Women s Medicine Collaborative A Lifespan Partner. 146 West River Street, Providence, RI 02904
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1 Women s Medicine Collaborative A Lifespan Partner 146 West River Street, Providence, RI 02904
2 Patient Case 24 year- old woman who is pregnant for the Birst time She lives in Franklin, Massachusetts Her ob/gyn has just diagnosed her with gestational diabetes She is referred to WMC to manage her diabetes in pregnancy Background Does not own a car Home close to foreclosure and she is worried about where she will live New diagnosis of diabetes, in addition to her current stressors, causing anxiety
3 WMC: Who We Are Multidisciplinary, Co- located Women s Medicine Practice 33 Providers 19 MDs 3 NPs 2 LICSW 3 physical therapists 2 genetic counselors 1 nutritionist 1 respiratory therapist 1 yoga instructor 1 massage therapist
4 &!?! 8!
5 Our Mission To inspire women to achieve their greatest health potential in mind, body, and spirit.
6 What s Working
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9 Our Space From pt perspective, 3 waiting rooms Divided intentionally so that more private and not overwhelming In back, space is open and staff/providers can easily interact with each other True co- location makes signibicant difference in coordination of care
10 Physical environment affects how patients feel and how staff feel about their jobs Open, welcoming front desk
11 Behind Front Desk Staff for all disciplines co- located Work together to coordinate care for patients who are seeing multiple providers Coordinating care at check out
12 Practice RNs Triage messages Immunizations Patient visits Care managers Provide greater attention to complex patients Coordinate care after ER visit or hospital stay Coordinate home care Nurses Station Facilitate referrals By co- locating, they know each other s services and practices, improving coordination of care
13 Provider Workspace: Pods Maintain 1:1 MA to provider model Pod approach allows MA and provider to know each other s practices and to know the patients well Allows MA to work at a higher level
14 Collaborative Care Co- Location Different disciplines working together in real time Multidisciplinary case conferences MOMs PIP
15 4/2+$%2(L/3+D/2"1(! V11,&''&'!'03*9;!2&&1'!0A!?('!! C93*;*(9(&!H&>9+*0,9;!>&9;(>!,&A&,,9;'!921!A0;;0<:F?!! K00,1*29(&!(,92'?0,(9(*02!! /,0+*1&!30==F2*(8!,&'0F,3&'!
16 -"../0"1/2+3$(-/1$(.)'&"/$'01''&/")-"232'" 04*%&,&*0&")*/"(5)*"'6),&/"7$-6",&%&,,$*8"49:8;*" 24 yo G1P0 with gestational diabetes Ob/Gyn Manager Behavioral Med R.N. Pt Navigator Unfamiliar Insurance Anxiety Medications Housing Transportation Front Desk Ob/Med MD MFM RN Nutritionist N Plan of Care Sugar Rounds
17 Lactation Room for Patients
18 Our Community Bringing Community In Going out into Community
19 Bringing Community In Shared Medical Appointments Lifestyle Medicine Program Yoga Massage
20 Shared Medical Visit New model of care Promotes sense of community and support Social support associated with improved health outcomes Today we are often more connected to our devices Model provides support which patients may need Diabetes Prevention HELP- physical activity, nutrition, and stress reduction
21 Massage Therapy Affordable Services
22 Yoga Affordable Services
23 Going out to Community See, Test and Treat RI Free clinic Collaboration with community healthy centers Department of Health Hepatitis Screening Program Preconception Care Initiative Involvement in community events Women s Wellness Workshop Women s Summit at Bryant University
24 What We Need Recognition that this model of co- located, integrated care provides better healthcare for patients Build in quality measures that address coordination of care and social needs Reimbursement for resources and innovative models of care that better address social needs of patient Nurse care managers Patient navigators Patient- Centered Medical Home
25 Women s Medicine Collaborative A Lifespan Partner 146 West River Street, Providence, RI 02904
26
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