Nurse practitioners building medical homes


hi I’m Gigi Cara and I’m a nurse
practitioner working in pediatric primary care in my practice which is
recognized by the National Committee for Quality Assurance my colleagues and I
partner with parents to provide a medical home for approximately twenty
eight hundred children today in health care a lot of people are talking about
every patient having a medical home or in my case every child deserves a
medical home many Americans even those with comprehensive insurance feel medically
homeless when they try to navigate our nation’s health care system when they
seek advice or treatment they enter a system that financially rewards a patchwork of
independent episodes of acute care instead of continuous coordinated care
well there’s no single cure for the fragmentation of our health care system
there is a model that can help the term medical homes first coined by the American
Academy of Pediatrics in the 1960s this model offers a potentially powerful
alternative you’re improving care and patient satisfaction and its core the
medical home is a concept that rests on a foundation of a long-term trusted
relationship between the patient and the family in his or her health care
provider when patients have access to medical home they and their families are
insured 24 hours a day seven days a week access to medical consultation access to
a personal provider who has respect for their cultural or religious beliefs and
they have comprehensive coordination of their care through various health care
professionals and community services seeing here for yourself why we believe
there’s no place like the medical home for quality patient the medical home is an idea whose time
has come it is not a new concept but rather a new blend of medicine and
nursing the best of both disciplines or the primary care provider is comfortable
with illness prevention as well as acute and chronic illness though not
necessarily the expert where the provider knows that often the key to
making the right diagnosis requires a willingness to listen to patients and
families at length and to sometimes need to do further research and investigation
it includes understanding a patient’s temperament in their fears the provider
partners with patients to be available to them and help them through life’s
comprehensive issues which might include growth and development preventive care
strep throat a pre-college physical cancer or maybe even autism where care
is coordinated with specialists when needed and it is understood that it
takes the help of a whole office to provide a patient-centered medical nurse practitioners are ideal
providers to lead medical homes trusting holistic culturally competent
patient-centered care is the foundation of nursing key dimensions in nursing
care include respect for patients values preferences and express needs care that
is coordinated and integrated communication that is timely and
accurate care in terms of emotional support alleviating fears anxiety in
pain nursing care involves family and friends and ensures a smooth transition
with continuity many nurse practitioners especially those in rural areas serve as
primary care medical home providers for many citizens without these nurse
practitioners many of these families would have no health care at all nurse
practitioner allowed medical homes reduce disparities in healthcare access
delivery and outcomes qualifying nurse practitioners should lead medical homes
and need to lead them in order to help meet the unmet health care needs of this
country medical associations and industry organizations are predicting
that the demand for primary care physicians will outpace the number of
physicians taking on such careers while the numbers vary in are sometimes
disputed a shortage is imminent saturday nighta 30 somebody’s gonna talk
to me and or come here at me gigi is always really good this one is had breathing trouble and all sorts of issues not
annoyed with us because we were here three days ago cannot wait to retain
office hours you may reach Gigi the nurse practitioner on her cell phone at press 0 to leave a message in the medical home care model
holds great promise for improving the health of all Americans and the
satisfaction of patients and providers alike present data suggests that the
patient-centered medical home is not only attractive to patients and their
families but will deliver improved quality at a reduced cost however more
research needs to be done research about how this model of care should operate
and the most effective way to implement it is underway this model needs to be
further tested an incredible transparent way among different provider types and
in different environments they’re great with the kids and it’s an enjoyable thing to
come here and see them and know their job they’re very family-oriented like being part
of your family completed a can trust that you know care about your kids and
care about their well-being and I really there for you we’re very lucky what’s also
important is there’s always someone on the phone after hours so whenever we
call without fail either Dr. brannamon or Dr. GiGi have answered and boy that
just makes a difference to a parent and hard to ask for better care than that

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