Health Access Model of Care

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From our inception in 1992, Health Access has been committed to providing the very best care to the uninsured, low income adults of Harrison and Doddridge counties through an integrated clinical practice that reaffirms the importance of the practitioner-patient relationship, focuses on the whole person, is informed by evidence, and makes use of all available resources to achieve optimal health and healing.

The Health Access Board of Directors, Clinicians, Administrators, and Staff are committed to preserving the highest standards of clinical practice in order to advance the mission and vision of Health Access as established by our founders. These attributes, as defined in the following pages, are the Health Access Model of Care.

Health Access Model of Care

 The Health Access Model of Care is primarily derived from and follows the patient-centered medical home (PCMH) concept and is defined as “an approach to providing comprehensive primary care…that facilitates partnerships between individual patients, and their personal providers, and when appropriate, the patient’s family.”[i]  Providing this type of comprehensive care is accomplished by embracing the following core elements (attributes) as the practice continues to evolve.

Personal Physician– each patient has an ongoing relationship with a personal provider trained to provide first contact, continuous, and comprehensive care.

Physician Directed Medical Practice– the personal physician leads a team of individuals at the practice level who collectively take responsibility for the ongoing care of patients.

Whole Person Orientation– the personal physician is responsible for providing for all the patient’s health care needs or taking responsibility for appropriately arranging care with other qualified professionals. This includes care for all stages of life: acute care, chronic care, preventive services, and end of life care.

Care is Coordinated and/or Integrated across all elements of the complex health care system (e.g., subspecialty care, hospitals, home health agencies, and nursing homes) and the patient’s community (e.g., family, public, and private community based services). Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get indicated care where they need and want it in a culturally and linguistically appropriate manner.

Quality and Safety are hallmarks of the medical home:

  • Practices advocate for their patients to support the attainment of optimal, patient centered outcomes that are defined by a care planning process driven by compassionate, robust partnership between physicians, patients, and the patient’s family.
  • Evidence based medicine and clinical decision support tools guide decision making.
  • Physicians in the practice accept accountability for continuous quality improvement through voluntary engagement in performance measurement and improvement.
  • Patients actively participate in decision-making and feedback is sought to ensure patient’s expectations are being met.
  • Information technology is utilized appropriately to support optimal patient-care, performance measurement, patient education, and enhanced communication.
  • Practices go through a voluntary recognition process by an appropriate non-governmental entity to demonstrate that they have the capabilities to provide patient centered services consistent with the medical home model.
  • Patients and families participate in quality improvement activities at the practice level.