Patient Centered Medical Home

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SouthCoast Health has achieved recognition as a National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home, Level 3. The NCQA Patient-Centered Medical Home standards emphasize the use of systematic, patient-centered, coordinated care that supports access, communication and patient involvement.

Achieving recognition as a Patient-Centered Medical Home is an important validation of the steps we have taken to ensure comprehensive, continuous care for our patients. Most of our patients have chronic diseases, and the standards and procedures required for recognition as a Patient-Centered Medical Home also ensure that the care we are providing for them results in the best outcomes and reduces unnecessary costs. Our Practice also transitions patients from pediatric care to adult care by addressing physical activity, drugs and alcohol, safe sex and other teenage topics during a wellness exam.


What is a Patient Centered Medical Home?

Health insurance companies across the country are working with primary care practices to establish what’s known as a Patient Centered Medical Home (PCMH). PCMHs are not actual houses, but a central medical practice and doctor who oversees all the needs a patient may have, and then coordinates with other healthcare providers to make sure the patient receives any specialty care, therapy or additional services needed to live as healthily as possible.


How will my care change if I am a patient of a PCMH practice?

Patients who have a PCMH doctor will get quality care and should notice a few differences. Here’s an example: If you come to our office and our doctors decide you need to see a specialist (heart doctor, lung doctor, etc.), physical therapist, home health services, respiratory therapist or any other medical provider, you can do so. What’s the difference? The difference is that OUR doctors will be overseeing your treatments, communicating with the specialists or therapists about your progress then your doctor from OUR OFFICE will adjust your care and treatment plan as needed. This means one doctor oversees your treatment plan, that you don’t fall through the communication cracks, and you get better care overall.


What does it mean for you?

SouthCoast Health provides evidence-based care in a team setting. Clinicians work together within and outside the SouthCoast Health family including doctors, nurse practitioners, physician assistants, nurses, medical assistants, specialists, and administrative staff, urgent care, on-call physicians and most importantly YOU, the patient, play a critical role in the care team.

SouthCoast Health coordinates care for patients to setup appointments with specialists (i.e. Cardiologists, Endocrinologist, Surgeons, etc.) as well as working to help get patients scheduled for follow-up appointments with their primary care providers after the patient has been in the hospital are two important elements of the Patient Centered Medical Home.

As a Patient Centered Medical Home, your care team works to obtain your records from specialists and hospitals so they can get a complete picture of your health and make informed decisions on your treatment. Your care team will also work with you to help you set goals to help improve your health and quality of life. The care team’s goal is whole person care, including addressing mental health concerns.

Our website provides office location, hours, and how to request an appointment. There is a number new patients can call to schedule an appointment or they can request an appointment online by clicking the “Request an Appointment” link. SouthCoast Health monitors the policy and procedures and updates the website with information about office hours, telephone numbers, and contacts with any changes.

Most SouthCoast Health offices are open from 8:30 am – 5:30 pm to accommodate patient’s needs. Some offices and/or physicians offer enhanced hours that might begin or end earlier or later than typical office hours.  Please inquire with your physician about the enhanced hours. Additionally, should you need care after hours, providers on call at SouthCoast Health are available to instruct patients on their needs.

We are pleased to offer Urgent Care services for both our adult and pediatric patients.  You can find information about our urgent care resources by clicking here.

To serve you it’s important for you to provide your care team with information on the medications you are currently taking, any visits you’ve had with specialists or to hospitals, your medical history, your health status, any test results, self-care information including goals to effectively serve you best.