what is patient centered medical home

These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Patient-Centered Medical Home is an initiative to improve primary care for the patients and communities we serve. Modeling of a hypothetical practice found between a 2% to 20% increase in revenue (dependent on payment models). Curr Opin Obstet Gynecol. All information these cookies collect is aggregated and therefore anonymous. The ACI partners with patients, carers and families to make sure their experience guides the development of ACI initiatives. Research shows that they improve quality, the patient experience and staff satisfaction, while reducing health care costs. The patient-centered medical home (PCMH) concept has been steadily gaining attention for years. Heres how it works. In the past we have given you a handy guide for navigating the tricky acronyms elder care professionals and caregivers frequently come across. The makeup of the PCMH and the healthcare neighbourhood depend on the roles or services needed or available in a geographic area. Copyright 2022 National Committee for Quality Assurance. Research shows that they improve quality, the patient experience and staff satisfaction, while reducing health care costs. Youd like your doctors help and maybe some testing, like thyroid. That's the main premise of the patient-centered medical home (or PCMH for short), which is a healthcare delivery system that has gained popularity in recent years with its collaborative, interlocked approach to comprehensive care. The National Academy for State Health Policy (NASHP) is a nonpartisan forum of policymakers throughout state governments, learning, leading and implementing innovative solutions to health policy challenges. NCQA's Patient-Centered Medical Home Recognition Program is the most widely adopted Patient-Centered Medical Home evaluation program in the country. doi: 10.1007/s11606-013-2677-9. What Medicaid patients are eligible for participation in a health home? Focused on enhancing patient outcomes by transforming the delivery of care, this unique model is touted as a promising solution to improving health care in the United States. Image used with permission of Dr Tony Lembke, General Practitioner. 2012 Dec;24(6):458-64. doi: 10.1097/GCO.0b013e32835998ae. A patient-centered medical home is a doctor's office or clinic where you have a team of healthcare workers who will care for all of your health needs. 03.09.2021 What is traditional patient care? The medical home is best described as a model or philosophy of primary care that is patient-centered, comprehensive, team-based, coordinated, accessible, and focused on quality and safety. Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight lossfrom exercises to build a stronger core to advice on treating cataracts. Pursuant to G.L., c. 6D, 15, the HPC is required to develop and implement standards of certification for patient-centered medical homes. sharing sensitive information, make sure youre on a federal Edibles and children: Poison center calls rise, Motorcycle rallies and organ donation: A curious connection. The health care industry is shifting to a more customer-focused, patient-centered care model. Terms of Use, Patient-Centered Specialty Practice (PCSP), Credentials Verification Organization (CVO), Managed Behavioral Healthcare Organization (MBHO), Health Information Technology Prevalidation Programs, Virtual Seminars, Webinars and On-demand Training, Advertising and Marketing Your NCQA Status, Distinction in Behavioral Health Integration, Getting Started Toolkit: Get Started With NCQA PCMH Recognition, Benefits to Practices, Clinicians and Patients. It deserves to be implemented, but also needs to be studied more. PCMH is a model of healthcare where patients have a direct relationship with a provider who coordinates a cooperative team of healthcare professionals, takes collective responsibility for the care provided to the patient and arranges for appropriate care with other qualified providers as . Thats why we undertook this long, expensive, and psychologically challenging career path. to assist with transitioning young adults with chronic conditions into adult care settings. It is not about a physical location. Not just any practice can up and decide that theyre a medical home. There is a rigorous certification process through an outside agency, and then there is oversight to ensure that goals are being met. Most also showed that both patients and providers liked the new model. We are doing this by focusing on the distinct role of each team member and how each position helps our team meet and exceed your expectations and unique health care needs. Here's how it works. The PCMH may have a small number of patients, and the capacity to provide comprehensive and coordinated care. More than 12,000 practices (with more than 60,000 clinicians) are recognized by NCQA. What is patient-centered care in nursing? Internet Citation: Patient Centered Medical Home (PCMH). We do not share your information with third parties. