Some practices around the country participate in Patient Centered Medical Home (PCMH) programs that manage care for a specific patient population from initial appointment through recovery. Often called neighborhoods, these programs include a coordinated community of providers with robust systems for managing patient care and jointly reporting quality metrics. The programs often result in increased quality, lower costs and better value to the patient.

HOPCo helps practices and physicians participate in initiatives that support the implementation of PCMH-related tools and processes. Based on the National Joint Care Principles, we help you achieve designation by tracking:

  • Coordination of Care
  • Extended Access
  • Individual Care Management
  • Linkage to Community Services
  • Patient-Provider Partnership
  • Patient Registry
  • Patient Web Portal
  • Performance Reporting
  • Preventive Services
  • Self-Management Support
  • Specialist Referral Process
  • Test Results Tracking

HOPCo works closely with practices participating in PCMHs. We can create a process to track quality requirements for these programs, and submit regular reports to the PCMH. If you participate in a PMCH, contact us to learn how we can help you track your quality outcomes.


The CORE Institute – Michigan earns national recognition for patient-centered care. With participation in the BCBS PCMH program, one of the largest of its kind in the country, participating physicians keep their patients healthy and prevent complications that require treatment with expensive medical services.

To date, the BCMS PCMH program has saved an estimated $427 million from July 2008 through June 2014.