Evidence Based Practice Medication Management Patient Satisfaction Feedback Clinical Outcomes Analysis Quality Improvement

Be prepared with updates on prescriptions & medications. Keep scheduled appointments or reschedule right away. Inform us of any hospitalizations or visits to specialists. Provide your UCHC provider info if visiting another practice. Ask questions about your care & tell us if you don’t understand. Follow the care plan agreed upon by your team.

Patient Directed Led by Your Preferred Provider Includes Licensed Nurse, Pharmacist, Referral Coordinator, Case Manager, & Clinical Staff Shared Goals & Communication

Population Management Wellness Promotion Disease Prevention Chronic Disease Management Educational Health Resources

Technology Driven Multi-Specialty Care Transition Imaging & Lab Tracking

Same Day Appt. After-Hours Access 24-hour Coverage Group Visits

Patients - Patient-Centered Medical Home - Universal Community Health Center

Patient-Centered Medical Home (PCMH)

The Patient-Centered Medical Home (PCMH) is a care model that focuses on putting patients first. It improves the relationship between patients and healthcare teams, leading to better quality care, enhanced patient and staff satisfaction, and lower healthcare costs. Practices that follow this model commit to ongoing quality improvements. The PCMH Recognition program by NCQA is the most commonly used to evaluate these practices.

Why PCMH?

The PCMH model emphasizes team-based care, communication and coordination, which has been shown to lead to better care.

Higher rates of fragmentation are associated with higher costs, lower quality and higher rates of preventable hospitalizations.

Quality & Safety

Evidence Based Practice
Medication Management
Patient Satisfaction
Feedback
Clinical Outcomes Analysis
Quality Improvement

Patient Expectations

Be prepared with updates on prescriptions & medications.
Keep scheduled appointments or reschedule right away.
Inform us of any hospitalizations or visits to specialists.
Provide your UCHC provider info if visiting another practice.
Ask questions about your care & tell us if you don’t understand.
Follow the care plan agreed upon by your team.

Care Team

Patient Directed
Led by Your Preferred Provider
Includes Licensed Nurse, Pharmacist, Referral Coordinator, Case Manager, & Clinical Staff
Shared Goals & Communication

Care Team Expectations

Choose your own provider (switch at any time).
Build a care plan ideal for your lifestyle.
Clearly explain your conditions & options for care.
Answer questions in simple terms.
Facilitate your health care with other providers.
Update you on vaccines & preventive screening tests.
Notify you of test results promptly.

Care Management

Population Management
Wellness Promotion
Disease Prevention
Chronic Disease Management
Educational Health Resources

Care Coordination

Technology Driven
Multi-Specialty
Care Transition
Imaging & Lab Tracking

Accessibility

Same Day Appt.
After-Hours Access
24-hour Coverage
Group Visits

Universal Community Health Center’s Six Pillars of Primary Care are based on the Patient-Centered Medical Home (PCMH) model recognized by the National Committee for Quality Assurance (NCQA).