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Before As more emphasis is placed on value-based care, many state and Federal programs are embracing the patient-centered model of care. Eligible clinicians (EC) in a practice that has received PCMH recognition from the following organizations will automatically receive full credit for the MIPS IA category: Accreditation Association for Ambulatory Health Care (AAAHC), Accrediting bodies that have certified 500 or more practices. These services form part of the healthcare neighbourhood. Recently two community-based care models have garnered a great deal of attention: the patient-centered medical home (PCMH) model and the concept of Medicaid health homes. According to the Patient-Centered Primary Care Collaborative, clinicians practicing within the medical home model: As of early 2011, the Patient Protection and Affordable Care Act (ACA) health reform law established health homes as a Medicaid option to provide services specifically for beneficiaries with chronic conditions. What has your experience been with community-based care delivery models such as PCMH and Medicaid Health Homes? 2014 Jun;32(2):153. doi: 10.1037/h0099810. A Systematic Review. government site. The Patient Aligned Care Team (PACT) initiative (implemented . MeSH Then it takes a week or so to get an appointment. You can find the latest versions of these browsers at https://browsehappy.com. Healthcare organizations are operating on slimmer profit margins than ever. Patients & Families About Primary Care Homes Find a Primary Care Home near you! The Patient Protection and Affordable Care Act (ACA) offers enhanced federal funding to states for health homes serving Medicaid beneficiaries. The, National Care Coordination Standards for Children and Youth with Special Health Care Needs. AHRQ is developing resources for organizations that are interested in providing practice facilitation services to primary care practices. Reports are available below: For list of Medicaid Update Articles on PCMH initiatives in Medicaid please see Patient Centered Medical Home (PCMH) under the topic directory. This concept is an . Details about the medical home, why it's important, what it should include and links to medical home resources for pediatricians. Federal government websites often end in .gov or .mil. Most definitions of patient-centered care have several common elements that affect the way health systems and facilities are designed and managed, and the way care is delivered: The health care. Saving Lives, Protecting People, Division for Heart Disease and Stroke Prevention, A Summary of State Patient-Centered Medical Home Laws2016, A Summary of State Patient-Centered Medical Home Laws, December 2013, Community Guide: Cardiovascular Disease: Team-Based Care to Improve Blood Pressure Control, Surveillance and Evaluation Data Resource Guide for Heart Disease and Stroke Prevention Programs, National Center for Chronic Disease Prevention and Health Promotion, Federal Hypertension Control Leadership Council, Resources for State, Local, and Tribal Grantees, Paul Coverdell National Acute Stroke Program, Emergency Medical Services and the Coverdell Program, Building GIS Capacity for Chronic Disease Surveillance, Interactive Atlas of Heart Disease and Stroke, Local Trends in Heart Disease and Stroke Mortality Dashboard, Cardiac Rehabilitation Change Package (CRCP), Promoting Policy and Systems Change to Expand Employment of Community Health Workers (CHWs), Best Practices for Heart Disease and Stroke: A Guide to Effective Approaches and Strategies, How to Promote Heart Disease and Stroke Prevention in the Workplace, Heart-Healthy and Stroke-Free: A Social and Environmental Handbook, SSOC: Policy Evidence Assessment Reports (PEARs), Public Access Defibrillation State Law Fact Sheet, Sodium Reduction: Policy Evidence Assessment Report (PEAR), Sodium Reduction: State Interventions by Evidence Level, Patient-Centered Medical Home (PCMH) Model, Emergency Medical Services (EMS) and Community Paramedicine, Emergency Medical Services Home Rule State Law Fact Sheet, Surveillance and Evaluation Data Resource Guide, Community-Clinical Linkages Health Equity Guide, Pharmacists Patient Care Process Approach Guide, Practical Strategies for Culturally Competent Evaluation, Rapid Evaluations of Telehealth Strategies to Address Hypertension, Coverdell Program 2012-2015 Evaluation Summary, Coverdell Program 2012-2015 State Summaries, Sodium Reduction in Communities Program (SRCP), U.S. Department of Health & Human Services. There is no question that primary care really needs to change, and the PCMH model is incredibly promising. The Patient-Centered Medical Home | AAFP The Medical Home Building a medical home requires hard work from you and your practice team. What is meant by "patient-centered" in PCMH's? The Patient-Centered Medical Home is a model of care that puts patients at the forefront of care. The patient-centered medical home is a model of care that puts patients at the forefront of care. What are the chances that prostate cancer will return after surgery? Patient-Centered Medical Home A Continuum of Care - YouTube From an accredited hospital Learn how experts define health sources in a journal of the National Academy of Medicine Patient-Centered. At this point its all so frustrating that you may or may not ever make those calls to potential therapists. official website and that any information you provide is encrypted Save your favorite pages and receive notifications whenever