PCMHWhat is a Patient Centered Medical Home (PCMH)?

PCMH is a team-based approach to care that gives you a medical team focused on your individual needs.

Your Guthrie team is led by your primary care provider, who partners with you to provide the coordinated care you need for your physical and mental health. This includes prevention and wellness, sick care and management of long-term conditions. Your team will develop an individualized care plan and coordinate the care you need with specialists, nurse practitioners, physician assistants, nurses, nutritionists, educators, care coordinators and your family.

What are the benefits?

Instead of treating you only when you’re sick, the medical home team’s goal is to prevent illness and injury and closely manage chronic diseases. This approach can mean fewer hospitalizations and emergency department visits.

With our electronic medical records, everyone on your Guthrie care team has access to your health information. This improves care, and means you don’t have to go over your information with every provider at every visit.

Your medical home team will change as your health needs change. When you need a specialist, your primary care provider will find the right one for you and coordinate your care.

Social Needs and Your Health

Social determinants of health (SDOH) are things in your environment that can also impact your health. They include basic needs such as food, shelter and transportation.  

Click here for a list of community resources in New York and Pennsylvania: https://www.guthrie.org/sdoh