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

    A health care setting that facilitates a partnership between you, your primary care provider, and the specialists involved within your care to provide you with complementary care that best services your needs. Together we commit to arrange you with more personalized health care, provide guidance through the complex health care system, offer you better access to care and teach you skill building and problem solving strategies for managing your health so that you can stay as healthy as possible.

    Access to Care

    We will be available to you when you need us, during and outside of practice business hours. Whether it’s to schedule an appointment, address a question you may have regarding a recent hospital discharge or a health concern important to you, please call us. We have a dedicated provider on call, after normal practice business hours to address your concerns and we have adjusted our schedules to provide you with same day appointment access with your Primary Care Provider, to accommodate your needs.

    Teamwork Approach

    Your physician will direct your care team to help coordinate your care based on your needs. Your care team will plan for your appointment in advance and review your chart to be sure that all documents are received prior to your appointment. Our team will contact your specialist and obtain consultation reports, or diagnostic imagining testing prior to your appointment, to ensure it is there for your provider when you come in. If necessary, we will contact you prior to your appointment to address any outstanding lab work or referrals.

    Convenient Care

    Created for you. We will do our best to provide you with an appointment with your selected Primary Care Provider; however, if we cannot get you in to see your primary care provider the same day of your call, we will schedule you for a same day appointment with one of our providers in convenient care.

    Health History

    We will take the time to understand your personal or family situation(s) and then can suggest the right option for care that makes sense for you. Your health history will be reviewed with you periodically to ensure we provide you with the best care possible.
    Prevention and Wellness
    We will discuss with you and your family prevention needs such as physicals, immunizations, well child visits, and recommended screenings.

    Care Management

    We will help you identify and overcome the most difficult challenges to managing your health and medications.

    Disease Management

    We are committed to your health and providing you with the best treatment regimen in various Chronic Disease Management diagnoses such as COPD, Diabetes, Heart Disease, Asthma, Obesity and Arthritis.

    Care Coordination

    We use electronic medical records to communicate and coordinate care that is provided to you, for the best outcome around your goals. We will help you find the right specialist, get the appointment on time and make sure they have the information they need when you get there.

    Transition of Care

    Going to, or leaving the hospital is never easy, but, we are here for you. We have been set up to receive alerts when one of our patients is in the hospital. Further, we will work with the hospital upon your discharge, and contact you within 2 business days to see how things are going. We want to help you in any way that we can and provide to you the services you need to save you from any further trips to the hospital or emergency department. We want you save that time and spend it with your family.