Patient-Centered Medical Home



MCHP health centers, Bakersville Health Center (BCHC) and Spruce Pine Health Center (SPHC), received the highest level of recognition as a Patient-Centered Medical Home (PCMH) from the National Committee on Quality Assurance (NCQA) in 2015 and 2017. Celo Health Center received recognition in 2014 and are currently working on recognition for 2017 PCMH standards. The PCMH is a model of patient care delivery that is team-based and led by the patient’s choice of health care provider who provides continuous and coordinated care to maximize health outcomes. The patient and family are members of the team are an integral part of decision making.


The five core attributes of the PCMH as defined by the Agency for Healthcare Research and Quality are:

  • Patient-centered: The PCMH supports patients in learning to manage and organize their own care based on their preferences, and ensures that patients, families, and caregivers are fully included in the development of their care plans. It also encourages them to participate in quality improvement, research, and health policy efforts.

  • Comprehensive: The PCMH offers whole-person care from a team of providers that is accountable for the patient’s physical and behavioral/mental health needs, including prevention and wellness, acute care, and chronic care.

  • Coordinated: The PCMH ensures that care is organized across all elements of the broader health care system, including specialty care, hospitals, home health care, community services, and long-term care supports.

  • Accessible: The PCMH delivers accessible services with shorter waiting times, enhanced in-person hours, 24/7 electronic or telephone access, and alternative methods of communication through health information technology (HIT).

  • Committed to Quality and Safety: The PCMH demonstrates commitment to quality improvement and the use of data and health information technology (HIT) and other tools to assist patients and families in making informed decisions about their health.