1000HigbeeDr SuiteD202 BethelPark,PA15102 (412)-833-6176 Updated: The Patient-Centered Medical Home & You: Frequently Asked Questions (FAQ) for Patients and Families WhatisaPatient-CenteredMedicalHome? AMedicalHomeisallaboutyou.CaringaboutyouisthemostimportantjobofyourPatient CenteredMedicalHome.Inthispersonalmodelofhealthcare,yourprimarycareproviderleadsa teamofhealthcareprofessionalsthatcollectivelytakeresponsibilityforyourcare.Theymakesure yougetthecareyouneedinwellnessandillnesstohealyourbody,mindandspirit. Yourpersonalproviderandanextendedteamofhealthprofessionalsbuildarelationshipinwhich theyknowyou,yourfamilysituation,yourmedicalhistoryandhealthissues.Inturn,youcometo trustandrelyonthemforexpert,evidence-basedhealthcareanswersthataresuitedentirelyto youortoyourfamily. HowwillaMedicalHomeleadtobettercareforme? TherearemanybenefitstobeinginaMedicalHome: • Comprehensivecaremeansyourmedicalhomehelpsyouaddressanyhealthissueatany givenstageofyourlife • Coordinationofcareoccurswhenanycombinationofservicesyouandyourprovider decideyouneedareconnectedandorderedinarationalway,includingtheuseofresources inyourcommunity • Continuouscareoccursovertimeandyoucanexpectcontinuityinaccurate,effectiveand timelycommunicationfromanymemberofyourhealthcareteam. • Accessiblecareallowsyoutoinitiatetheinteractionyouneedforanyhealthissuewitha physicianorotherteammemberthroughyourdesiredmethod(officevisit,phonecall,or electronically)andyoucanexpecteliminationofbarrierstotheaccessofcareand instructionsonobtainingcareduringandafterhours. • Proactivecareensuresyouandyourproviderwillbuildacareplantoaddressyourhealth caregoalstokeepyouwell,plusbeavailableforyouwhenyougetsick. • Evidencebasedcaremeansthatyourcareteamkeepsuptodatewiththelatestmedical researchandclinicalpracticeguidelines,andwillworkwithyoutopersonalizeyourcareto fityourpreferencesandyourgoals. WhoismyMedicalHomeTeam? Yourteammayincludeadoctor,nursepractitioner,licensedpracticenurse,medicalassistantor healtheducator,aswellasotherhealthprofessionals.Theseprofessionalsworktogethertohelp yougethealthy,stayhealthy,andgetthecareandservicesthatarerightforyou.Whenneeded, yourpersonaldoctorarrangesforappropriatecarewithqualifiedspecialists. Page1of5 1000HigbeeDr SuiteD202 BethelPark,PA15102 (412)-833-6176 Updated: WhatdoesmyMedicalHomeTeamdoforme? TheMedicalHometeamisyourteam.Theyprovideyouwiththecareyouneed,whenyouneedit andcustomizeyourcaretomeetyourneedsandexpectations.Wehelpyousetappropriatehealth goalsandworkwithyoutomeetthem.Wewillspendenoughtimewithyoutoensureyou understandwhatyouneedtodotosuccessfullymeetyourgoalsandansweranyquestionsyou mighthave.Wehelpyouunderstandallyouroptionsforcaresoyoucandecidewhatcareisbest foryou.Andwewillalwaystreatyouwiththerespectyoudeserveasafullpartnerinyour healthcare. WhattypeofservicesdoesmyMedicalHomeprovideforme? Weprovidecomprehensive,compassionateandcontinuouscareforpeopleofallages. • • • • • • • • • • • Samedayappointments Preventivecareandphysicals(healthriskassessments,sportsandschoolphysicals) Chronicdiseasemanagement(suchasdiabetes,heartdisease,arthritis,asthmaandmore) Acutecareforillnessandinjuries Wellchildvisits,screeningandvaccinations Wellwomanexams Groupvisitsandclassestohelpyouleadahealthylifestyle 24x7phoneaccesstoyourcareteam Onlineelectronicaccesstoyourmedicalrecords Referralstovettedspecialistsandmentalhealthproviders