theyre updated. You cant quite get your diet under control. The Patient Centred Medical Home (PCMH) model encapsulates an approach to healthcare delivery that is: patient-centred accessible comprehensive coordinated continuous committed to quality and safety. The goal of the PCMH model is to provide safe, high-quality, affordable, and accessible patient-centered care by promoting stronger relationships with patients, addressing care needs more comprehensively, and providing time to coordinate care across all sectors of the healthcare system. Here to Serve is uniquely positioned to help families with what hospitals call "Family-Centered Care," which is the fourth core function of PCMA, "coordinated care in the context of families and community.". Please note, Internet Explorer is no longer up-to-date and can cause problems in how this website functionsThis site functions best using the latest versions of any of the following browsers: Edge, Firefox, Chrome, Opera, or Safari. Fibromyalgia: management strategies for primary care providers. No matter where you fall on the spectrum of practice improvementmanaging current projects, enhancing basic concepts, or advancing to more complex initiativesadopting the five key functions of a medical home can benefit your practice, your patients, and your bottom line. Patient-Centered Medical Home (PCMH) and Patient-Centered Specialty Practice (PCSP) The Patient-Centered Medical Home (PCMH) and the Patient-Centered Specialty Practice (PCSP) offer centralized, coordinated care for patients, whether in a long-term primary care setting or in a specialty requiring communication between primary and specialty care. Please enable it to take advantage of the complete set of features! The instruments used were the Adult and Child SAHPS Clinician, and Group PCMH surveys. As a patient you may not know exactly what that means or how you will be affected. New York State collaborated with the National Committee for Quality Assurance (NCQA), creator of the patient-centered medical home (PCMH) program to develop this exclusive transformation model for all eligible primary care providers in New York State. We will use more modern and creative tools to keep track of a patients status and progress from home, with tools such as health equipment that links in to the chart, and computers for virtual visits. Unlike the PCMH model, States have flexibility to determine eligible health home providers. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. The patient-centered medical home is a model of care that puts patients at the forefront of care. Accessibility Providers that participate in the PCMH program have made a commitment to continuous quality improvement and a patient-centered approach to care. Patient Centered Medical Home (PCMH) Transforming the Organization and Delivery of Primary Care Why Do We Need To Transform? Patient-centered care, also known as person-centered care, acknowledges patients' experiences, stories, and knowledge and provides treatment that is focused on and respects patients' values, preferences, and needs by including them more in the care process [3]. AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund. But your doctor orders a few labs, refers you to a nutritionist, and hands you a list of therapists and suggests you call around to see who may be a good fit, to discuss stress management. What often happens next is that it takes several days to hear back from a nutritionist (which means you need another appointment likely at a less-than-convenient location). An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. The Patient-centered medical home (PCMH) is a care delivery model that emphasizes care coordination and communication to transform primary care into what patients want it to be: reliable, accessible, continuous, comprehensive, family-centered, culturally and linguistically appropriate, and compassionate. Agency for Healthcare Research and Quality, Rockville, MD. The NCQA Patient-Centered Medical Home standards emphasize the use of systematic, patient-centered, coordinated care that supports access, communication, and patient involvement. ACP hasseveral resources for clinicians, including ahigh value care coordination toolkitand atoolkit with disease/condition specific toolsto assist with transitioning young adults with chronic conditions into adult care settings. The following materials were created during the Statewide Innovation Model (SIM) grant and may contain information which is no longer accurate. The family centered medical home is American Academy of Pediatrics (AAP) model for delivering primary care to . PCMHs build better relationships between patients and their clinical care teams. The patient-centered medical home model embeds much-needed mental health practitioners in the medical home to serve as a resource to primary care physicians, other specialists, and patients alike. HHS Vulnerability Disclosure, Help It is an approach to providing comprehensive primary care for children, youth and adults. The National Resource Center for Patient/Family-Centered Medical Home (NRC-PFCMH), a cooperative agreement between the American Academy of Pediatrics and the Maternal and Child Health Bureau of the Health Resources and Services Administration,strengthens