Key Domains of Patient Centered Care

The Agency for Healthcare Research and Quality (AHRQ) has identified five key domains of the patient-centered medical home (PCMH) model. According to AHRQ, these are:

  1. Comprehensive Care: The PCMH is designed to treat the whole patient, with a care team responsible for providing all of the patient's health care needs, including appropriate referral to other qualified physicians as needed.
  2. Patient-Centered Care: The PCMH model integrates patients as active participants in care, and is oriented toward whole-person and relationship-based collaboration.
  3. Coordinated Care: In a PCMH, a Physician-led medical team coordinates Preventive, Acute, and Chronic Disease care. The model focuses on coordination and integration of care across the full care continuum and the patient's community using registries, IT, HIE, etc.
  4. Accessible Services: Emphasis is placed on increased accessibility through open scheduling, expanded hours and strong communication between patients, physicians and staff.
  5. Quality and Safety: PCMHs are committed to providing quality and safety through patient advocates, evidence-based medicine with clinical decision support, continuous quality improvement, patient engagement in care and use of health information technology for measurement, education and communication.