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Patient Information


Click on one of the links in the list to immediately go to that section.

Welcome
Practice Services
Hours
Payment Options
Same Day Appointments
Cancellations
Emergencies
Chronic Care Management & Medicare Wellness
Prescription Refills
Patient Portal
24-Hour Nurse Line
What is Patient Centered Medical Home
What This Means for You
What are the changes and additional benefits that I can expect?
What You Can Expect From Us
What We Expect From You
Transitional Care
How Will An ACO Help My Doctor Coordinate My Care?


Welcome

We appreciate this opportunity to serve you. This booklet contains information about our practice and is provided to answer most of the questions you might have about us.

From routine preventive care, to minor emergencies and chronic health conditions, like asthma or diabetes, our dedicated providers are here to ensure that you receive the very best care and advice every time you walk through our door.

Feel free to call or stop in any time you need us.


Practice Services

Family Care
Pediatrics
Internal Medicine
Minor Surgery
Laboratory Testing
Physical Exams
Immunizations


Hours

Monday-Friday: 8:30 a.m. to 5:00 p .m.
Walk-In Clinic: Saturday-8:00 a.m. to 11:30 a.m.
**Our switchboard is open during these hours.


Payment Options:

Co-Pay is due at time of service. We accept major health insurances, cash, major credit cards, debit cards, or welcome your personal check. We provide equal access to all patients regardless of their source of payment.

If you have any questions, please do not hesitate to stop at the front desk for assistance.

Insurance Options: If you have insurance or Medicare, we will be pleased to bill them for you. Please let us know at time of arrival how you wish to make payment so we can expedite forms if necessary. If there are questions regarding health insurance, do not hesitate to ask someone at the front desk about potential sources of insurance coverage (Ie: State Medicaid or CHIP).

If we can assist you in any way with payment procedures, just ask us.

If you don't have insurance, Pinckneyville Community Hospital has a financial counselor you may meet with for payment options. For assistance, call 618-357-5906.


Same Day Appointments

It is our goal to provide you with high quality, convenient medical care by a caring staff. It is recommended that you see us by appointment.

There are times, however, that it may be difficult to get an appointment with your personal family physician on the same day as you call the clinic to schedule an appointment.

If you have a medical problem you believe requires same day appointments, we encourage you to call as early as possible during our clinic hours to schedule an appointment with your primary care provider. If your primary provider does not have an available appointment time, we encourage you to schedule an appointment with any of our providers that have an available appointment.


Cancellations

We ask that you provide at least 24 hours advance notice to cancel any appointment. If, however, due to circumstances not under your control, and you are unable to keep your appointment, please let us know as soon as possible, so that we may schedule another person requiring care.


Emergencies

If you have any emergency, call 911, or go to your nearest emergency room.


Chronic Care Management & Medicare Wellness

We provide Chronic Care Management and Medicare Wellness visits to keep you healthy, minimize costs and provide more efficient care. You may contact the Care Coordinator at 618-357-8820 to learn if these programs are right for you.


Prescription Refills

Please call your pharmacy regarding refills on medications at least 72 hours in advance, to allow sufficient time for the pharmacy and your provider to receive and respond to your request before you run out of your medication.


Patient Portal

You can now view your medical records, request an appointment, view labs/test results online! We are excited about the portal and feel this helps us provide a higher level of patient centered, coordinated care. Ask the front desk how you can sign-up for the portal today!


24-Hour Nurse Line

Health concerns don't always follow a 9-to-5 schedule. Fortunately, our 24/7 Nurseline does. You can call 24 hours a day, seven days a week to get answers to medical questions about minor accidents like cuts or burns, a sick child, headaches, fever, asthma, back pain and other chronic conditions.
The 24/7 Nurseline is staffed by registered nurses who can answer many of your questions, and encourage you to seek emergency services if necessary.


What is Patient Centered Medical Home

Patient Centered Medical Home (PCMH) coordinates your medical care as a healthcare team-putting the focus of your healthcare on you, where it belongs! Comprehensive Care! YOU are at the center of your healthcare.

The PCMH team facilities a partnership between individual patients, his or her primary care physician, and the patient's family.

Medical care is facilitated by evidence based guidelines through registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need it.

Patients are assured that medical care will be carried out in a language and cultural manner that is appropriate for the patient.


What This Means for You

Your PCMH team will facilitate upcoming and ongoing care, as needed, during and in-between your appointments.

You and your PCMH team will work together to create a personalized health care plan. The plan will focus on prevention and wellness care and will include other specialists and medical care providers you see. This plan includes any behavioral or mental health needs and providers. Your team will make referals to Perry County Counseling or other behavior health facilities as needed. In addition to the referrals, we will equip you with all the tools and resources you'll need to make your care plan a reality.


