Welcome! Ken Lampert, MD Audrey Lum, RN, MPA Maria Pitaro, MD

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Chapter 8The Health Care Team

Presentation transcript:

Welcome! Ken Lampert, MD Audrey Lum, RN, MPA Maria Pitaro, MD May 13, 2015

Union Health Center Founded in 1914 by ILGWU Located in New York City Union mergers with textile and service industries Today laundry, restaurant, building, and janitorial union members Unique Financial Model Treat union members, their dependents and retirees PCMH team model Teamlets = PCP and *Patient Care Assistant (PCA) PC Teams: 6 teamlets, 1 RN, 2 *Health Coaches, 1 *Floor Coordinator & 2 Patient Support Staff * Medical Assistant

Patient Care Assistant Patient Support Services Administrative Support Care Team Model Patient Primary Care Provider Patient Care Assistant Nurse Health Coach Corridor MA Call Center Registration Specialists Medical Neighborhood Nutrition Social Work Patient Support Services Care Management Administrative Support

MA Curriculum Developed by UHC Primary Care Providers All medical assistants receive the same training on chronic diseases, preventive screenings and self-management support Training is based on a 3-prong system Didactic instruction Clinical shadowing with supervised reinforcement Written competency

MA Career Ladder at the Union Health Center Floor Coordinator Patient Care Assistant Health Coach

Health Coaches Health Coach role PCP role See scheduled patients, conduct phone visits & follow-up, review scheduled patients with PCP, continuous communication with PCP, collaborative goal setting PCP role Refer chronic disease patients to HC, soft hand-off, collaboration & continuous communication with HC Huddle Provider Exam HC Visit Phone/Visit f/u

Aligned Curriculum, EMR Templates & Patient Resources For each topic, EMR templates developed by PCPs with input by MAs Templates include content from patient handouts MAs are trained using the templates and the handouts Self-management included in each template Close supervision by providers and nurses during the training period Much of our materials on chronic disease management were developed by our provider staff. The providers also teach different components of the curriculum and have a great deal of input on what is being taught to their patients. -Medical Assistants enjoy having the providers teach because they hear first hand what is important for their patients to know.

Outcomes Data