E2-a Partnerships with the Community: Using the Medical Home Model to Take Nutrition & Diabetes Education to Patients

Theme 2. Optimizing access to interprofessional teams

 

Presentation Details

  • Date: 10/18/2016
  • Concurrent Session E
  • Time: 10:45am - 11:30am
  • Room: Pier 2 & 3
  • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
  • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)
  • Target Audience: Leadership (ED, clinical lead, board chair, board member, etc.), Clinical providers, Administrative staff, Representatives of stakeholder/partner organizations

Learning Objectives

Creating a virtual medical home represents an opportunity to improve integration and access to care for patients at risk of or living with diabetes when their primary provider is not part of an interdisciplinary FHT.  In this workshop, participants will:

  1. Review the concept of the medical home and the demonstrated benefits of this model
  2. Discuss the process and practical steps to implementing this approach
  3. Assess the feasibility of offering services in this way
  4. Determine capacity and explore how to integrate health professionals from their team into community practices

Summary/Abstract

This program is still in the early stages, having begun in December 2015. We have already seen improvement in attendance and therefore anticipate that there will be accompanying improvements in outcomes.     In the session, we will review preliminary results related to:

  1. Access
  2. Integration
  3. Information sharing
  4. Patient satisfaction
  5. Provider satisfaction

While focused on DEP services, this session will offer participants the opportunity to participate in a discussion of how to best leverage resources to improve access while considering the demands of providing excellent care to rostered patients.

Presenters

  • Lisa Weinberg, RD, Mount Sinai Academic Family Health Team
  • Deborah Adams, MA, MHSc, CHE Administrative Director, Mount Sinai Academic Family Health Team

Authors & Contributors