The Patient-Centered Medical Home (PCMH) is a care delivery model in which patient treatment is coordinated through primary care physicians to ensure patients receive the necessary care when and where they need it, in a manner they can understand.

The goal of the PCMH model is to:

• Strengthen the role of the PCP in the delivery and coordination of health care through
  a team-based approach
• Support population health management, which uses a variety of individual,
  organizational and cultural interventions to help improve the illness and injury burden
  and the healthcare use of defined populations
• Ensure effective communication, coordination and integration among all PCP and
  specialist practices, including appropriate flow of patient care information, and clear
  definitions of roles and responsibilities
• Support the quintuple aim (reduce cost, improve appropriate utilization, quality, health
  outcomes, patient experience, and provider well-being)