Primary Care Journal of Nursing

The Impact Of Implementing A Patient-Centered Medical Home Model In The Primary Care Setting

Tags: care health patient Primary Care

Literature demonstrates a trend of shared decision-making models that are centered around the patient. By implementing the Patient Centered Medical Home (PCMH) model, patient encounters will encompass a patient-centered decision-making approach regardless of the reason for the visit. This model incorporates ongoing preventative screenings into routine visits to create a continuum of meeting wellness initiatives without relying on a routine wellness visit yearly. To implement this model, the clinician will thoroughly review the patient’s chart prior to the office visit. If any preventive screening is identified, then the primary care provider addresses the initiatives during the encounter. Post-implementation data showed a marked increase in ordered preventive screenings, wellness exams, and revenue to the clinic. There was also an increase in patient satisfaction perception among participating providers. The PCMH model allows the clinician avenues to address, create dialogue, and implement shared decision-making to incorporate preventative screenings and keep preventive care moving forward.