Patient-Centered Medical Home




  • What is a Patient-Centered Medical Home?

    Couple WalkingA patient-centered medical home (PCMH) is a team approach to caring for patients in the primary care setting. Your team may include physicians, nurses, physician assistants, nurse practitioners, pharmacists, dietitians, social workers, health educators, and care coordinators. Of course, you and your support person or persons are at the center of your care.

    Your patient-centered medical home at Memorial will:

    • Help you manage your healthcare, including chronic conditions such as diabetes.
    • Listen to your concerns and answer your health questions.
    • Coordinate your care through additional services, such as specialists, home healthcare, rehabilitation, and community and social services.
    • Encourage you to be active in your own healthcare.
     
    What You Can Do

    Here are some tips to help you make the most of your appointment at your PCMH:

    • Write down the names of your healthcare team members.
    • Bring a list of questions for your team. Write down the answers.
    • Share your struggles and successes.
    • Bring all of your medications (prescriptions and over-the-counter) with you.
    • Bring your list of blood sugar or blood pressure readings and daily weights you have recorded at home.
    • Repeat, in your own words, the things you have discussed with your team. If there is something you do not understand, ask for clarification.
    • Ask your team how to reach them after hours.
    • Register for MyChart, a free, secure online patient portal that allows you to send private messages to your healthcare team 24 hours a day.
    • Participate in developing your plan of care and follow it to achieve your health goals.
    • Tell your team if you are having trouble following your plan of care.
     
    Patient Testimonials

    Learn how Patrick Atoa beat diabetes with the help of a nurse care coordinator at the Center for Internal Medicine.

     

    Frances Allen got help managing her diabetes from her patient-centered medical home (PCMH) at Memorial Medical Associates. Hear about her amazing results.

     
    What is Level 3 Recognition?

    PCMHMemorial Health University Physicians’ (MHUP) primary care practices have been recognized as Level 3 patient-centered medical homes by the National Committee for Quality Assurance (NCQA). This is the highest level of recognition a practice can earn.

    To earn recognition, which is valid for three years, the MHUP primary care practices demonstrated the ability to meet the program’s key elements, which include using evidence-based, patient-centered processes that focus on highly coordinated care and long-term, participative relationships. NCQA standards align with the joint principles of the patient-centered medical home established with the American College of Physicians, the American Academy of Family Physicians, the American Academy of Pediatrics, and the American Osteopathic Association.

    Our Care Coordinators  

  • Stephanie E. Alston, R.N., MSN Ed., CDE, is a registered nurse with more than 25 years of experience in healthcare. She has worked in community health, nursing education, and case management, and is a certified diabetic educator. She is a graduate of Excelsior College where she earned a Bachelor of Science and a Master of Science in Nursing Education. She is a member of Sigma Theta Tau International, Honor Society of Nursing.

    Cindy Brennan, R.N., earned her nursing degree from Armstrong State University. She has more than 30 years of nursing experience in Georgia, Florida, and Tennessee. She has worked at Memorial Health since 1995 in various roles, including nurse manager of the pediatric intensive care unit and director of medical staff services.

    Angela Kaylor, MPH, BSN, R.N., is a registered nurse with 20 years of experience in healthcare. She has worked in health promotion, disease prevention, health education, corporate wellness, and primary care. She is a graduate of Armstrong State University where she earned a Bachelor of Science in Nursing and a Master of Science in Public Health.

    Michelle Antolos Stamper, BSN, R.N., is a graduate of Hawaii Pacific University. For nearly two decades she has worked as a nurse in oncology, pulmonology, and extensively in gastroenterology. She is passionate about empowering patients with education and information to help them lead more fulfilling lives in our changing healthcare landscape.

    Claire Tackett, R.N., a graduate of Armstrong State University, worked in coronary and progressive care in the hospital setting for 15 years. She has 17 years of management experience in health promotion and mammography. She believes that educating patients is critical to a healthy life and that’s why she enjoys working with patients as a care coordinator at Memorial.

    Amy Zeugin, R.N., has more than 10 years of experience caring for a diverse patient population in primary and specialty care. She enjoys working with children and their parents to help kids get a healthy start from birth.