What is the patient-centered Medical Home?


A doctor and staff that maintains or improves your health, manages your medical problems by setting goals and tracking progress, often by phone or email, sees you when you need to be seen, and arranges additional doctors to see you when needed.

Basic concepts of The Medical Home

  • Care becomes continuous rather than episodic
  • Care becomes proactive rather than reactive
  • Patients become activated for self-management

What it means to the patient

  • The process starts with an evaluation of your current health with a questionnaire and blood work.
  • A physical exam if one has not been done recently
  • Care providers then assess the current health-related conditions and the patient’s risks for illness

Set goals for getting better

  • Agree to keep the office informed of your progress, accept their calls, and try to achieve the healthy goals you set.
  • Office visits only when you are really sick or when the health goals just aren’t improving.
  • Be willing to use computers, if you have one, to send information, talk with the office, and keep track of your progess.
  • Information by phone or computer to help you care for yourself.
  • Only go the Emergency room after you talk with your medical home.
  • Talk with your medical home if you believe you need a specialist.

Success of the Medical Home

  • Higher satisfaction with your care
  • Constantly working to make you healthier
  • Easier access to information and the medical home caregivers
  • Fewer emergency room visits
  • If you already have some problems, better care so you don’t get worse, have complications, or hospitalization.

For more information on The Medical Home, check out http://www.emmisolutions.com/medicalhome/transformed. Please call Linda Danison, RN, DMH Medical Home Coordinator at 217-876-2877 for details.