Patient Centered Medical Home

At Our Family Doctor, we partner with you for better health and care coordination.

Exceptional, Patient-Centered Care for Your Family’s Health

At Our Family Doctor, our mission is to provide exceptional healthcare and a superior patient experience. We have been recognized as a Patient Centered Medical Home (PCMH), which will further enhance our commitment to patient care. The vision of our physicians and the entire care team is to provide value to our patients by delivering individualized and exceptional care, in a cost effective manner with the implementation of technology to develop a new approach on health care.

Team Based Care

Within the PCMH, each member of the care team has their own unique role to play and works together with other team members to deliver patient centered preventive services, chronic disease management and complex care coordination. The team forms a working culture where the physician, medical assistant and other staff members collaborate so that all members of the team are functioning at the top of their licensure and skill sets.

Evidence Based Care, Protocols & Patient Registry

The PCMH will use care management guidelines and protocols for preventive services and chronic disease care that are based on clear medical evidence and are available to all members of the clinical team. he PCMH will maintain various lists of patients with particular conditions so that evidence-based parameters can be used to guide care and insure that the patients are receiving all that is necessary to reach their care management goals.

Patient Engagement

Including self management of chronic disease: The PCMH will develop a collaborative approach between patients and the care team using a shared agenda and clearly defined responsibilities that enhances the patient’s skills, education and self-efficacy in order to best manage their chronic disease.

Complex Care & High Risk Patients

The PCMH identifies high-risk patients, such as those with frequent visits, recent hospitalizations, or complex needs. A dedicated Care Team ensures comprehensive care, managing complex cases, coordinating care, and supporting smooth transitions between care levels.

Patient Centered Medical Home

What Does This Mean For You?

We partner with patients and healthcare resources to coordinate care and improve health outcomes. As a proud Patient-Centered Medical Home, we’re dedicated to evidence-based medicine and empowering patients with self-care resources. We are ACO members of Misson Health Partners, Aledade and Making Care Primary, to work closely with other providers to enhance communication, optimize resources, and deliver consistent, exceptional care for a seamless experience. Explore the resources we’ve gathered to support your health journey.

Patient Centered Medical Home

Exceptional, Patient-Centered Care for Your Family’s Health

Team Based Care

Evidence Based Care, Protocols & Patient Registry

Patient Engagement

Complex Care & High Risk Patients

What Does This Mean For You?

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