Managementofmulti-specialtycareplansincludingmentalhealth WillmyMedicalHomehelpmetakecareofmyself? ThecareyoureceiveinaMedicalHomegoesbeyondtheofficevisitwithyourpersonalclinician. • • • • • • • Wewanttomakesureyoudevelopaclearideaofhowtocareforyourself. Wewanttohelpyousetgoalsforyourcareandhelpyoumeetyourgoalsonestepatatime Wewanttoencourageyoutofullyparticipateinrecommendedpreventivescreeningsand services Wewillrecommendtoolsandeducationmaterialsyoucanusetoimproveyourcondition andmanageyourhealth Wewillgiveyouinformationaboutclasses,supportgroups,orothertypesofservicesto helpyoulearnmoreaboutyourconditionandstayhealthy Wewillprovideyouwithinformationaboutresourcesinyourcommunitytohelpyou manageyourhealthandyourwellbeing Wewillprovideyouwithresourcesand,ifneeded,appropriatereferralstobehavioral healthspecialiststohelpyoumakeandsustainhealthychangestolifestyleortoaddress mentalhealthconditionsforyouandotherfamilymembers HowcanmyMedicalHomehelpifIneedtoseespecialistsorgotoahospital? Page2of5 Updated: 1000HigbeeDr SuiteD202 BethelPark,PA15102 (412)-833-6176 Yourmedicalhometeamwillcoordinateyourcarewithallyourotherhealthcareproviders.They willrecommendqualityspecialistsforyouandyourfamilyandwillworkwithyourspecialistand thehospitaltocontinuouslyplanandmanageyourcare. Withyourconsent,yourmedicalhometeamwillinformspecialistsandhospitalsaboutyour medicalconditions,yourpreferencesandyourgoalsandwillfollowuptoobtaininformationafter yourspecialtyvisitoryourhospitalstay.Wewillalsofollowupwithyouandyourfamilytomake sureyourgetthecareyouneedandthatyouunderstandyourplanofcare. CanmyMedicalHomehelpmewhenIhaveanemergency? Ifyouhaveamedicalemergency,pleasedial9-1-1. Forotherclinicalproblemsormedicaladvice,callyourMedicalHomefirst.Dependingonthe natureoftheproblem,wemaybeabletosaveyouanexpensiveandinconvenienttriptothe emergencyroomforproblemsbestaddressedbyyourpersonalprimarycareprovider.Youcan reachaMedicalHometeammemberviatelephone24x7,andsamedayappointmentsareavailable. Ifyoudogototheemergencyroom,pleasemakesureyouletthestaffknowwhoyourprimarycare providerisandaskthattheycontactyourMedicalHomeassoonaspossiblesowecanhelpthem takebettercareofyouandyourfamily. WhatcanIdotohelpmyMedicalHometeamtakebettercareofme? Youareencouragedtoactivelyparticipateinyourcare. • Understandthatyouareafullpartnerinyourownhealthcare • Learnaboutyourconditionandwhatyoucandotostayashealthyaspossible • Asbestyoucan,followthecareplanthatyouandyourmedicalteamhaveagreedis importantforyourhealth,includingtakingyourmedicationsasprescribed. • Keepscheduledappointmentsorcalltorescheduleorcancelasearlyaspossible • Contactusafterhoursonlyifyourissuecannotwaituntilthenextworkday. • IFpossible,contactusbeforegoingtotheemergencyroomsosomeonewhoknowsyour medicalhistorycancareforyou. • Contacttheofficewithin48hoursofdischargefromhospitals,emergencyroomsorurgent carecenterslikeMedExpressorQuickCare. DoyourbesttocommunicatewithyourMedicalHometeam • Tellusallaboutyourhealth,yourmedicalhistoryandthehealthhistoryofyourfamily • Bringalistofquestionstoeachappointment.Also,bringalistofanymedicines,vitamins,or remediesyouuse. • Ifyoudon’tunderstandsomethingyourdoctororothermemberofyourmedicalhome teamsays,askthemtoexplainitinadifferentway Page3of5 Updated: 1000HigbeeDr SuiteD202 BethelPark,PA15102 (412)-833-6176 • Ifyougetcarefromotherhealthprofessionals,alwaystellyourmedicalhometeamsothey