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Tuesday, December 20, 2016

Horn Physicians Clinics Making Transition to Serve Patients as a “Patient-Centered Medical Home”

Horn Physicians Clinic is in the transition of serving patients as a “Patient-Centered Medical Home” (PCMH).  The term “PCMH” is a new way of practice that promotes the patient to take active participation in their health.

Under the Patient Centered Medical Home concept, a stronger partnership is promoted between patient, healthcare provider, and the assigned care team.  This new model assists in delivering more coordinated, accessible, and higher quality healthcare experience by ensuring that patients’ preventive, acute, and chronic care needs are met.  This is done through enhanced communication and follow-up by the care team assigned to each patient.

Some key components of the Patient Centered Medical Home include a “healthcare coach”, a coordinated team approach, and the ability to communicate after hours with your provider.  Gedget Bauer, a long-time employee of HMH, was hired this fall as a Health Coach for the HPC Clinics.  Her vast responsibilities include working with “at risk” patient populations on chronic health management, preventative health, and education.  This is done in conjunction with the care team assigned to each patient.  As for the ability to reach a provider after hours, all providers at the HPC clinics will rotate on-call responsibilities, which includes responding to patients over the telephone to provide clinical advice, and/or arranging care during non-office hours.

Various responsibilities of the assigned care team include:  planning each appointment by reviewing medical records and making sure all required documents are in the chart upon each visit, follow-through to make sure testing is completed and results are obtained and shared with patients in a timely manner, follow-up on referrals to other healthcare specialists, making sure appointments are kept and that specialists have pertinent patient information before an appointment, and making sure that a patient’s regular provider receives the specialist’s recommendations.  The care team also makes sure that patients understand the instructions given by providers and are willing to work with patients in person or over the phone to ensure this.

As a Patient Centered Medical Home, there is more focus on prevention, education, and compliance based on a healthcare provider’s recommendations.  The overall goals and service at Horn Physicians Clinics will not change.  All staff are committed to compassionate, patient-centered care through education, promotion, and encouragement of healthy living, thereby improving quality of life within the communities HPC clinics serve.


Overall, the Patient-Centered Medical Home that HPC clinics is transitioning to will put the patient in the center of the healthcare system and ask them to take responsibility for their own health.  It will also enhance patients’ personalized care, serve as a guide through the complex health system, offer better access to care, and teach better problem-solving strategies for managing chronic health conditions.  For an appointment to any of the Horn Physician Clinics, please call: 364-2514 in Ida Grove, 668-2232 in Odebolt, and 881-4676 in Mapleton.