Patient Centered Medical Home

Midway Specialty Care Center has adopted the Patient-Centered Medical Home (PCMH) model, which is a new way of delivering healthcare , that promotes a partnership between patients and their healthcare team, providing accessible, coordinated, comprehensive, and continuous quality health care, ensuring that all of their preventive, acute, and chronic care needs are met, emphasizing efficient and timely service delivery.


  • Patient-centered: A partnership among practitioners, patients, and their families ensures that decisions respect patients’ wants, needs, and preferences and that patients have the education and support they need to make decisions and participate in their own care.
  • Comprehensive: A team of care providers is wholly accountable for a patient’s physical and mental health care needs, including prevention and wellness, acute care, and chronic care.
  • Coordinated: Care is organized across all elements of the broader health care system, including specialty care, hospitals, home health care, community services and supports.
  • Accessible: Patients are able to access services with shorter waiting times, “after hours” care, 24/7 electronic or telephone access, and strong communication through health IT innovations.
  • Committed to quality and safety: Clinicians and staff enhance quality improvement to ensure that patients and families make informed decisions about their health.


The medical home responsibilities of Midway Specialty Clinic includes but is not limited to following:

  1. Coordinating patient care across multiple settings.
  2. Providing information to patients on how to obtain care and clinical information during office hours and after the office is closed.
  3. Obtaining complete medical history from all patients including care obtained outside of the practice.
  4. Providing evidence-based care, patient/family education and self-management support.
  5. Providing access to behavioral health management as part of its scope of services.
  6. Providing equal access and quality of care to all patients regardless of payment source.
  7. Providing information to uninsured patients on how to obtain medical coverage.
  8. Give instructions to patient and family on how to and who to contact when transferring medical record to the practice.


All patients are expected to be an active participant in their health care by:

  1. Assuming responsibility for certain aspects of their care.
  2. Providing the health care team with a complete medical history including access to a prior medical record.
  3. Preparing for their appointment by bringing a list of their medications and any questions or issues that they have with regard to their diagnosis and treatment.
  4. Following the Care Plan that the health care team has developed for them and communicating with the health care team any deviation from that plan.
  5. Contacting the clinic for advice before going to the Emergency Room for non-urgent conditions.
  6. Working with the care team to learn how to self-manage their care.


All patients are informed of their medical home responsibilities and that of the Midway Specialty Care Clinic Care Team by way of the following:

  • Medical Home Brochure which is made accessible to all patients in the reception area and in the exam rooms. This brochure is part of the orientation packet given to all new patients. This information is also made available on Midway Specialty Care Website.
  • A letter outlining the responsibilities of patients and the clinic are given to all new patients.