Internal 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.

If you are an adolescent or an adult, you may choose to have an internist (or doctor of internal medicine) who specializes in the prevention and treatment of adult diseases as your primary care provider.

At Carilion Clinic, our team of internists, nurse practitioners, physician assistants, and other healthcare professionals get to know you as an individual and make a point of becoming familiar with your medical history in order to take excellent care of you from your teen years through old age. We're trained and experienced in the treatment of all adult illnesses, from the most every-day to the most uncommon, and we're especially skilled in solving puzzling diagnostic problems and caring for you when you suffer from multiple chronic illnesses at the same time. When you need to see one or more specialists, your internist will take responsibility for coordinating and integrating your therapy.

We're also proud to operate as a Carilion Clinic Medical Home, 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 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're also here to make sure you stay healthy. Your Carilion internist will schedule regular health screenings for you based on your age, gender and individual risk factors-because catching diseases such as cancer at an early stage offers the best hope of a cure. We offer a variety of wellness programs to help you learn how to maintain a healthy lifestyle-either to ward off disease or manage a chronic illness.

Benefits of a Carilion Clinic Medical Home:

  • Health coaching designed to meet your individual needs
  • 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

Why Patients Choose Medical Homes

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.

Together we will do everything we can to keep you well, managing both acute problems as they arise and ongoing chronic illnesses. Our goal at all times is to keep you healthy and in your own home—and prevent your chronic illness from spiraling out of control so you need to enter the hospital, where you may require costly and invasive procedures.