of Primary Care

Primary care in the United States is undergoing a significant transformation. For decades, the traditional physician-led model focusing on episodic care of acute and chronic conditions has dominated. However, this model is proving to be inefficient and unsustainable given the growing complexity of patient needs and rising healthcare costs. There is a need for primary care that is comprehensive, coordinated, accessible and focused on quality and safety.

Patient Centered Medical Home: A New Model of Care

The patient centered medical home (Patient Centered Medical Home) model aims to address some of the key shortcomings of traditional primary care. At the core of PCMH is an emphasis on the patient's needs and preferences. A team based approach involving physicians, nurses, medical assistants and other clinical and administrative staff work collaboratively to ensure seamless coordination of all aspects of a patient's care across different providers and settings.

Key Components of the PCMH Model

Some of the defining principles of the PCMH model include enhanced access, comprehensive care management, care coordination and integration, quality and safety focus and value-based reimbursement systems. Medical homes utilize health information technology tools for tasks like e-prescribing, telehealth and secure messaging to facilitate on-demand virtual access. Care teams are expected to address a wide spectrum of patient needs including behavioral health, social services, and community resources.

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