Patient Centered Medical Home

Patient Centered Medical Home (PCMH)/Accountable Care Organization (ACO)

CLINICAL

Reduce and optimize medication therapy.
Increase compliance and adherence with medication regimen.
Improve quality of life.
Improve clinical outcome of disease management.
Employ self-management.

ECONOMIC

Decrease morbidity, mortality and cost burdens that result from inadequate management of chronic disease states.
Reduce readmission rate.
Reduce drug costs.
Increase access to care; increase patient satisfaction.
Increase provider experience.
Avoid litigations resulted from ineffective outcomes or adverse events.

EFFICACY

Optimize medication therapy through comprehensive and coordinated approach.
Improve transition of care.
Improve record keeping and communication; increase accountability.
Provide Personal Medication Record and Medication Action Plan.
Improve Quality Metrics including MIPS, STAR Ratings and HEDIS.

SAFETY

Resolve and prevent medication related problem.
Avoid adverse outcomes.
Avoid medication error.

Patient Centered Medical Home/ ACO

Our Board Certified Clinical Pharmacist Practitioners in collaboration with physicians and other medical providers

Perform comprehensive medication therapy management and a systematic approach to optimize patient outcomes and reduce costs.
Evaluate and manage chronic disease states based on clinical practice guidelines.
Recommend and individualize disease state goals based on patient’s need.
Employ motivational techniques to tailor programs for smoking cessation, lifestyle and behavior changes, and educating groups about disease risk reduction.
Formulate patient‐centered treatment plans for complex patients and self-engagement.

Our Clinical Pharmacist Practitioners address Medication Therapy Management (MTM) in a compassionate, comprehensive and integrative manner utilizing a collaborative and coordinated approach. Emphasis is placed on the delivery of rational drug therapy, a comprehensive review of herbal products and supplements patient is