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Patient Centered Medical Home

Academy Children’s Clinic is recognized by the National Committee of Quality Assurance (NCQA) as a medical home facility

·        The practice provides continuity of care; communicates its roles and responsibilities to patients/families/caregivers, and organizes and trains staff to work to the top of their license to provide patient-centered care as part of the medical home.

·        The practice demonstrates that it is involved in at least one state or federal initiative or population-based care learning collaborative.

·        Communication among staff is organized to ensure that patient care is coordinated, safe and effective.

·        The practice has at least one care manager qualified to identify and coordinate behavioral health needs.

·        The practice captures and analyzes information about the patients and community it serves, and uses the information to deliver evidence-based care that supports population needs and provision of culturally and linguistically appropriate services. Comprehensive health assessment includes:

·        Medical history of patient and family.

·        Mental health/substance use history of patient and family.

·        Family/social/cultural characteristics.

·        Communication needs.

·        Behaviors affecting health.

·        Social functioning.

·        Social determinants of health.

·        Developmental screening using standardized tools.

·        The practice connects with health care facilities to support patient safety throughout care transitions. 

·        The practice receives and shares necessary patient treatment information to coordinate comprehensive patient care.