Healthy North Coast

Patient Centred Medical Home

logo-pcmh-300x267Patient Centred Medical Home (PCMH) Program

Last week NCPHN launched the Patient Centred Medical Home (PCMH) Program with the release of the first version of a Handbook for general practices, plus an introductory video and website resource.

Patient Centred Medical Home LaunchThe PCMH model of care puts the patient at the centre of their care, helping to ensure each patient has the care team they need. This in turn then provides ongoing, holistic care from various linked up health professionals including the GP, allied health, specialists and community health services. Internationally this model of care has demonstrated effectiveness and efficiencies in improving health outcomes for patients.

NCPHN will work with selected practices that express interest in becoming medical homes through the PCMH Program. Practices that sign up to be part of the PCMH Program will be supported by the NCPHN with resources and tools to make changes to their practice that will improve patient experience, health outcomes, cost efficiency and clinician experience. Practices in the PCMH Program will lead the type of change they wish to implement and suggestions of what has worked elsewhere in Australia or internationally will be provided to aid the change process.

NCPHN’s Chair Dr Tony Lembke said when launching the handbook that International evidence shows that patients receive the best care when they develop long term relationships with an individual practitioner.

“Under this model, the general practice partners with patients to become their medical home The medical home helps to connect and coordinate care provided by community health services, community nurses, psychologists, medical specialists and the hospital system.

“Patients with chronic conditions and complex needs are particularly well served under the PCMH model. The medical home takes responsibility for expanding a patient’s care team when it’s needed.

“NCPHN’s aim in this program is to ensure that we improve health care, make it more efficient and link patients up with the care they need when and where they need it,” said Dr Lembke.

General practices are invited to register their interest in NCPHN’s PCMH program – click here.


To find out more about the PCMH Program, watch the video and download a copy of the handbook visit