Your ‘Home’ Team for Your Healthcare (Video)

A model of coordinated care for your long-term health

hands forming a circle together

A patient-centered medical home might sound like a place, or somewhere you’d go. It’s not. It’s a long-term, team-based approach for your primary health care.

Advertising Policy

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

Pioneering healthcare organizations, including Cleveland Clinic, are already using this approach in internal medicine and family medicine practices. The patient-centered medical home model coordinates care for you — whether you’re being seen at the doctor’s office, if you become hospitalized, or are recuperating at home — through ongoing preventative care.

“Our goal is to provide coordinated, lower-cost, higher quality care for patients who see our internal medicine and family medicine doctors,” says David Longworth, MD, Chairman of Cleveland Clinic’s Medicine Institute.

Advertising Policy

How a patient-centered medical home works for you

Say you’re a 60-year-old male with high blood pressure, and your healthcare provider is a patient-centered medical home. Under your primary physician’s lead, your healthcare team may include registered nurses, nurse practitioners, physician assistants, nutritionists and others, depending on your needs.

This team can lessen your primary physician’s load, so you’ll have more time to talk directly with your doctor about important issues like your medications, diet and any lifestyle changes you may need to make to control your blood pressure.

Because the team, too, is familiar with you and your history of hypertension, they can also address many of the concerns and questions you have about your condition.

Advertising Policy

Andrea Sikon, MD, Internal Medicine, Cleveland Clinic, says, “It increases continuity between patients and their doctors when possible and, when not, with a smaller group of practitioners — so we can strengthen face-to-face patient relationships.”

You and your healthcare team

You’re in communication with a team that:

  • Focuses on the development of long-term doctor-patient relationships, rather than episodic care
  • Coordinates care among all of your providers within the team
  • Takes collective responsibility for your care
  • Arranges for appropriate care with other physicians, if necessary
  • If you’re hospitalized, once you’re discharged perform complete follow-up care to make sure your recovery is progressing

Cleveland Clinic’s Medicine Institute was officially recognized as a patient-centered medical home in 2010. Medical homes exist at the Family Health Centers and on the Main campus; different models of team-based care are being piloted at three of the Clinic’s primary care locations, Strongsville, Independence and Main Campus Internal Medicine.

Advertising Policy
Advertising Policy