Does a visit to your primary care physician feel personal? Is your physician helping you manage long-lasting health concerns, like diabetes or high blood pressure?
This is the standard of care offered by Kettering Physician Network Primary Care practices, many of which are now officially recognized as a Patient-Centered Medical Home (PCMH). Here, “home” is a play on words—there’s no separate building to go to or a new physician to see. Patient-centered care is provided by your care team at every visit, whether it is in person or by phone (e-Visits and after-hours calls).
As of now, 36 Kettering Physician Network Primary Care offices are recognized as a PCMH, and the rest are on their way, according to Laurie Bankston, MD, medical director of Primary Care Quality at Kettering Physician Network.
Chronic condition treatment
“We put in a structure to better manage chronic diseases and to be more patient-centered,” says Dr. Bankston. “One of the big things we do is better care coordination for all our patients but especially for the elderly who are more frequently hospitalized.”
A team of caregivers
Whether you have had a recent hospitalization or require specialty care, this model ensures that your team of caregivers can talk with each other to create a plan of care that is best for you, the patient.
Your patient care team includes doctors, advances practice providers, RN care managers, patient care navigators, social workers, behavioral health specialists, and the patients themselves. This model of care allows the entire care team to really get to know the patients and their needs.
Your health care team can connect you to an RN Care Manager if you need additional help managing your health problems. This free service is meant to help you, the patient, better manage your own health care. Your RN Care Manager will work with you to develop a care plan just for you and follow your progress as you work toward your goals. The RN Care Manager is your health care advocate, connecting you with resources in the area as well as educational information. The RN Care Manager and Care Navigator both assist you in “navigating” the health care system, along with your practice team.
“All of the primary care practices in Kettering Physician Network have a Patient-Family Advisory Council that meets once a quarter where they can give feedback on what’s working,” Dr. Bankston says. Through this feedback, the practice can try to tailor the care they offer to the needs of the patients, making the relationship between patients and the practice a true partnership.
Breaking down barriers to care
As part of this patient-centered model of care, we provide more early morning (before 8 a.m.) and later in the evening (after 5 p.m.) appointments,” Dr. Bankston says.
Kettering Health Network’s On-Demand Clinics are a part of the plan to offer patients different hours in which to receive care.
Our MyChart patient portal gives patients direct access to their medical records at any time, and they can also set up an e-Visit with their doctor in the same portal.
There is always a care provider on call, so patients can call any time to speak to someone about their symptoms and, if necessary, have a prescription called in for them.
Whether it’s lack of transportation, financial troubles, or even a need for food, the care delivery team can connect patients with community resources to make sure nothing stands in the way of them and their health.
The Patient-Centered Medical Home Recognition is retained through the National Committee for Quality Assurance (NCQA) and was developed to recognize clinical practices for their efforts to be recognized as a medical home. Find a primary care physician today.