Table 2.

Incorporation of the principles of the patient-centered medical home into the Weill Cornell Community Clinic (New York, NY, USA) practice

Components of the PCMH	Implementation within the WCCC
A personal physician within a physician-directed medical practice	• Clinical Directors oversee patient care for a full year
	• Senior Clinicians act as primary care providers for 6 week blocks
	• The Continuity of Care Program matches medical students with patients
	• Board and directors meet weekly with Senior Clinicians to discuss all patients seen during the week and care is reviewed as a team
	• Policies and practices are discussed as a board
Whole-person orientation and integrated care	• All new patients receive psychosocial screening and evaluation for insurance eligibility; this is repeated annually
	• WCCC encourages regular appointments for health care maintenance by scheduling follow-up care at the end of an appointment
	• In-house women’s health and mental health nights occur every 3 weeks
	• Agreements with various specialists for low-cost referrals paid for by the WCCC
Quality and safety	• Adoption of EpicCare (Epic Systems Corporation, Verona, WI, USA) for EHR
	• Health care maintenance lists with screenings and vaccinations are created for each patient at the beginning of a clinic night to encourage appropriate preventative care
	• Measurement made of health care provider hand-washing compliance
	• Nightly checklist ensures all patient needs are met before leaving clinic
	• Clinical operations are updated annually to ensure continuity during annual board transition
Enhanced access	• Patients can contact the clinic via phone or email, with messages rapidly triaged by the clinical directors to ensure appropriate and timely follow-up

Abbreviations: EHR, electronic health records; PCMH, patient-centered medical home; WCCC, Weill Cornell Community Clinic.