10% - PASRR Technical Assistance Center

Components of the Health
Care Home
• Personal physician – Each patient has an ongoing relationship with a Primary Care
Physician (PCP),
• Monitored, coordinated and integrated care using electronic medical records and
personal health records
• Measured and managed adherence to evidence-based practices by the care team
and the patient
• Whole person” orientation toward adherence,
• Health coaches, who are trained to provide first-contact, continuous and
comprehensive care, are competent in the use of active listening, health coaching,
evidence-based, clinical information technology, and population-based outcome
improvement and measurement.
• An Organization responsible for the ongoing care of patients. The day-to-day
operation is focused on managing population-based outcomes and maximizing
individual adherence to a distinct, customized self-care management program that
leverages information technology