A healthcare professional checks the pulse of a patient seated in a medical office. The image is framed by a yellow circle.

Patient-Centered Medical Home

The Patient-Centered Medical Home (PCMH) is a team-based healthcare delivery model that emphasizes care coordination and communication regarding all aspects of a patient’s healthcare needs.

This includes the management of chronic conditions, reminders of needed checkups and tests, and care transitions to and from specialist and hospital visits.

The Health Resources and Services Administration (HRSA) encourages all Section 330 funded Health Centers to become recognized or accredited as a PCMH. Medical homes can lead to higher quality and lower costs and improve patients’ and providers’ experiences of care. In addition, PCMH recognition helps CHCs fill a critical role in serving an expanded number of Medicaid-eligible and insured patients, better positions CHCs to be eligible for enhanced reimbursement, and enables them to participate and succeed in Clinically Integrated Networks (CINs), Accountable Care Organizations (ACOs) and Independent Practice Associations (IPAs).

The goal of the WVPCA is to work with Community Health Centers to develop a sustainable implementation model for medical home transformation and offer support to facilitate their journey.  

The WVPCA is committed to helping all Community Health Centers achieve Patient-Centered Medical Home (PCMH) recognition and offers a variety of resources to assist.

WVPCA QI_PCMH ListServ
The QI_PCMH ListServ was developed to assist any CHC staff member involved in quality improvement work, including Patient-Centered Medical Home work. The ListServ provides a means for the WVPCA staff to forward important information, but more importantly, it is an opportunity to broaden your professional network and create a culture of resource sharing that benefits everyone!

Participants are encouraged to ask questions and share best practices and resources on Quality Improvement-related issues, including, but not limited to:

  • PCMH

  • Clinical Quality Improvement

  • Meaningful Use

  • Care Coordination

  • Clinical Policies and Procedures

  • Evidence-Based Guidelines

  • QI/QA Systems

  • Clinical Measures (UDS, HEDIS, etc.)

  • Social Determinants of Health

  • Population Health

  • Team-Based Care

  • Integration

  • Performance Improvement

  • QI related to Health Information Technology (HIT)

 
To subscribe, please email Aaron Johnson at aaron.johnson@wvpca.org.

For more information about PCMH, contact Shannon Parker at 304-661-5741.

Resources

  • Health Resources and Services Administration (HRSA) strongly supports Health Centers as they strive to improve the quality of healthcare delivery to their patients and communities through Patient-Centered Medical Home (PCMH) recognition.

  • Patient-Centered Medical Home (PCMH) - NCQA Recognition is the most widely-used way to transform primary care practices into medical homes.

  • Health Centers also have the option of achieving Primary Care Medical Home (PCMH) certification under Joint Commission.