canhelpcoordinateforthebestcarepossible • Talkopenlywithyourcareteamaboutyourexperienceingettingcarefromthemedical homesotheycankeepmakingyourcarebetter. HowdoIaccessmyMedicalHome? Weofferconvenientsame-dayandnext-dayappointments,after-hoursphoneaccessandextended hours—earlymorningsandevenings. Monday Tuesday Wednesday Thursday Friday 8:00AM-8:00PM 7:00AM-8:00PM 8:00AM-8:00PM 8:00AM-8:00PM 7:00AM-5:00PM Tomakeanappointment,call(412)833-6176orlogintothePatientPortalatwww.shfm.comand clickthebluePortallinktoberedirectedtotheloginscreen. Forclinicaladviceandallothermatters,pleasecall(412)833-6176.Werespondinatimelymanner toyourphonecallsorelectronicmessagessentthroughthePatientPortal. Forallurgentmatters,pleasecontactusbyphone.Forallnon-urgentmatters,generalinformation andtomakeanappointment,pleasecallusduringnormalbusinesshours. Regularbusinesstelephonehoursare9:00am-4:00pm.Between8:00amand9:00am,patients phoningtheofficewillbegiventheoptiontoleaveamessageforareturncallfromtheofficestaff. Between4:00pmand8:00pm,Monday-Thursday,patientswillbegiventheoptiontoleavea messageforareturncallfromtheofficestaff.Between4:00pmand5:00pmonFridays,patients willbegiventheoptiontoleaveamessageforareturncallfromtheofficestaff.After8:00pm Monday–Thursday,andafter5:00pmonFridayswhenphoningtheoffice,patientswillbegiven theoptiontospeaktothephysicianoncall.Pleaselistencarefullytothemenuoptionswhen seekingmedicaladvicefromaphysicianafterhours. HowdoItransfermyrecordstomyMedicalHome? Wewillneedyourconsenttoobtainyourmedicalrecordsfromyourpreviousprimarycare provider,ahospitalorfromspecialistsyouhaveseeninthepast.RecordsReleaseConsentforms areavailableinalltheoffices.Pleasetrytogiveusasmuchinformationaboutyourprevious PCP/physician/orhospitalincludingcontactinfosowecanensuretherequestisdelivered promptlyandcorrectly.Thereisnotafeeassociatedwithrecordtransfersfromonephysicianto anotherbutphysicianpracticesmaychargethepatientforcopyingmedicalrecordsanddelivering themtothepatient.Thefeesaredeterminedbythenumberofpagesthatarecopied.Feesareset everyyearbythePennsylvaniaDepartmentofHealth. Page4of5 Updated: 1000HigbeeDr SuiteD202 BethelPark,PA15102 (412)-833-6176 Youcancompletetheformatthefrontdeskofanyoftheofficesduringbusinesshours.Youcan alsocontactthepreviousPCP/physician/orhospitalpriortoyourfirstappointmentwithSHFMand askaboutthepreviouspracticeorhospital’spolicyfortransferringmedicalrecords.Most providershaveaformtofilloutortheymayaskyoutorequestyourrecordsinwritingifitisnot feasibletofillouttherequestforminperson.QuestionsregardingthespecificsofSouthHills FamilyMedicine’stransferofrecordspolicyshouldbedirectedtoNancyTinthePetersTownship location. CanIbeinaMedicalHomeifIdon’thavehealthinsurance? Weacceptmanyinsuranceplansandinsomecasescashpatients.Callustodiscussyourparticular situation.Onceyoubecomeapatientinourpractice,weprovideyouwiththesameaccessandcare regardlessofyourhealthinsurancestatus. BeginningJanuary1st,2014mostpeoplewillberequiredbylawtohavehealthinsurance. Dependingonyourfinancialsituation,youmaybeeligibleforgovernmentsubsidiestobuyprivate healthinsuranceonthemarketplace,oryoumaybeeligibletoenrollinMedicaid/Medical Assistanceprograms. FormoreinformationandusefultoolstocheckyoureligibilityvisitHealthcare.govoraskoneof yourcareteammembersforassistance. Page5of5
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