Despite its name, PCMHs are not “homes,” but medical practices that have met specific criteria set by the National Committee for Quality Assurance.

Difference Between PCMH and a Traditional Primary Care Practice

PCMHs coordinate all aspects of care for their patients, emphasizing the use of preventive care and regular screenings and supporting people with diabetes, depression, and other chronic diseases in new and innovative ways.

South County Health Family Medicine is proud to be your National Committee for Quality Assurance (NCQA) recognized Patient-Centered Medical Home.

Elements of a patient-centered medical home team


Patient-Focused Care

  • Treats the whole person through all stages of life
  • Puts the needs of the patient first
  • Engages patients in their care
  • Provides self-management direction and counseling

Care Coordination

  • Referrals to specialists and other community agencies
  • Post-hospital follow-up, electronically or by telephone
  • Assistance in navigating the medical system
  • After-hours access to doctor or nurse

Clinical Information Settings

  • Patient registries and electronic prescribing
  • Monitor follow through treatment
  • Access to labs and test results
  • Reminders, decision support, and treatment information
  • Safe/efficient prescribing practices

Patient Responsibility

  • Patients and their caregivers/families are active decision-makers in their care plans
  • Communication between patients and their care team
  • Discuss any changes to your health or medications with your doctor
  • Keep your follow-up appointment

Gratitude comes in many forms

Take a moment to express your own appreciation by sharing your story, with a simple thank you, by nominating a caregiver, or with a gift of support.

Patient Stories