What is a Patient Centered Home?

Patient Centered Medical Home refers to an integrated care model which can be adopted by medical offices and health systems. The need for new model is highlighted by the relatively low achievement of targeted outcomes for chronic disease in a care system that is designed for acute care.

The National Committee for Quality Assurance certifies offices that have achieved the standards set for care in six areas: patient-centered access, team based care, population health management, care management and support, care coordination and care transitions, performance monitoring and quality improvement.

The Summa Internal Medicine Center has received its third consecutive certification from NCQA as  Patient Centered Home in 2019

Health Promotion Calendar

As part of a continuous improvement project, the IMC Change Team has established a Health Promotion Calendar with 1-3 areas of focus for each 2 month period. During this time, the entire staff is engaged in using evidence based medicine approaches to engage patients in screening, immunization or addressing health risks of chronic disease. The goal of each two month focus is to develop contextual expertise in addressing these items in our population and improving wellness and quality metrics. Resident physicians will learn best practice approaches to engage patients in shared decision making around topics of screening and improved disease care.

Talking Points

As clinicians, we must engage our patients in many complex discussions about their health. When we use an evidence-based, people sensitive approach, patients become more fully engaged in obtaining vaccinations, completing screening tests and working together with us on their care.

Our library of Talking Points was developed using national guidelines and language recommended by clinical experts in each field. When we use these approaches, patient autonomy is respected, they are part of the decision process and the orders are filed in a way that updates your Health Maintenance record. Please review these often until these approaches are second nature.

Colorectal Health Screening
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Colon Health
Human Trafficking
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Trafficking
Chest Pain Protocol
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Chest Pain
Smoking Cessation
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Tobacco Use
Asthma Screening Talking Points
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Asthma
Well Woman Exam
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Well Woman
TDAP and Pneumovax Talking Points
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TDAP/PMVX
HIV and Hepatitis C Screening
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HEP C/HI
Health Literacy Techniques
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HEALTH LITERACY
Uninsured Patient Talking Points
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UNINSURED
Serious Illness Conversations
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SERIOUS ILL
Falls Risk Talking Points
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FALLS
Bone Health
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BONE HEALTH