Features
Just some of the ways that we're changing the face of primary care.
Behavioral HealthCare CoordinationWhy Advanced Primary Care?
Care Coordination
What does it mean?
Our Physician-led team-based approach to healthcare is the foundation of the patient-centered medial home. Nurse care managers work closely with all of the providers on a patient's team to meet the gamut of needs – medical, social, and financial. The goal is to keep community members healthy and out of the hospital.
Who is on my team?
From medical assistants and primary care physicians to diabetes educators and mental health professionals, a customized care team is formed for each patient, depending on his or her needs.
What are the benefits?
Care teams build relationships with patients, making it their mission to ensure folks understand how to navigate their healthcare. Our teams track disease patterns, teach proper medication usage, schedule preventative screenings, assist in finding financial resources, and more.
It starts with urgency
Knowing that one in eight women are at risk for developing breast cancer, Medical Assistant Samantha Clayton of GBMC at Hunt Manor repeatedly called and left voicemails for Debra, a patient who was long overdue for a mammogram. Like many patients, Debra was resistant and didn't think she needed the screening. Finally, after many repeated attempts by Samantha, Debra made the appointment. Debra was diagnosed with breast cancer, but luckily, thanks to Samantha's tenacity, it was still at an early and treatable stage. It's very likely those persistent calls by her care team member saved Debra's life.
Prediabetes Risk Assessment
The sooner you know you have prediabetes, the sooner you can take action to reverse it and prevent type 2 diabetes.
More than 84 million (1 in 3) American adults have prediabetes, a condition where blood sugar levels are higher than normal but not high enough yet to be diagnosed as type 2 diabetes. What’s more, nearly 90% percent of those people don’t know they have it. Having prediabetes greatly increases the chance of developing type 2 diabetes and other serious health conditions. It’s critical for Americans to learn their prediabetes risk, be screened regularly and take the steps necessary to delay or prevent type 2 diabetes.
A person with a high score on the online risk test (five or higher) is at significant risk for having prediabetes. However, only a blood test can determine an official diagnosis. If you identify as pre-diabetic after completing the risk assessment, we recommend establishing care with one of our primary care practices above for further evaluation and an individualized treatment plan.
Take the Prediabetes Assessment
Diabetes Education Classes
Patients of GBMC Primary Care are able to meet with a Certified Diabetes Educator in any of the participating primary care locations.
- Personalized diabetes training and support
- Meal planning
- Carb counting
- Glucose monitoring
- Taking medication
- Insulin training
- Weight management
Schedule your session now! View the flyer
Why Advanced Primary Care?
Advanced Primary Care emphasizes:
- Hours that meet the needs of the people
- Chronic disease management
- Accountability for the health of the community
- Keeping them out of the hospital
A focus on primary care has been shown to result in:
11%
decrease
in ER visits
8%
decrease
in surgeries
Urban communities that have an adequate supply of primary care providers experience:
- Lower infant mortality
- Healthier children
- Higher immunization rates
- Healthier workforce
The proper system also leads to less waste, because of:
- Fewer hospitalizations
- Less duplication of treatment & testing
- Adults who have a primary care physician accumulate 33% lower healthcare-related costs
- More effective, higher-quality care
Behavioral Health Needs
To us, advanced primary care is about much more than your physical health. That's why we've teamed up with leaders in the industry to start the Collaborative Care Program. Mental health professionals, including psychiatrists, licensed social workers, and behavioral health and substance use experts, are all part of the care team at GBMC, when needed. These experts work together to proactively address a wide range of conditions including anxiety, depression, substance use issues, ADHD, and more. Our Behavioral Health Care Managers (BHCMs) provide custom recommendations to best fit the needs of each patient and work with their primary care providers to create individual care plans. Support from the BHCM is provided in the method that works best for patients – phone, MyChart message, video chat, or in-person visit – and is offered at a time that fits your needs.
