Patient Centered Medial Home | UnityPoint - Fort Dodge

Patient-Centered Medical Home

Our Patients Come First

At UnityPoint Clinic, our patients come first. Our top priority is to make your health care experience the best it can be. This is why the entire UnityPoint team is working together to coordinate and improve the way you receive care - from our clinics to hospitals to home care - by implementing Patient-Centered Medical Home (PCMH) as our primary care model.

What is Patient-Centered Medical Home?

Patient-Centered Medical Home is an initiative to improve primary care for the patients and communities we serve. We are doing this by focusing on the distinct role of each team member and how each position helps our team meet and exceed your expectations and unique health care needs.

Patient-Centered

You are at the center of everything we do, which is why our goal is to provide care that is accessible, convenient, coordinated and effective.

Medical Home

The relationship you have with your primary physician is important to your health and wellbeing, which is why your primary care clinic is your "Medical Home." At your medical home, a team of health care professionals are familiar with your unique health care needs, help coordinate with other providers when needed and take responsibility for providing efficient and effective care for each and every patient.

“I see PCMH as the infinity symbol. The care is never-ending, and patients stay in the loop. If a patient needs care outside of the doctor visit, we guide them and follow them. If a patient is well, we continue to see them for maintenance. We are continually caring for the patient.” - Dawn Harnack, RN, CDE, Care Coordinator Family Medicine – Waukee | Grimes

Goals of PCMH

PCMH uses a coordinated care approach to guarantee you receive the best health services available - in the hospital, clinic, or from the comfort of your own home. UnityPoint Health is focusing on several key areas to positively impact the overall care and health each patient receives, including:

Enhanced Collaboration

By increasing collaboration among each patient's’ clinical team, we will improve patient care and health tracking. We follow your care wherever it takes you, from tests referrals to procedures and back. Your medical home will always have access to your health records and test results found on your electronic medical records.

Strengthen Patient-Provider Relationship

As your medical home, your primary clinic will be your go-to source for all your medical needs. This will allow each member of the team to become more familiar with your unique and ongoing health conditions and will strengthen the relationship you have with your primary provider.

A medical home will also allow our team to provide more personalized care that is coordinated more efficiently, improving outcomes and decreasing cost.

Enhanced Access to Care

We know health care needs don’t always occur at a convenient time, which is why we are committed to enhancing access to your medical information and medical advice, even after hours.

Provide Preventative Care and Resources

Using evidence-based guidelines, UnityPoint will plan and manage your care - from preventative to acute and chronic care management. Our team will also provide self-care support and community resources that will assist you and your family with learning how to best manage your health.

Roles of PCMH Team

By focusing on each distinct role of your clinical team, UnityPoint Clinic will be able to provide more efficient effective care. The roles of your PCMH include:

Patient Service Representative (PSR)

Each clinic will have a patient service representative to gather and update information via electronic communication or phone before your appointment. The PSR will also record any health concerns you have that need to be addressed during your appointment.

Clinical Staff

Upon entering your medical home, the clinical staff will begin medical engagement by verifying information, gathering vitals and communicating this information with your provider before he/she meets with you. The clinic staff will also help communicate any health concerns you have with your provider.

Primary Provider

Your primary provider leads your clinical team and takes on a majority the responsibility for your health care, education and support. Your primary provider will also make referrals and coordinate care with other providers and community services as needed.

Care Coordinator

The care coordinator will meet with you once you have seen your primary provider. The main role of the care coordinator is to assist with self-care support and provide community resources to help manager health conditions and prevent future health issues. The resources can include a dietician, gym referral, home health care and more.

The strength of your medical team depends on a few key building blocks:

  • Accessible: patients will have increased accessibility to medical care and advice through expanded hours, phone support and electronic communication. 
  • Comprehensive: each service provided is tracked throughout the patient’s entire path, from tests to referrals and through transition of care, and entail physical and mental health care needs and preventative care. 
  • Coordinated: care is organized across the entire UnityPoint health care system, encompassing clinics, hospitals and homecare. 
  • Quality: performance is tracked to monitor how we are delivering overall patient care to enhance quality and determine improvement areas. 

Increased Accessibility with MyUnityPoint

To provide higher levels of accessibility, MyUnityPoint.org gives you access to health care advice and information 24/7. On MyUnityPoint, you can request appointments, review medical records, refill prescriptions, view lab results and communicate with your primary care team through secure messaging.

Transforming the Patient Experience

Chris and Sharon are just two examples of how Patient-Centered Medical Home is transforming the way we deliver health care. Click the links below to learn more about these two patients’ experiences.

UnityPoint Clinic - Your Medical Home

With PCMH, your care is guided by your primary provider. From diagnosis to treatment and prevention, your unique health needs are our first priority. In the hospital, clinic or from home, each patient will receive the best health services and care available.