As a primary care provider, PCMH is a key foundation in delivering quality patient care with development of provider and patient relationships. Allowing the patient to be the core of care will improve not only how effective the treatment plan is, but improve the outcome. Another key feature of PCMH as a primary care provider is the improvement of accessibility for the services offered. After hours, care decreases the need for patients to seek medical attention in an outside organization such as an urgent care setting. This will improve accessibility to patient medical records for the afterhours clinician to ensure the treatment plan is appropriate for the patient. Overall, improving the coordination of patient care improves provider and patient satisfaction, is cost effective and a commitment to provide effective quality patient care.