Preventive Care

Specialty Care at the 97th Medical Group – Altus AFB consists of: 

• Allergy & Immunizations 

Patient Centered Medical Home 

The PCMH Model is a framework of care that places the patient at the center of care, emphasizes care coordination, communication, and is designed to provide primary health care that is relationship-based, with the whole-person concept in mind. PCMH is an accredited care standard that focuses on access to care, effective primary care manager and teamwork in partnership with the patient and their family, education, and self-management by the patient and with the patient. Additionally, this model’s focus is to provide quality accessible health care by a team of professionals who know and understand your family and its unique needs.  

Your PCMH team can include: 

• Physicians 

• Nurse Practitioners 

• Physician Assistants 

• Nurses 

• Pharmacists 

• Case Managers 

• Medical Technicians 

• Integrated Behavioral Health Consultants 

• Medical Support Assistant 

The PCMH coordinates care across all elements of the health care system including specialty care, hospitals, home health care, and community services.  

PCMH Mission and Vision 

Mission 

Delivering the highest-quality, evidence-based, patient-centered care to enrolled patients through team-oriented processes, increased access, improved provider continuity, enhanced communications, and coordinated prevention, education, and management of patients.  

Vision

Ensure the operational health and readiness of all service members and ensure clinical currency of team members.   

PCMH Goals 

The PCMH model focuses on providing high-quality, patient centered, care by fostering strong relationships between patients, families, and care teams. Our goals are: 

1. Patient-Centered Care. We deliver care that respects each patient’s unique needs, culture, values, and preferences. We actively support patients in managing their care and include family members in setting goals and care plans.  

2. Comprehensive Care. A dedicated team of providers addresses all physical and mental health needs, including prevention, wellness, and acute or chronic conditions.  

3. Coordinated Care. We ensure seamless coordination across specialties, hospitals, home care, and community services.  

4. Access to Care. Our goal is to reduce wait times, provide extended in-person hours, and offer 24/7 telephone or electronic access to care teams.  

5. Commitment to Quality and Safety: We use evidence-based practices, monitor feedback, and implement improvements to deliver timely, effective care.  

Additionally, we foster a culture of collaboration with patients to improve health outcomes while optimizing clinical teams to maximize their skills and scope of practice. For assistance with selecting or changing your primary care manager or for questions about referrals, please contact the Beneficiary Services Representatives at 580-481-5362 or visit the TOPA office.