What are the changes and additional benefits that I can expect?

Team Based Care:
If you see a nurse practitioner or physician assistant, please know that they work in collaboration with a physician in the practice. The team will be supported by the medical office staff to work with you to meet all of your medical needs. We will use information Electronic Medical Record (EMR) to assist in optimizing your medical care.

Improved Health Access and Communications:
For urgent care issues during work hours, an available provider will see you on the very day that you have an urgent health care need. You will need to simply call the main office number (618-357-2131) during working hours to schedule a same day appointment. Many urgent care needs, including lacerations, can be handled here in the office, your Medical Home. You will then avoid having a prolonged and expensive visit to the emergency room.


What You Can Expect From Us

1. We listen to your questions and concerns to clearly explain disease/diagnosis, treatment and results of diagnostic tests.

2. The care team is responsible for coordinating your care whether with specialists or resources in the community.

3. Provide clear instructions about your treatment goals and future plans for every visit. You will be able to access a Summary of Care on your     patient portal within 24 hours of your visit.

4. We will continue to learn and improve in the quality of care through evidence based performance measures: on clinical care, patient's     experience, and practice operations and on its impact on healthcare costs.

5. As a medical home, the practice will provide behavioral health needs through annual depression screening, medical management and referrals     for counseling and psychiatric evaluations as needed.


What We Expect From You

1. Arrive on time. If you are unable to do so, or unable to make the appointment, please contact the Family Medical Center as soon as possible.     Doing so, will potentially free up that time slot for another patient.

2. Ask questions and actively participate in your care.

3. Provide your complete medical history and other important information, including any change in your health and information about care outside     of the practice.

4. In addition to keeping your medical history up to date, keep your emergency contact up to date, including those individuals in which we can     release information to.

5. If you are new patient to the clinic, sign a transfer of medical records form to have your medical records released and return it to the office.

6. Follow your Plan of Care recommended by your provider.


Emergency Department vs. Doctors Office

Whenever an illness or injury occurs, you need to decide how serious it is and how soon to get medical care. Please consider the following to help you choose whether it is best to call your provider or go to an emergency department right away.

It pays to think about the right place to go. Treatment in an emergency department can cost 2 to 3 times more than the same care in your doctor's office. Think about this, and the other issues listed below when deciding.

How quickly do you need care? If a person or unborn baby could die or be permanently disabled, it is an emergency.

Call 9-1-1 immediately if you are:

Choking
Stopped breathing
Head injury with passing out, fainting, or confusion
Injury to neck or spine, specialty if there is loss of feeling or inability to move
Severe chest pain or pressure
Seizure that lasted 3 to 5 minutes

If you are not sure what to do, and you don't have one of the serious conditions listed above, call your doctor. If the office is not open, your phone call will be forwarded to 24/7 Nurse Call line. Describe your symptoms to the nurse who answers your call, and find out what you should do.


Transitional Care

The Transitional Care Program, formerly known as Swing Bed Program, is an extended care option designed to provide skilled nursing and therapy in the hospital setting to patients who require additional recovery time as they make the transition from hospital to home.
After the patient is discharged, they may qualify for follow-up care from the Transitional Care Nurse who acts as a care manger, to ensure that the patient has made doctors' appointments, set-up appropriate care in the home, filled prescriptions, etc.


Nurse Practitioner Hospitalist

While in the hospital, patients will benefit from the care of Nurse Practitioner Hospitalist, Miles Priebe. The purpose of the Hospitalist Program is to provide patients with increased access to provider care during their hospitalization. Miles will round Monday through Friday with Dr. Fozard, Dr. Reyes and Dr. Forbes and will be available throughout the day to monitor progress and overall care. Working closely with each patient's primary care physician, Miles will coordinate care with nursing, therapy, pharmacy, respiratory, laboratory, social services, case management and transitional care.

The Family Medical Center at Pinckneyville Community Hospital is participating in Illinois Rural Community Care Organization,


What's An Accountable Care Organization (ACO)?

ACOs are groups of doctors and other health care providers who voluntarily work together with Medicare to give you high quality service and care at the right time in the right setting.

An ACO is not a Medicare Advantage Plan, (like an HMO or PPO), or an insurance plan.


How Will An ACO Help My Doctor Coordinate My Care?

Your doctors will have a more complete picture of your health through talking with your other doctors.

To help you get better, more coordinated care, Medicare will share certain health information with us about the care you get from your doctors and other health care providers unless you ask Medicare not to share it.

Questions
Call the Care Coordinator at 618-357-8820.

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