MGH Back Bay Patient-Centeredness

1. MGH Back BayPatient-Centeredness • We are working on becoming certified as a Level 3 (the highest) Patient-Centered Medical Home (PCMH) by the National Committee for Quality Assurance (NCQA).  This model of care promotes a partnership between patients and families, their doctor and a personal team of health care providers.  • Your team of providers at Back Bay consists of your physician, a nurse, a flow manager and a secretary. The team is supported by your phlebotomist, managed care coordinator, physiatrist, social workers, nurse educator, residents and nutritionist. • Your care team focuses on the whole person and allows the physician to spend more time with you. • We look forward to increasing access, improving the quality of healthcare and decreasing healthcare costs to the patients and communities we serve.

2. Patient Centered Medical Home(PCMH) • MGH Back Bay strives to provide a PCMH and team of providers for each of our patients • Through these relationships, together we can foster shared decision-making, self-care plans, and treatment options focusing on the your goals and expectations. • We are focused on the whole patient; providing care through all stages of life and all aspects of care

3. Your Primary Care Physician • Studies show that patients with an ongoing, continuous relationship with a primary care doctor receive better care and save on health care costs • We are dedicated to building a continuous healing relationship with you. • We work with you and the important people in your life to develop a plan of care that meets your needs. • We are board certified in Med-Peds or Family Medicine and are faculty members of Harvard University School of Medicine. • We believe that by teaching residents and students from the Harvard School of Medicine, the education of others enables us to stay at the very leading edge of medicine.

4. Nurse PractitionerKristine Slatkavitz, NPAs a respected member of our health care team, our NP can be your primary Care Provider offering a variety of healthcare services including the ability to: Diagnose and treat illnesses and injuries, Perform physical examinations; Order and interpret diagnostic tests; Write prescriptions; Provide counseling and education

5. The Flow Manager:Taylor, Sandra, Kaylin, Jenn, Desi, JennieA medical assistant or LPN, we work side by side with your PCP to help prepare you for your appointment, manage your healthcare needs and are dedicated to providing individualized, attentive care in a comfortable and professional manner. We believe we can help all of our patients to live healthier lives.

6. The RNs:Barret, Denise, Patti and Sue; RNsThe registered nurse plays an active role in promoting patient education, self-management skills and with helping patients and families manage illness or medical conditions.

7. The Managed Care Coordinator:RhodshonWorks with the physician to coordinate your care with specialists, arranges outside exams and assists with the identification of appropriate providers, facilities, and community resources.

8. Patient Service Coordinators:Cecily, Marcy, Kim MelissaWe believe Primary Care is our most important service.  We help you establish a relationship with a provider by assisting you with the scheduling of an appointment with a provider of your choice then assure that you see that provider for all follow up care.  This allows you to develop continuity with a provider.

9. Licensed Independent Social WorkerJoanne Pomodoro and Bob Childers, LICSWsWe provide mental health services in a supportive environment. Our LICSWs coordinate mental health assessments and treatment plans to meet your needs. This team will workwith you to set goals, develop a plan of care and monitor progress.

10. Medical Records CoordinatorNancy GlynnThe electronic medical record (EMR) is critical to our ability to provide efficient, coordinated, safe and high quality care. Your integrated record provides valuable information about your medical history that can help your team collaborate with others. Our coordinator can assist you with access to your EMR when you need it.

11. Nurse Educator, Sue Ross, RNThis nurse works collaboratively with your team to improve the quality of your care and promote desired outcomes especially with diabetic and hypertensive patients by teaching how you can best manage your health concerns day-to-day. She functions in the roles of care provider, educator, consultant, and evidence-based practitioner.

12. HOW DO YOU GET THE MOST FROM A Patient-Centered Medical Home? WHAT YOU CAN DO: • 1. BE IN CHARGE OF YOUR HEALTH • Know that you are a full partner in your care. • Understand your health situation and ask questions about your care. • Learn about your condition and what you can do to stay as healthy as possible. • 2. PARTICIPATE IN YOUR CARE • Follow the plan that you and we have agreed is best for your health. • Take medications as prescribed. • Keep scheduled appointments and attend follow-up visits when necessary . • 3. COMMUNICATE WITH YOUR CARE TEAM • Tell us when you don’t understand something we said or ask us to explain it in a different way. • Tell us if you get care from other health professionals so we can help coordinate the best care possible. • Bring a list of questions and a list of medicines or herbal supplements you take to every appointment. • Tell us about any changes in your health or well-being.

13. You and your health care are at the center of the Medical Home Team: • Remember, the medical home can be a way for you to be informed about and involved in your health care decisions. The medical home can bring you, your family, and your health care team together to help you make the best choices about your health.