Family Medicine in a 'Medical Home'

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A PERSONALIZED TEAM FOCUSED ON YOUR HEALTH

Video: Carilion Clinic provides a specialized approach to primary care through our patient-centered medical homes.

We are proud to have introduced the first "medical homes" in Virginia. Carilion Clinic Medical Homes provide a patient-centered approach to primary care, in which you'll find an entire care team dedicated to you, and focused on prevention and wellness.

Led by your physician, your medical home care team works with you to achieve your healthcare goals with the skill and compassion you deserve. Together we will do everything we can to keep you well, managing both acute health problems as they arise and ongoing chronic illnesses, as well as reducing your risk of developing a chronic disease in the future.

We see patients young and old, and we are dedicated to providing personalized care in a way that is both skillful and compassionate. We see you as the unique individual you are—not just as a set of symptoms or diseases.

We also encourage you to take advantage of our extensive array of community outreach programs, classes, lectures, counseling, and support groups to learn about the best ways to take care of yourself and your family.

Benefits of a Carilion Clinic Medical Home:

  • Health coaching designed to meet your individual needs
  • Access to MyChart, an online healthcare management tool
  • Reminders about upcoming important health screenings to keep you as healthy as possible
  • Follow-up care after a hospital discharge or emergency room visit
  • Improved access to and communication with your healthcare team
  • Being an informed partner in your medical care and in the improvement of your health

Members of Your Care Team Include:

  • Your physician, nurse practitioner, and physician assistant
  • Your office nurse
  • Your nurse care coordinator
  • All members of your primary care office, including lab technicians, pharmacists, front staff, and office managers

What Is a Nurse Care Coordinator?

Your nurse care coordinator serves several roles and will meet with you in your primary care office to partner in caring for you by:

  • Helping you identify your risk for getting a chronic illness based on your family or personal health history.
  • Helping you make changes to your diet and increasing your physical activity to prevent chronic illnesses.
  • Helping you manage your chronic illness by setting goals that allow you to be as healthy and active as you can.
  • Educating you on preventing illness and how to optimize your health.
  • Encouraging and supporting you along the way as you make healthier lifestyle choices.
  • Calling you when you are discharged from the hospital or emergency room to see that you have the medications you need, you understand what to do to care for yourself, you have the appropriate follow-up appointments, you have all of the resources you need to care for yourself, and to check and see if you are improving.
  • Answering your questions about your chronic illness, medications, medical tests, or community resources.