Overview of PCMHI
The Patient-Centered Medical Home (PCMH) model is designed to promote comprehensive, coordinated, patient-centered care delivered by teams of primary care providers, including physicians and nurses. In a patient-centered medical home, a primary care provider and members of his or her team coordinates all of a patient's health needs, including management of chronic conditions, visits to specialists, hospital admissions, and reminding patients when they need check-ups and tests. The medical home model supports fundamental changes in primary care service delivery and payment reforms, with the goal of improving health care quality.
Mission and Goals
The Massachusetts Executive Office of Health and Human Services (EOHHS) has set the goal for all primary care practices in Massachusetts to become patient-centered medical homes by the year 2015. The Massachusetts PCMH Initiative (PCMHI) is intended to address a series of challenges, including:
- fragmented, discontinuous care that harms patient health status and increases costs;
- increasing prevalence of chronic disease, and suboptimal management of chronic disease among patients with such illness; and
- a growing shortage of primary care providers.