Patient Centered Medical Home

Patient Centered Medical Home (PCMH)

 What is PCMH?

The Medical Home is best described as a model of primary care that is all about the patient. It is comprehensive, team-based, coordinated, accessible, and focused on quality and safety. It has become a widely accepted model for how primary care should be organized and delivered throughout the health care system. It is a philosophy of health care delivery that encourages providers and care teams to meet patients where they are, from the simplest to the most complex conditions. It is a place where patients are treated with respect, dignity and compassion and enables strong and trusting relationships with providers and staff.

 What does my Medical Home Team do for me?

o The Medical Home Team is your team. We use evidence-based care and provide your child with the care they need and will customize care to meet their needs and expectations. We help set appropriate health goals and work with you and your child to meet them. We will spend enough time with you to ensure you understand what you need to do to successfully meet these goals and answer any questions you might have. We help you understand all the options for care so you can decide what care is best. We will always treat you and your child with the respect you deserve as a full partner in their healthcare.

 What can I do to help my Medical Home Team take better care of me?

You are encouraged to actively participate in your child’s care.
o Understand that you are a full partner in their health care.
o Learn about their condition and what you can do to keep them as healthy as possible.
o As best you can, follow the care plan that you and your medical team have agreed on, which is important for your child’s health.
o Do your best to communicate with your Medical Home Team.
o Tell us all about your child’s health, their medical history, and the health history of your family.
o Bring a list of questions to each appointment. Also, bring a list of any medicines, vitamins, or remedies being used.
o If you don’t understand something your doctor or other members of your Medical Home Team say, ask them to explain it in a different way.
o If your child gets care from other health care professionals, always tell your Medical Home Team so they can help coordinate the best care possible.
o Talk openly with your Medical Home Team about the experience and care you are receiving. Medical Home strives to give the best patient care possible, so feedback is always encouraged.

 What are the services available at my Medical Home?

We provide comprehensive pediatric care from birth to 19 years: Acute illness, ADD/ADHD, Allergies, Prenatal consultation, after hours calls with the doctor, School & Sports physicals, Obesity, School problems, Asthma, Eczema, Behavioral problem, Developmental problems, Chronic illnesses in collaborations with specialist.
Preventive care is a crucial part of your child’s total health care. Well child check-ups help to evaluate and monitor your child’s growth and development. These visits are important even when your child is healthy. They are crucial in making sure your child is growing and developing properly, and to provide any needed services before the time frame for mitigation has passed.
Immunizations are discussed and given (if appropriate) at well visits. We follow the American Academy of Pediatrics guidelines for the schedule of these well visits and immunizations.

 How do I access my Medical Home?

We offer convenient same-day and next-day appointments, after-hours phone access and extended hours, early mornings, and evenings.
Monday 8:00 AM – 5:00 PM
Tuesday 8:00 AM – 5:00 PM
Wednesday 7:30 AM – 5:30 PM
Thursday 8:00 AM – 5:00 PM
Friday 8:00 AM – 5:00 PM
o To make an appointment, call 904-264-0264.
o For clinical advice and all other matters, please call 904-264-0264. We respond promptly to your phone calls and/or electronic messages sent through the Patient Portal.
o For urgent matters, please contact us by phone. For all non-urgent matters, general information and to make an appointment, please call us during normal business hours.

 Education and self-management resources.

We recommend using website, developed by the American Academy of Pediatrics. It has all sorts of information for parents on ages and stages, healthy living, safety and preventions, and variety of health issues.
Other resources (some may need referrals)
• WIC 904-529-2800
• Early Steps Program 904-427-7600
• Child Find Program 904-346-4601
• CARD Center (Center for Autism and Related Disabilities) 904-633-0760
• Health Department 904-272-3177
• Poison Control 800-222-1222