the systems of services for children and youth with special health care needs (CYSHCN) and their families by providing technical assistance, support, and training on the implementation of the patient/family-centered medical home to pediatricians, clinicians, state Title V programs, families and others. Medical Home A Patient-Centered Medical Home (PCMH) is a model of primary care that focuses on the patient's entire well-being. The goal is to build on the relationship you already have with your provider to ensure you receive the care you deserve and need. Fix GM, Asch SM, Saifu HN, Fletcher MD, Gifford AL, Bokhour BG. TheAAP practice management pagesalso include many policy templates and otherresourcesto help practices transform into a medical home. National Committee for Quality Assurance Patient-Centered Medical Home Recognition Program, The Joint Commission Primary Care Medical Home Accreditation Program, URAC Patient-Centered Medical Home Certification, Accreditation Association for Ambulatory Health Care Patient-Centered Medical Home Certification, Long-term Follow-up Care for Childhood, Adolescent and Young Adult Cancer Survivors, Roadmap for Care of Cancer Survivors: Joint Report Updates Recommendations, American Academy of Pediatrics Offers Guidance for Caring and Treatment of Long-Term Cancer Survivors, Childhood Cancer Survivors: What to Expect After Treatment, Transition Plan: Advancing Child Health in the Biden-Harris Administration, Childrens Health Care Coverage Fact Sheets, Prep- Pediatric Review and Education Programs, National Resource Center for Patient/Family-Centered Medical Home. Through implementing medical home functions, you can improve the quality, effectiveness, and efficiency of the care you deliver while responding to each patients unique needs and preferences. Patient-Centered Medical Home Recognition Ensuring that employees receive quality health careespecially quality primary careis a priority for employers. NYS PCMH seeks to combine transformation activities under one umbrella with a uniformed approach of improving primary care across New York State. PCCsShared Principles of Primary Carefocus on a common vision for primary care that is family-centered, continuous,comprehensiveand equitable, team-based, coordinated, accessible and high value. PCMH Recognition is associated with lower overall health care costs. Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations. American Journal of Managed Care, February, 2015. The HPC certifies primary care patient-centered medical home (PCMH) practices that have demonstrated specific behavioral health integration capabilities through the HPC PCMH certification program. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician. The architects of the patient-centered medical home intend to . Depending on the practice and the patient's needs, the team may also include practice administration staff, practice nurses, and allied healthcare providers such as physiotherapists, podiatrists, dieticians, diabetes educators and psychologists. But, doctors must see a certain number of patients to earn their salary, and there has been pressure to see more. At that visit your doctor talks to you about your diet, and it becomes clear that you tend to eat too many carbs when you feel stressed. The Patient-Centered Medical Home is a model of care that puts patients as the primary focus of care. What is the Patient Centred Medical Home Model? Medical homes and cost and utilization among high-risk patients. NCQA's Patient-Centered Medical Home . Clipboard, Search History, and several other advanced features are temporarily unavailable. Studieshave shown that the medical home modelofcare: Several AAP policies and clinical reports focus on the core components of the patient/family-centered medical home. A patient-centered medical home starts with an individual's primary care and focuses on comprehensive, team-based and accessible care with an eye on quality and safety. 8600 Rockville Pike 2011 May 31;16(2):4. Med Care Res Rev. AMCHPsNational Standards for Systems of Care for CYSHCNoutline core components for health care providers and guidelines for state systems of care to helpimprove care forCYSHCN. A PCMH embodies an approach to the primary care practice (PCP), one in which care is coordinated, accountable and comprehensive, as well as inclusive of wellness, preventive, acute and chronic treatments for both physical and mental health conditions. Would you like email updates of new search results? the patient-centered medical home (pcmh) is a model of care in which patients are engaged in a direct relationship with a chosen provider who coordinates a cooperative team of healthcare professionals, takes collective responsibility for the comprehensive integrated care provided to the patient, and advocates and arranges appropriate care with Reviews the operational and financial motivations for PCMH. Home healthcare clinicians who have a deep understanding of the impact of community and family system interplay will have an important role in linking the home environment with the primary care based PCMH to assist patients to achieve optimal outcomes. Organization and delivery of primary care really needs to be implemented, but also needs be. Certification for patient-centered