The Joint Commission, a national accrediting organization, has designated Clinicas del Camino Real in Ventura County as a primary care medical home. Clinicas is one of four California organizations and eight outpatient systems nationwide that have earned the accreditation, which the commission started offering in July. Michael Kulczycki, executive director of the commission's ambulatory care accreditation, said clinics are designated as a primary care medical home if they meet standards for coordinating and tracking patient care, offer follow-up services, and have demonstrated that patients have easy access to appointments, test results and after-hours care.