Bella vista medical center medical home
This presentation is the property of its rightful owner.
Sponsored Links
1 / 13

Bella Vista Medical Center Medical Home PowerPoint PPT Presentation


  • 79 Views
  • Uploaded on
  • Presentation posted in: General

Bella Vista Medical Center Medical Home. Care Team. 3 Physicians, 3 Advanced Practitioners Case Manager Care Team Coordinator Chaplain Clinical Pharmacist, Diabetes Educator Clinical coworkers – RN, LPN, MA, Lab, X-ray Nonclinical coworkers Management Patient Advisory Board.

Download Presentation

Bella Vista Medical Center Medical Home

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Bella vista medical center medical home

Bella Vista Medical Center Medical Home


Care team

Care Team

  • 3 Physicians, 3 Advanced Practitioners

  • Case Manager

  • Care Team Coordinator

  • Chaplain

  • Clinical Pharmacist, Diabetes Educator

  • Clinical coworkers – RN, LPN, MA, Lab, X-ray

  • Nonclinical coworkers

  • Management

  • Patient Advisory Board


Advantage of the team approach

Advantage of the team approach

The team allows us to meet the demands of a varying patient population. The strengths and skills of the team members blend, overlap and complement each other as parts of a whole.


Care team coordinator

Care Team Coordinator

  • Medicare Annual Wellness Visits

    Prevention, screenings

  • Patient registry

  • Epic superuser

  • Emmi/patient education coordinator

  • Telemedicine monitoring

  • Clinical expert “go to person”


Annual wellness visit

Annual Wellness Visit

  • Scheduled in 2 parts – scripting for schedulers

  • Care Team Coordinator visit

    preventative, wellness, screenings

    referrals (i.e. polypharmacy, Emmi education)

    places orders per protocols

  • Reimbursed by Medicare for both visits

  • Provider visit – focus on medical issues


Case manager

Case Manager

  • Case Management referrals - provider

  • Home visits

  • Telemedicine set up and monitoring

  • Problem solver – social/medical issues/barriers

  • Educator

  • Liaison with outside groups – OT,PT,Home Health, DME, etc.


Pastoral services chaplain

Pastoral Services/Chaplain

  • Referrals to Pastoral Care - provider

  • Patients experience a higher level of wellness when spiritual, emotional care is the needed piece to complete their total health

  • Coworkers become a more cohesive community with like goals and are uplifted and more loved and loving as a result

  • The burden of providing emotional and spiritual care is removed from the providers and taken over by someone educated in theological and clinic assessment and support


Investment in coworker team

Investment in Coworker Team

Staff Development with weekly meetings

  • Buy in to the team culture

  • Consistent education

  • Standard processes

  • Feedback from all areas on patient satisfaction

  • Problem solving

  • Attended by all coworkers and providers

  • Retreat, teambuilding


Investment in the provider team

Investment in the Provider Team

Two meetings a week – 1 with all providers,

1 with Dr Lee and Advanced Practitioners

  • Continuing medical education

  • Standard of workflow and documentation

  • Model for training – establish templates

  • Make it easy for Advanced Practitioners to do the right thing and hard to do the wrong thing

  • Support functioning at highest level of license


Communication

Communication

  • Weekly staff meetings

  • Weekly provider meetings

  • E newsletter

  • Patient Advisory Board

  • Transparency and openess


Growth potential

Growth Potential

  • Expand PharmD role

    • Provider and coworker education

    • Expanded patient visits

    • Management of HTN, other protocols

  • Partnering with outside groups

    • PCPS medication safety

    • CMS pilot

    • Grants/research

  • Satellite clinic/extended hours/new facility


New bella vista multispecialty clinic

New Bella Vista Multispecialty Clinic

Anticipated Completion 2014


  • Login