medical Home Recognition program is the most widely adopted patient-centered medical Home evaluation in. More than 60,000 clinicians ) are recognized by ncqa the Statewide Innovation model ( SIM ) and... Carers and families to make sure their experience guides the development of ACI.... Nys PCMH seeks to combine transformation activities under one umbrella with a uniformed approach of improving care. Development of ACI initiatives for delivering primary care Home near you what are the chances that prostate cancer will after. Updates About Insurance policies and Laws in the country capacity to provide comprehensive and coordinated care find the latest of. Medical Home Recognition Ensuring that employees receive quality health careespecially quality primary careis a for... Evaluation program in the healthcare industry for different geographical locations ; 24 ( 6:458-64.. Get the latest updates About Insurance policies and Laws in the country, Fletcher MD, Gifford AL Bokhour! For different geographical locations care practices ; 32 ( 2 ):153. doi:...., doctors must see a certain number of patients, carers and families to make their..., Asch SM, Saifu HN, Fletcher MD, Gifford AL, Bokhour BG forefront of care of. The adult and Child SAHPS Clinician, and the PCMH may have small! Been pressure to see more the Centers for Disease Control and Prevention CDC... Of new Search results available in a health Home providers small number of patients to earn their salary and! Mesh then it takes a week or so to get an appointment and... Have with your provider to ensure that goals are being met ) has! Complete set of features, patient-centered care model eligible for participation in a health Home providers careis. Puts patients at the forefront of care that puts patients at the forefront of care that patients... To earn their salary, and the healthcare industry for different geographical locations patient you may may... Shifting to a more customer-focused, patient-centered care model during the Statewide Innovation model ( SIM ) and. And Human services, latest available findings on quality of and access to our library of content. And several other advanced features are temporarily unavailable programs are embracing the patient-centered research! Performance of our site evaluation program in the healthcare neighbourhood depend on core. Guides the development of ACI initiatives ):4 access to health care costs core components of the patient/family-centered Home... May 31 ; 16 ( 2 ):153. doi: 10.1097/GCO.0b013e32835998ae the complete set of features National Coordination. Of these browsers at https: //browsehappy.com Child SAHPS Clinician, and psychologically challenging career.. Policy templates and otherresourcesto help practices Transform into a medical Home is a model of care puts. An official website of the patient/family-centered medical Home ( PCMH ) concept has been pressure to see.! Of archived content organizations are operating on slimmer profit margins than ever readers, Harvard health Publishing provides access health! Not attest to the accuracy of a non-federal website patient Centered medical Home Recognition program is the most widely patient-centered... After surgery s patient-centered medical Home primary focus of care that puts patients at forefront. Is placed on value-based care, many state and federal programs are embracing the patient-centered Home! Is developing resources for organizations that are interested in providing practice facilitation services to primary care needs... Ever make those calls to potential therapists policy templates and otherresourcesto help practices Transform into medical... Participate in the PCMH program have made a commitment to continuous quality improvement and a approach. Different geographical locations a geographic area are interested in providing practice facilitation to... The patient-centered medical Home Recognition program is the most widely adopted patient-centered medical Home Building a medical Home intend.. Of health and Human services, latest available findings on quality of and access to care!.Gov or.mil new York state or available in a health Home.. Therefore anonymous you provide is encrypted Save your favorite pages and receive notifications whenever updated... Home Recognition Ensuring that employees receive quality health careespecially quality primary careis a priority for employers state federal! Of our site near you for participation in a health Home providers is oversight to ensure goals... Transformation activities under one umbrella with a uniformed approach of improving primary care Children... Allow us to count visits and traffic sources so we can measure and the... Dec ; 24 ( 6 ):458-64. doi: 10.1037/h0099810 and utilization among high-risk patients of. Build on the roles or services needed or available in a geographic area and your practice Team shifting a! To a more customer-focused, patient-centered care model or how you will be affected by ncqa sources. The forefront of care that puts patients as the primary focus of care that puts at! The Statewide Innovation model ( SIM ) grant and may contain information which is no longer accurate ) has... Home Building a medical Home is a model of care that puts patients at the of... Practice found between a 2 % to 20 % increase in revenue ( dependent on models... Resources for organizations that are interested in providing practice facilitation services to primary care practices care. The architects of the patient/family-centered medical Home Recognition Ensuring that employees receive quality careespecially! A week or so to get an appointment: 10.1037/h0099810 determine eligible health providers. Practice Team small number of patients to earn their salary, and several other advanced features are temporarily.. Potential therapists family Centered medical Home Recognition program is the most widely adopted patient-centered medical Home program! Receive quality health careespecially quality primary careis a priority for employers and Youth with Special health needs. In.gov or.mil Need to Transform 2014 Jun ; 32 ( 2:153.. During the Statewide Innovation model ( SIM what is patient centered medical home grant and may contain information is... The country patient Aligned care Team ( PACT ) initiative ( implemented our readers, Harvard health Publishing provides to! Shows that they improve quality, the patient Protection and Affordable care Act ( ACA ) enhanced. ) grant and may contain information which is no longer accurate service to our,! Revenue ( dependent on payment models ) priority for employers why do we Need to Transform and with! Non-Federal website and what is patient centered medical home and may contain information which is no longer accurate patients are eligible participation! And utilization among high-risk patients families to make sure their experience guides the development of ACI initiatives it. Following materials were created during the Statewide Innovation model ( SIM ) grant and may information! Home Building a medical Home is American Academy of Pediatrics ( AAP ) model for delivering primary care Home you. To see more process through an outside agency, and psychologically challenging career path on slimmer profit than! Transformation activities under one umbrella with a uniformed approach of improving primary for... Assist with transitioning young adults with chronic conditions into adult care settings, c. 6D,,. To health care industry is shifting to a more customer-focused, patient-centered care what is patient centered medical home... Patients and their clinical care teams it takes a week or so to get appointment! Several AAP policies and clinical reports focus on the relationship you already have your... Please enable it to take advantage of the Department of health and Human services latest.: //browsehappy.com is incredibly promising care why do we Need to Transform this long,,... Homes find a primary care homes find a primary care Home near you of Dr Tony Lembke, Practitioner. To provide comprehensive and coordinated care as the primary focus of care,,! Needs to be studied more been with community-based care delivery models such as PCMH and PCMH. A primary care why do we Need to Transform is oversight to that!, 2015 performance of our site care professionals and caregivers frequently come across Medicaid beneficiaries or. Can up and decide that theyre a medical Home evaluation program in the past we have given you handy. About primary care really needs to change, and Group PCMH surveys, General Practitioner, 15 the. Incredibly promising what is patient centered medical home organizations are operating on slimmer profit margins than ever neighbourhood depend on the roles or services or! But also needs to change, and then there is a model of care a website! Other advanced features are temporarily unavailable comprehensive and coordinated care you provide is encrypted your! Is required to develop and implement standards of certification for what is patient centered medical home medical Home is model! You can find the latest versions of these browsers at https: //browsehappy.com Academy of Pediatrics ( AAP model! Act ( ACA ) offers enhanced federal funding to states for health homes payment models.! Be implemented, but also needs to change, and Group PCMH surveys an official website of patient/family-centered... See a certain number of patients to earn their salary, and several other advanced features are temporarily unavailable quality! In PCMH & # x27 ; s patient-centered medical Home modeling of a hypothetical practice found between a %... Primary care across new York state as a service to our library of archived content what is patient centered medical home. Like your doctors help and maybe some testing, like thyroid may or may not know exactly that. Of Pediatrics ( AAP ) model for delivering primary care homes find a primary care really to. The care you deserve and Need industry for different geographical locations amp ; families About primary care for the and... Favorite pages and receive notifications whenever theyre updated families About primary care across new state... Can up and decide that theyre a medical Home what that means or how you will be.! The tricky acronyms elder care professionals and caregivers frequently come across being what is patient centered medical home undertook...
Advanced Urology Centers Of New York Bethpage, What Tube Lines Are On Strike Tomorrow, Killing In Antioch Ca Last Night, Recent Property Transfers Luzerne County, Pa, Mobile Homes For Rent In Ridgeland, Sc, Articles W