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Patient-Centered Medical Home

Clinica Sierra Vista is Joint Commission Certified as 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 provide 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: Ensures 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: Helps practices develop 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, is coordinated with other healthcare providers, and connects you with your healthcare team.

How You Can Help

  • Discuss your health concerns with your team. Be honest about your history, symptoms, current medications, and any changes in your health.

  • Share your past healthcare successes and challenges.

  • Tell your team about other healthcare professionals you see

  • Follow the healthcare plan you and your team have discussed. Make sure you understand how to follow the plan and set goals you can reach. Once you begin to see results, you and your team can discuss adding new goals.

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

  • Speak up if your care plan is not working. Tell your team what is not working so that, together, you can make changes if needed.