Mission

Quality, comprehensive, timely, personalized health, wellness, and sports medicine care

Vision

  1. Mission1Optimize personalized, compassionate health care
  2. Maintain high quality of care using patient-driven treatment plans, data registries, quality control measures, patient outreach, clinical trials programs, serial process analysis (gap analysis), patient input
  3. Prioritize coordination of care by using protocol for timely hospital and emergency department follow up care in office, including retrieval of records
  4. Maintain and enhance timely and versatile access to care in various settings
  5. Continue to spend significant time with patients, avoiding “high-volume” model
  6. Ongoing communications, education (email, portal, other) and other electronic resources (website, links, other) development
  7. Encourage utilization of digital and electronic resources among physicians and staff
  8. Maintain 24-7 physician availability
  9. Continue to develop and utilize cost-effective ancillaries & services
  10. Control cost for patients, physicians, and the health care industry

Values

Mission2Caring, timely, quality, personal, team approach, comprehensive, careful, compassionate, efficient, cost-aware

Strategy

Overall, the elements above and below constitute what we feel is important in a Patient-Centered Medical Home.

Patient-Centered Medical Home

The primary care medical home is accountable for meeting the large majority of each patient’s physical and mental health care needs, including prevention and wellness, acute care, and chronic care. For more information please visit our PCMH page.

Key Elements of a High-Functioning Sports Medicine and Primary Care Practice

  1. Access and Communication
    1. Appropriate verbal, written, and electronic communication regarding care access and scheduling
    2. Same-day and care-driven appointments, especially with acute injuries
    3. Continuity with same provider
    4. Phone triage and advice
    5. Weekend and after-hours visits when appropriate for quality of care
    6. Saturday morning urgent care hours
    7. Home visits occasionally as needed when appropriate for quality of care
    8. Patient portal and email
  2. Care Management and Support
    1. Identification of risk factors (e.g., standardized mechanism for identification of health and risk factors that trigger #2)
    2. Evidence-based decision support, guidelines, and reminders
    3. Registry functionality (e.g., chronic disease, health maintenance, outreach, other)
    4. Data management and outreach (e.g., registry/data outcomes reports [outcome, compliance, cost], patient outreach program, collaborative learning assessments)
    5. Tracking and Compliance (e.g., diagnostic tests, referrals, follow-ups, health maintenance, preventive & lifestyle measures, outreach)
    6. Hospital and Emergency Room follow-up (e.g., policy & procedures to acutely identify and contact affected patients, retrieve appropriate supporting documents and tests, schedule for appropriate, individualized, short-term follow-up evaluation )
    7. End of Life Planning (ranging from advanced directives/living will and planning resources to family meetings and hospice care when needed)
    8. Performance measures (e.g., outcomes assessment, patient satisfaction surveys)
    9. Education (e.g., EMR-driven, printed patient handouts, web-based resources, MA and nurse coordinator teaching, other)
    10. Patient-driven goals
    11. Motivation assessment and interviewing
  3. Care Coordination
    1. Access to IN-HOUSE care coordinator, to support high risk, hospital and emergency patient care, serve as “bridge” to various ancillary & support services, facilitate specialist referrals, troubleshoot social problems and barriers, and identify and assist patients with challenges.
    2. Hospital and Emergency Room follow-up
    3. End of Life Planning
    4. Tracking and Compliance
    5. Education
    6. Self-management support (e.g., printed patient goals and plans, language-specific instructions, patient’s preferences, etc.)
    7. Specialists (cost and quality of care mindful)
    8. Hospital care co-management (e.g., individualized hospital care/visits coordinated with hospitalist)
  4. Comments
    1. Some elements in areas 2 and 3 overlap
    2. Above measures increase quality of care, improve patient experience, and decrease cost (triple aim)
    3. All above areas may significantly increase safe & successful sports participation, return to an active lifestyle, and decrease emergency department use and recurrent injury
    4. All above areas will optimize care, activity, and life transitions
    5. Accountability and measurability are important; accomplished using written care plans, registry functionality, clinical quality data measures and reports, strategic office planning and meetings, patient-satisfaction surveys, and audits as needed.

Longs Peak Family Practice complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.