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Patient-Centered Medical Home

Patient Centered Medical HomeOur Patient-Centered Medical Home is a new model for primary care where all aspects of your care are coordinated through your Primary Care Provider (PCP) to ensure you receive excellent care in the right place, at the right time, and in the manner that best suits your needs.

Although the Patient-Centered Medical Home term may be new to you, this is a model of primary care we have always delivered at Sansum Clinic, with a focus on comprehensive, team-based, coordinated care, and an emphasis on quality and safety. We have been recognized by the NCQA for successfully implementing this model in each of our Primary Care sites,

At Sansum Clinic, our Patient-Centered Medical Home is not a place, it’s a partnership among practitioners, patients and families, and other members of the healthcare team to ensure that you have the education and support you need to make informed decisions and participate in your own healthcare.

Read more here: Patient-Centered Medical Home.pdf

Primary Care Physicians

Primary care physicians serve as the frontline of preventive healthcare. Our primary care physicians offer primary healthcare services provide coordinated care between our primary care physicians and highly trained specialists, allowing for consistent access to comprehensive care - right here in our own community.

Preventive Healthcare

At Sansum Clinic, our primary care physicians consider the whole person in preventive and diagnostic healthcare, rather than individual systems or organs. Our integrated model is built upon a team approach that brings together physicians, nurse practitioners, medical assistants, nurses and other clinical staff to deliver coordinated care that includes:

  • Preventive healthcare
  • Management of existing medical conditions
  • Healthcare plans for chronic conditions
  • Coordination between PCPs and specialists
  • Access to and education about self care between appointments

Our primary care physicians coordinate our patients' care and manage puzzling medical conditions associated with that care, bringing in specialists as needed. Internists combine the role of a diagnostician and a consultant in disease prevention and health promotion, providing a continuum of care for patients with physicians across various specialties when multisystem diseases occur.

If our patients require care from physicians in other Sansum Clinic specialties, or require lab testing or radiology imaging, our primary care physicians coordinate the care and consult on issues related to diagnosis, treatment and patient care. The Wave, our electronic health record system enables all healthcare providers to share information, making the referral and consultation process more efficient.

Sansum Clinic Primary Care Reach Level 3 Patient-Centered Medical Home Recognition

All 7 Sansum Clinic Primary Care sites have achieved Level 3 Patient-Centered Medical Home Recognition.(Level 3 is the highest-achievable recognition.)

Sansum Clinic cannot thank our staff enough for their leadership, time, and dedication toward this effort. It is because of our staff that we were able to design and implement these tools and workflows. This recognition not only positions Sansum Clinic well in the face of an ever-changing healthcare environment, but it allows us the opportunity to reinforce and showcase the way we care for our patients – with a patient-centered approach.

NCQA works with practices to make sure they follow guidelines, so patients get the best care at the right time. Participation in a program shows a provider's commitment to improving their patient's health.

View the NCQA Report Cards here.