PCMH

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SJFMC is a Patient-Centered Medical Home

What does this mean to you as our patient?

You will be assigned to a provider of your choice, and a team of other health care experts will work with the provider and you to ensure that you get the personal care you need and deserve. You may have a care manager assigned to you to assist you with meeting all of your medical needs and help you set up a plan to improve your overall health. Your care manager will work with you and your provider to help you stay well and to be there for you when you are sick.

Your physician

The relationship between you, your physician, and care team is the driving force behind a Patient-Centered Medical Home (PCMH). Your physician will provide medical care that is right for you following evidence-based guidelines/standards of care that have proven to be effective in improving certain illnesses.

Your Care Team

Your physician will direct the care team (clinic staff) to coordinate your care based on your wants and needs. To improve efficiency, the team will plan for your appointment by reviewing your record and making sure all required documents are in your chart. The team will make sure testing is completed, results are obtained, and you are notified of your results in a timely manner. The team will follow-up on your referrals, making sure your appointment is timely, that your specialists have your care summary before your appointment, and that your physician receives your specialist’s recommendations. If you are admitted to the hospital, your physician will make sure the physician seeing you in the hospital has your health information. Likewise, when you are discharged, your care team will review your hospital stay, make sure you return for follow-up, and that you understand how to call if you have questions about your treatments or medications. You will also have access to the MyChart patient portal, an online tool, where you can view your health records, request prescriptions, or talk to your provider.

MyChart will also allow you to:

  • Send secure messages to your doctor without having to go to the office
  • Get a consult with your doctor through the web
  • Have prescriptions refilled electronically
  • Schedule appointments without waiting on the phone
  • Get lab results and patient education materials

You can join MyChart, at your convenience, by giving us your email address. You may want to do this at your next visit. Once we have your email address, we will send you instructions, through email, on how to complete the setup process. Once you are signed up, you can log in from any location that offers internet services. Patients can, of course, continue to talk with their provider or other team members about any health issues.