What is the medical home model?

Led by the primary care provider, the patient-centered medical home model employs a team approach to providing patients with around-the-clock access to healthcare resources — whether that be access to physicians, specialists, registered nurses, pharmacists, or other professionals.

The medical home's focus is to build on the physician-patient relationship, thereby creating a care model that supports the whole patient, rather than a specific disease or body part.

The result? A care model that fosters the appropriate use of clinical and administrative resources, improved risk management, and better health outcomes.

How we facilitate access to appropriate care in the PCMH

In the medical home, the primary care provider coordinates access to healthcare resources, carefully monitors all treatments, and simultaneously keeps each member of the patient's care team "in-the-loop" via electronic health records.

But for the medical home to be effective, an infrastructure must be in place that allows the primary care provider to effectively manage their patient's health. Specifically, the medical home must:

• Provide access to healthcare professionals at anytime, day or night.
• Initiate patient outreach programs that support the coordination of care.
• Engage patients via the telephone, Web, email, and/or mobile device.
• Support the seamless transfer of patient data to EMR/EHRs.

Why all the buzz about Accountable Care Organizations?

Spurred by the Affordable Care Act, healthcare providers and health insurers are forming Accountable Care Organizations (ACO) with one goal in mind: To work together to treat Medicare patients across all care settings.

But to accomplish this, not only does your ACO need to recruit the right healthcare professionals, it also needs to implement
a communication infrastructure that will quickly connect patients to the appropriate resource within your network.

Helping you meet NCQA requirements

SironaHealth offers 15 services that meet NCQA requirements for medical home certification, which includes our 24 x 7 nurse advice line. These inbound and outbound contact center services connect patients with appropriate healthcare resources over the telephone, Internet, and mobile devices while providing all interaction data back to the provider's electronic health record.

By partnering with SironaHealth, our clients can implement guideline-driven processes that will support the coordination of care between the patient, their doctor, and the rest of the care team.