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What is PCMH?

Army Medicine is transforming from a healthcare system to a system for health beginning with our primary care services. We are transitioning to comprehensive, collaborative care. You, the patient, are our center, our focus, our partner in your healthcare journey. The Army’s primary care transformation model is Patient Centered Medical Home.

Mission

Build the premier patient-centered, team-based, comprehensive System For Health that improves readiness and promotes health.

Vision

Inspire life-long positive changes in our beneficiary’s health through Army Medicine’s Transformation from a healthcare system to a patient-centered System For health.

Operations

Patient Centered Medical Home is a multidisciplinary approach to deliver comprehensive primary care. The Medical Home is both (old-fashioned) traditional and revolutionary.

Traditional (old-fashioned) as in face-to-face visits with the same provider and healthcare team. Just as the old fashioned home town family doctor Medical Homes provides the patient continuity with the same team and same provider. They know you and you know them.

Revolutionary by having the care delivered through an integrated health care team who proactively engages patients as partners in health. Each patient will partner with a team of healthcare providers – physicians, nurses, behavioral health professionals, pharmacists, physical therapists, and others – to develop a comprehensive, personal healthcare plan.

The health care team priority is you – the patient. The team is there to help you navigate the system, coordinate the care for you and ensure you have a “warm handoff”. The health care team works with each patient over time to take care of health issues as they arise, ensure delivery of prevention screening and services, manage chronic conditions, and promote a spirit of health, wellness and trust.

Community Based Medical Homes

Community Based Medical Homes were developed to put patient centered care in our communities where our beneficiaries live. In the Community Based Medical Home, the healthcare team develops a comprehensive care plan as soon as the patient enrolls and then proactively engages the patient as a partner in care. This face-to-face encounter build trust, improves communication, and lays the groundwork for providing continuous care.

As part of our commitment to improved access, the Community Based Medical Homes offer a broader range of access options: group visits, enhanced telephone communication and web-based communication.

In the Community Based Medical Home, you share responsibility for your health. We encourage you to take an active role in your care by asking questions, participating in the decisions that affect you and your family’s health, and proactively communicating with your team when you receive care outside of your Medical Home.

We strive to provide same-day access with your health care team so that you won’t have to rely on urgent care centers or the emergency room for your primary care.

Studies show that when you receive care from the same health care team over time, you reduce hospitalizations and unnecessary lab tests, imaging studies, and prescriptions.

Solider Centered Medical Homes

SCMH Chart

The SCMH is for active duty Soldiers and its mission is to improve and enhance individual and unit medical readiness by utilizing the PCMH multidisciplinary health care team approach. An integrated and coordinated focus to ensure timely, accurate diagnoses, optimized return-to-duty rates and decreased Soldier recovery times. The SCMH integrates unit medical personnel with MTF personnel to provide one synchronized effort. Soldier Centered Medical Homes are located in or near a brigade.

The PCMH Model deploys the use of a daily huddle concept. The huddle is to discuss staffing, patients scheduled for the next 72 hours, visit preparation, transition of care such as patients who may have been released recently from the hospital, and clinic preparation for patients scheduled that day.

The huddle is an effective method of communication for the health care team which includes the Primary Care Manager, Core Team and Leadership.

Read more about SCMH

How Do I Get Care?

There are multiple ways to receive care in the way that works best for you.

We have learned from our experience and listening to you, that both face-to-face and non-face-to-face encounters (virtual care) are needed.

Although some medical needs require an appointment, many things can be more conveniently coordinated using technology.

Face to face appointments: You can schedule an appointment for a same day issue or in the future with your PCM. Although we want to maximize your appointments with your PCM, if you need to be seen during a time when your provider isn't available, we'll get you in to see one of the providers on your team.

Secure Messaging: Army Medicine Secure Messaging Service (AMSMS) allows you to directly contact your team through the web. Through this service, patients can initiate a web visit consultation, receive preventive care reminders, send a note to the provider’s office, request test results, and ask for prescription renewals. See your Medical Home team to get enrolled in secure messaging.

Tricare Online: Tricare Online allows you to schedule an appointment, review laboratory results, and view health education material.



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Veterans Suicide Prevention Hotline

800-273-TALK (8255)

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800-SUICIDE (784-2433)

U.S Army Wounded Soldier & Family Hotline

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877-746-8563

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