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Patient-Centered Medical Home

What is a Patient-Centered Medical Home?  The Patient-Centered Medical Home (PCMH) concept is about finding the best way to deliver patient care.  A PCMH is more than just a place to go see the doctor.  It's a new way of thinking about healthcare that involves respecting and understanding the whole person: their unique needs, culture, values, and preferences.  Care isn't provided by just one person, but by a whole team of healthcare professionals, including doctors, nurse practitioners, nurses, pharmacists, nutritionists, social workers, educators, and care coordinators.  PCMHs support patients in learning to manage and organize their own healthcare, making them active participants in their healthcare choices.


A Patient-Centered Medical Home has the following characteristics:


  • Patient-Centered — Each patient has an ongoing relationship with their own personal physician who provides comprehensive care, understanding and respecting the patient's unique needs, culture, values, and preferences.
  • Comprehensive Care — The personal physician leads a team of healthcare providers in the practice, and together they take responsibility for the ongoing care of the patient. This includes care for all stages of life: acute care, chronic care, preventive services, and end-of-life care.
  • Coordinated Care — The personal physician is responsible for or arranges care with other qualified professionals across the complex healthcare system, including specialty care, hospitals, home healthcare, and community services and supports, with clear and open communication between all providers, patients and families.
  • Quality and safety — Having patients actively involved in decision making, using evidence-based medicine and clinical decision-support tools to guide decision making, and expecting physicians in the practice to be accountable for continuous quality improvement.
  • Enhanced access to services — The practice has shorter waiting times for urgent needs, expanded hours, around-the-clock telephone or electronic access to a member of the healthcare team, and alternative methods of communication, such as e-mail and telephone care.  




Baystate Medical Practices 

In August 2009, Baystate Medical Practices (BMP) primary care sites began a Patient-Centered Medical Home (PCMH) pilot.  The key objective was to transform our practices to PCMHs using the National Committee for Quality Assurance (NCQA) model as an approach to improve quality and efficiency.  Currently 18 Baystate Medical Practices (BMP) primary care sites have transformed to PCMHs using the National Committee for Quality Assurance (NCQA) model as an approach to improve quality and efficiency.  All 18 practices have received NCQA Level 3 PCMH recognition, the highest attainable recognition.


Congratulations to our recognized PCMH practices:


  • Baystate Brightwood Health Center
  • Baystate General Pediatrics
  • Baystate High Street Health Center - Adult Medicine
  • Baystate High Street Health Center - Pediatrics
  • Baystate Mason Square Neighborhood Health Center
  • BMP Deerfield - Adult Medicine
  • BMP Deerfield - Pediatrics
  • BMP Franklin - Adult Medicine
  • BMP Greenfield - Pediatrics
  • BMP East Longmeadow - Adult Medicine
  • BMP Northern Edge - Adult Medicine
  • BMP Pioneer Valley - Adult Medicine
  • BMP Quabbin Belchertown - Adult Medicine
  • BMP Quabbin Ware - Adult Medicine
  • BMP Quabbin - Pediatrics
  • BMP South Hadley - Adult Medicine
  • BMP Westside - Adult Medicine
  • BMP Wilbraham - Adult Medicine


In support of our efforts to provide continuous care to our patients, a focus has been placed on caring for patients between visits. Nursing and Medical Assistant staff have been integrated into the adult primary care practices and will outreach to patients to assure that they receive high quality, optimal care.


For more information on Quality at Baystate Health

For more information on Baystate Medical Practices

For more information on NCQA-Patient-Centered Medical Homes