Patient Medical Home (PMH)
A PMH is a family practice defined as the place patients feel most comfortable to discuss their personal and health concerns. The Most Responsible Provider – usually the family doctor but sometimes the nurse practitioner– works collaboratively with a team of health professionals, either within or linked with the practice, to deliver longitudinal, comprehensive and co-ordinated care of patients.
In BC, the patient medical home is being recognized as the foundation on which to build a streamlined and accessible service to patients. The following illustration shows the framing of a patient medical home in BC.
The service attributes of a patient medical home are based on the framework and pillars created by the College of Family Physicians of Canada (CFPC). Based on CFPC definitions, the 12 attributes of a patient medical home in BC support the overall goal of patient-centred, whole person care.To acknowledge the central role that networks of family physicians/patient medical homes will play through divisions and in their partnership with health authorities, the GPSC has added two attributes of a patient medical home: FP Networks Supporting Communities and FP Networks Supporting Practice.
A primary care network (PCN) is a network of family practices (patient medical homes) in a defined geography linked with primary care services delivered by a health authority and other community-based organizations and services. Collectively, PCNs will enable patient medical homes to expand services for their own practice population, and participate in collaboratively providing access and services to patients in the community not currently attached to patient medical homes.
Across these clinical settings, communities will vary in how the comprehensive primary care services are organized and offered. This might look quite different in rural vs urban communities.