Patient Centered Medical Home

 

Patient Centered Medical Home (PCMH, “medical home”) is an approach to providing comprehensive primary care for youth and adults. The PCMH is a health care setting that facilitates partnerships between individual patients, and their personal physicians, and when appropriate, the patient’s family.

The Medical Home Treats the Whole Person

At the center of the medical home is a personal physician who partners with the patient to coordinate and facilitate medical care. Each patient has an ongoing relationship with a personal physician trained to provide first contact, continuous and comprehensive care. The medical home is responsible for providing for all the patient’s health care needs or taking responsibility for appropriately arranging care with other qualified professionals. The personal physician leads a team of individuals who collectively take responsibility for the ongoing care of patients.

Patient-Centered Care Puts the Needs of the Patient First

The medical home puts the needs and desires of the patient first by creating an environment where patients have a relationship with a doctor who knows them, their medical history and their family. Practices advocate for their patients to support the attainment of optimal, patient centered outcomes defined by the planning process driven by a compassionate partnership between physicians, patients, and the patient’s family. The medical home does not restrict patient access to services – rather it helps ensure that the right patient receives the right services at the right time.

Patient-Centered Care Places Emphasis on Quality and Safety

Quality and safety are the hallmarks of the medical home. Evidence based medicine, health information technology, and clinical decision support tools guide decision making to support patient care, performance measurement, patient education, and enhanced communication. Ensuring the coordination and comprehensive approach of the medical home model over time will improve the efficiency and effectiveness of the health care system and ultimately improve health outcomes.

Advanced Care Team

Along with our Primary Care Providers, we also have additional team members who are part of the Advanced Care Team to help coordinate effective and efficient healthcare.

Advanced Care Team Members include:

Danyel, MA – Patient Care Coordinator and Team Lead   She oversees all staff and is responsible for policies and procedures for the practice to provide excellent patient care. She works closely with the physicians and the staff to meet all the PCMH (Patient Centered Medical Home) requirements. She helps facilitate any referrals  and also oversees billing, performs quality check on each claim and will assist with billing related concerns.

Aishe, MA  Care Coordinator. Aishe is in charge of coordinating care when a patient is seen at the hospital and scheduling follow up visits. She ensures patients stay on track with recommended follow ups for chronic disease management and preventive care. She also rooms patients and discussing any medical issues and after discussing with the physicians provides outstanding medical care.

Jamie, MA Care Coordinator and Health Coach. She is our patient clinical care coordinator. She handles vaccines, procedure & medication authorizations, assists with patient lab letters and takes patient calls regarding medications and test results. She also rooms patients and discussing any medical issues and provides patient care.

Laila, Front Desk and Billing Specialist. She will assist you at check-in/out and schedule any specialist appointments/tests you may need. She assist with billing questions, and follow ups with insurance companies to process any rejected claims. She is delightful and addresses all patient concerns with compassion.

Janice, Front Desk at Morrisville location. She will assist you with check in, check out and appointment scheduling sorts through our daily faxes, scans important documents into patient charts. She has a pleasant demeanor and puts everyone to ease for both scheduling and non medical concerns.

Katherine,  She supports front as well as back staff to ensure smooth patient flow. She assists with many important aspects in the office; will also review your specific patient instructions after discussing with the physicians. She also takes care of any insurance referrals needed. She also rooms patients and discussing any medical issues and provides in depth patient care.

 

Co-management Agreements

For our patients we have co-management agreements with Urgent Care and Behaviour Health Specialists.

Co-Management agreements allow us to exchange clinical information to help facilitate prompt delivery of healthcare for the patients benefit. This promotes continuity of care due to our close relationship with these providers for the benefit of our patients.  You can access the Urgent care listed below for any urgent issues that cannot wait till our offices open.

WAKEMED Cary Urgent Care https://www.wakemed.org/physician-practices-urgent-care

212 Ashville Avenue, Suite 10
Cary, NC 27518

919-859-1136

Open 8 am to 8 pm*
7 Days a Week

 

Max Psychiatry  http://www.maxpsychiatry.com/Home.html

1011 W. Williams Street; Suite-106
Apex, NC, 27502
Phone: (919) 386-0402
Fax: (919) 882-0931

 

Holly Spring Wellness   www.hollyspringwellness.com

1140 Holly Springs Rd, Holly Springs, NC 27540

Phone: (919) 557-6111

Call for an Appointment
For Life-Threatening Emergencies Call 911