Home, Sweet (Medical) Home
As part of our journey to provide continuous and comprehensive care, we now have two practice sites within the Emory Clinic that have received distinction as National Committee for Quality Assurance (NCQA) Level 3 Patient-Centered Medical Homes (PCMH).
The most recent Emory clinic site to receive NCQA recognition—reserved for a select group of practices around the country—is the Emory Family Medicine Clinic at Dunwoody, which is staffed by 10 faculty providers and 25 residents.
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Ted Johnson |
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"We wish to thank the entire clinic team who contributed to this journey, especially those who worked tirelessly to develop new policies/ processes, acquire data, and submit the comprehensive NCQA application," says Ted Johnson, chair of Family and Preventive Medicine.
The first medical home site established at Emory, in 2011, was the Patient Centered Primary Care practice on the second floor of the 1525 Clifton Road Building, which is available to Emory employees, retirees, and relatives only. Another Emory-affiliated PCMH clinic is the Grady Primary Care Center at Grady Hospital, which is also NCQA accredited.
Medical homes, which provide longitudinal, team-based care, are changing the way primary care is provided. A patient's health needs are tracked even outside the office. There might be a pre-visit interaction, an office visit, and a post-visit email or phone call. A care coordinator identifies and reminds patients due for a checkup, a medical procedure, or a prescription recheck or refill. Patients with chronic diseases are monitored closely. Team members correspond with patients through a secure online "patient portal," where they can receive test results, ask questions, and receive answers quickly without waiting for an office appointment.
Patient teams may include a primary care physician, preventive medicine physician, nurse care coordinator, nurse manager, licensed practical nurse, physician assistant, and behavioral health specialist. Rather than operating on a fee-for-service basis, the practice receives a fee for the full range of services it provides to enrolled patients, with the focus on keeping patients well instead of just treating them after they are already sick.
These medical homes receive overwhelmingly positive feedback from patients, and evidence is mounting that they improve management of care and achieve better results than traditional practice models.
This recognition sets us on a trajectory of excellence in providing patient-focused, high quality, coordinated care. NCQA recognition is spectacular, but the real success is defined in the work that our care teams do, day-in and day-out, for the patients we serve.
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Susana Alfonso |
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"While this recognition is well deserved, we owe it to our patients to strive for care delivery redesign that will continue to enhance quality and patient experience in the future," says Susana Alfonso, director of academic and clinical integration for the Department of Family Medicine. "To that end, I'd like to acknowledge those who do the hard work of transforming the care we provide every day."
Primary Care Progress Chapter
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Reid Blackwelder 84M |
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A new chapter of Primary Care Progress (PCP), an organization for students and residents that works to revitalize the primary care system, was launched at Emory on Aug. 10 with a reception and keynote by American Academy of Family Physicians board chair Reid Blackwelder 84M, a national expert on primary care and patient-centered medical homes. The Emory chapter joins 50 others at universities around the country (view list here).
"The event was very well received. We had about 70 students and some faculty and residents," says Ambar Kulshreshtha, faculty adviser. "Emory's PCP chapter is now part of a national cohort and is working toward raising the awareness of the importance of primary care in our health system."
Its next event will be in the spring, says Candace Markley, student president, and will be followed by a Primary Care Week with workshops, community health fairs, panels, and events at several Emory schools.
$25 million Cox grant to support improved health care delivery
A generous gift from the James M. Cox Foundation has created an opportunity for us to expand some of our most successful initiatives. The $25 million grant will launch new patient-centered care models designed to improve experiences and outcomes. Prostate cancer care will be the initial clinical focus.
The five-year initiative supports efforts already under way within Emory Medicine, including simplified appointment scheduling, enhanced coordination among the health care team, better communication with patients and families (including 24-hour access to clinical staff), telemedicine options, and patient education and follow-up care.
"Dean Larsen and I will be partnering to ensure that this gift truly accelerates our progress in making it easier for our physicians and staff to provide highly reliable, patient- and family-centered care, initially for prostate cancer patients but ultimately for all of our patients," says William Bornstein, CMO and CQO for Emory Healthcare. "This will dramatically enhance the patient and family experience and also the joy of providing such care for all of our physicians and staff."
The gift creates two endowed chairs affiliated with the Winship Cancer Institute. John Pattaras, associate professor of urology, and Peter Rossi, associate professor of radiation oncology will help lead the new initiative.
Ten more years for Emory and Atlanta VAMC partnership
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Geriatrician Wilson Holland with a VAMC patient |
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The Atlanta VA Medical Center renewed its affiliation with the School of Medicine for another 10 years on July 28, reaffirming Emory's nearly 70-year relationship with the Atlanta VAMC, which is staffed by almost exclusively by Emory physicians. Thousands of Emory residents have trained at the VAMC, and 60% of physicians now practicing in Georgia trained at a VAMC at some point, says Wilson Holland, the VA's associate chief of staff for education.
Did you eat fresh produce today? Thank a farmworker.
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The PA program's South Georgia Farmworker Health Project helps migrant workers by offering clinics that come to them. |
Memorable walk-up patients at the PA Program's farmworker health clinic have included patients such as the following: An 80-year-old woman proud of working in the fields every day for four decades whose knees "hurt a bit." A 14-year-old boy who dislocated his toe playing soccer and was in tears because it hurt too much for him to pick tomatoes to help support his family. And a father who, after being given a snack for his low blood sugar, saved it to take back to his children.
Bringing together physician assistant (PA), physical therapy (PT), medical, nursing, and counseling students from Emory, Mercer, and Valdosta State, the PA Program's South Georgia Farmworker Health Project, established in 1996, "is such an important tradition and hands-on learning experience for our students," says Emory PA Program Director Maha Lund, who helped out in the pharmacy during the last clinic.
The site visits take place during two weeks in the summer and the first weekend in October. This June, 200 students participated and 1,583 patients were seen. The farmworker project is supported solely through donations. Its biggest fundraiser is the Heel to Heal 5K, which raises about $10,000 annually. A fundraising gala is planned for February, and Lund hopes to compile a book of student-written patient vignettes and to establish a farmworker student scholarship.
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