Patient Centered Medical Home

You Are the Focus of Your Healthcare

Kirby Medical Center is recognized by the Compliance Team for Quality Assurance as a Patient Centered Medical Home (PCMH), which means we take a team approach to provide total healthcare.

Your medical home team includes your Kirby care providers, others who support you and – most importantly – you.

• Access to Care – Your primary care provider will develop a plan to maximize your health, provide same day appointments, after-hours coverage, urgent care needs, and imaging and lab services.
• Health Information and Technology – We have electronic medical records, electronic orders and reporting, electronic prescribing, automated appointment reminders, and electronic referral services available to better coordinate your care.
• Care Management – The Care Team at Kirby Medical Group promotes wellness, population management, chronic disease management, patient education, and patient outreach for preventative screenings.
• Quality and Safety – We will provide evidence-based practices, medication management, patient satisfaction feedback, quality improvement, risk management and regulatory compliance.
• Care Coordination – Our Care Navigator provides a link between you and the rest of your care team, in and out of Kirby Medical Group. Our multi-disciplinary team consists of specialists, nutritionists, a wellness coach, and the Care Navigator.
• Fiscal Responsibility – The right care, at the right place, at the right time. We have trained coding and billing staff, cost effective care management, and quality cost benefit decision making.
• Patient Centered Medical Home – Coordinated, appropriate, and fiscally responsible healthcare delivered to the patients of Kirby Medical Group by our Care Teams.

Your Medical Home Team:

Mari Lynn Quick - Care Navigator, KMG

The Care Navigator is responsible for functioning in an expanded role to facilitate care through interdisciplinary collaboration and care coordination. Responsible for communicating with patients and caregivers to ensure improved care transitions, enhancing patient-practitioner communication to identify opportunities for care continuity, encouraging the patient’s self-management skills and understanding of the health care system to guide and empower patients to participate actively in their care plan.

Your Medical Home Can:

• Help you manage your healthcare
• Help answer your health questions
• Listen to your concerns
• Work with other medical experts in and out of Kirby Medical Group
• Coordinate your care through additional services
• Encourage you to play an active part in your own healthcare

How to Get the Most out of Your Medical Home:

• Write down the names of your healthcare team and ask how to reach them after hours
• Bring a list of written questions to your appointment to ask your care team during your visit
• Talk with your team about what health issues are most important to you
• Share your past healthcare successes and challenges
• Use your own words to repeat back the things you’ve discussed with your team to make sure you understand the information
• Before you leave an appointment, be sure you know what you need to do before your next appointment
• Tell your team how you feel about the care you are getting from them through Press Ganey surveys
• Tell your team if you are having trouble with your care plan or your plan is not working

Questions or concerns? Ask your care provider or a member of staff for more information.

For more information on our patient centered medical home, please see this brochure.