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JSA Medical Group takes an interdisciplinary
approach to disease management. All
levels of the health care team – physicians, case managers, nursing
staff, administrators and pharmacists are involved in the process.
Our program focuses on all
the patient’s diseases along with psychological and social issues that
effect positive outcomes. Most
other disease management programs focus only on a single, specific
disease.
Once a patient has been
identified as a “high risk” to be hospitalized or have undesired
outcomes, they are enrolled in our high risk program.
Each month (or more if needed) the team meets to develop a plan of
care with the ultimate goal to keep the patient out of the hospital.
A typical plan consists of:
1.
Patient education on medication compliance, disease symptoms and
when to contact physician
2.
Weekly phone calls to patient to assess current status
3.
Pharmaceutical management
4.
Necessary specialist referrals
5.
Community resources
6.
Daily weight monitoring
7.
Follow up meetings to discuss patient compliance with the patient
care plan
JSA utilizes the Group Appointment model to
assist in disease management. For
example, a group of 10-20 patients diagnosed with diabetes has a monthly 2
hour meeting with their physician. The
physician provides patient education, performs individual assessments and
provides opportunities for patients to discuss other disease related
issues within the group. Each
patient is provided with a binder that tracks test results and compliance
with preventive services.
Our pharmacies, who operate as AmeriDrug, are
conveniently located either within/next to/or near JSA Medical Group
locations.
JSA has instituted an initiative called
“Open Access” periods. Open
access periods are specific times during the day where no appointments are
scheduled, thereby allowing patients requiring immediate care to be seen.
The purpose of the system is to minimize unnecessary visits to the
emergency room, as well as unnecessary hospitalizations.
JSA Medical Group locations are located
conveniently throughout the greater Tampa Bay area.
Our case managers partner with our physicians
to ensure our patients are seen on a regular basis, medications are being
taken as prescribed and that diagnosed conditions are being addressed.
By becoming involved in the
care of our patients, case managers attempt to prevent conditions from
becoming more serious, thereby improving the quality of life of our
patients and reducing hospitalizations.
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