Care where you need it

Patient-Centered Medical Home

As your patient-centered medical home, we will work to provide comprehensive, coordinated care, accessible services, and apply a systems-based approach to quality and safety. Our goal is to deliver superior, easily accessible medical care and be responsive to you in your time of need. Our staff includes a comprehensive interdisciplinary team of professionals who consistently strive to exceed patient expectations and ensure your experience with us is as comfortable and stress-free as possible.

What
Is
a
Patient-Centered
Medical
Home
(PCMH)?

The PCMH model of care puts patients and families at the forefront of care, building relationships between people and their interdisciplinary team of professionals.

The National Committee of Quality Assurance (NCQA) has specific standards and guidelines structured around six principles of PCMH:

  1. Team-based care and practice organization: This provides the structure for practice leadership, care, team responsibilities, and partnerships with patients, families, and caregivers.
  2. Know and manage patients: We aim to set the standard for data collection, medication reconciliation, evidence-based clinical decision support, and other activities.
  3. Patient-centered access and continuity: We provide patients with convenient access to clinical advice and help ensure continuity of care.
  4. Care management and support: This helps clinicians set up care management protocols to identify patients who need more closely managed care.
  5. Care coordination and care transitions: We ensure that primary and specialty care clinicians are effectively sharing information and managing patient referrals to minimize cost, confusion, and inappropriate maintenance.
  6. Performance measurement and quality improvement: We practice developing ways to measure performance, set goals, and develop activities to improve performance.

Clinica Sierra Vista’s Patient-Centered Medical Home Responsibilities

You will see the same team at each appointment, and they will assist you in coordinating care with other providers, specialists, and community resources, if needed. You can expect an ongoing relationship with your medical home team with you to address your health care needs. Your team will have access to all your health information through electronic records to effectively manage your care. You will have easy access to care through open scheduling, expanded hours, and other methods of communication with your team.

Together, you and your team can work on a personalized plan, just for you, that is coordinated with other healthcare providers and connects you with your healthcare team.

How You Can Help

Don’t hesitate to speak up about any issues or concerns you may have that you feel could impact your quality of care.

Be Honest

Discuss your health concerns with your team. Be honest about your full health situation.

Share Your History

Share your past healthcare successes and challenges.

Coordinate Your Care

Tell your team about other healthcare professionals you see.

Stick to the Plan

Follow the plan discussed with your team. Consider new goals once you see results.

Voice Your Concerns

Tell your care team if you are having trouble sticking with your care plan.

Let Us Help You

Speak up if your care plan is not working.
Tell your team and make changes if needed.

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