Download Patient Centered Medical Home Compact

Foothills Health & Wellness Center
Patient Centered Medical Home Compact
A Patient Centered Medical Home is a trusting partnership between a healthcare team and an
informed patient. It includes an agreement between the healthcare provider and the patient that
acknowledges the role of each in the medical home.
Your medical team will strive to:
 Give the care you need when you need it.
 Give the care that meets your needs and fits with your goals and values.
 Give care that is based on quality and safety.
 Respect your privacy
 Respect your as an individual.
 Make sure you know and understand all of your options of care.
 Ask you to help plan your care and let us know if you think you can follow the plan.
 Continue to increase the use of technology in the way we manage your care in ways such
as ePrescriptions and electronic medical records.
 Give you information about classes, support groups and other services to help you learn
more about your condition and stay healthy.
We trust you, our patient to:
 Tell us what you know about your health and illnesses.
 Tell us about your needs and concerns.
 Take part in planning your care.
 Follow the care plan that is agreed upon, or let us know why you cannot so we can try to
help and change the plan.
 Let us know when you see other doctors and what medications they put you on or change.
 Keep your appointments as scheduled, or call and let us know when you cannot (at least 24
hours in advance).
 Give us feedback so we can improve our service.
As part of our Patient Centered Medical Home orientation, we will ask you to acknowledge your
agreement to the above, as we acknowledge our agreement to you.
Either you or your healthcare provider may end this partnership at any time. If you choose to end the partnership,
please notify us. If your healthcare provider ends the partnership, we will notify you in writing with an explanation.
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