The Patient Centered Medical Home is concept based on teamwork – between physicians and their staff, primary care doctors and specialists and the patients. Together, the members of the team will used evidence based guidelines to focus on the care and services that are needed, including behavioral health.

Communication: Close contact with between patient and care team is important. A major objective is to utilize electronic media. However, phones, faxes and mail are still to be used. This is important to monitor care

Patient involvement is very important. Patients are expected to take an engaged, active role in their care.
Preparing for visits, discussing concerns and sharing health-related goals is very important.