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Fairview Family Medicine is working toward Patient-Centered Medical Home Recognition. The National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) Recognition is the most widely used way to transform primary care practices into medical homes.

According to the NCQA, a PCMH inspires quality in care, cultivates more engaging patient relationships, and captures savings through expanded access and delivery options that align patient preferences with payer and provider capabilities.

Located in Mooresville, North Carolina, Fairview Family Medicine offers complete primary care services for all ages. As a part of the PCMH transformation process, Rebecca Montgomery, MD, and the entire staff at Fairview Family Medicine identified and implemented several quality improvement projects over the past several months including:

• Decreasing the number of diabetic patients with an A1C greater than 8  – improved scores by 12%.

• Decreasing the number of patients with high blood pressure (greater than 140/90) – improved scores by 10%.

• Decreasing the number of patients with COPD that need Cancer Screening – improved scores by 50%.

• Decreasing the number of patients who are due for their Pneumonia Vaccine – improved scores by 19%.

• Decreasing the number of patients who are due for their Zostavax  – improved scores by 58%.

• Decreasing the number of patients who are due for their Annual Wellness Visit – improved scores by 14%.

• Decreasing the number of less than 30-day hospital readmissions from 1 in both Quarter 1 and Quarter 2 of 2015 to 0 in Quarter 3 of 2015.

• Implementing a campaign to women who are due for their mammogram.

• Implementing a campaign to ensure that patients taking Coumadin were being seen by the provider and getting lab work regularly done.

• Implementing a Care Coordination department staffed with nurses and a clinical team.  Their role is to reach out to patients by phone in-between their visits to the office and work with them to meet their health goals (lowering blood pressure, lowering blood sugar, increasing exercise, weight loss, etc.).

• Through the patient satisfaction survey, the practice learned patients were not always able to get in for appointments at a preferred time. They improved their quality of care by opening up two same day appointments for each provider for each full day that they work.

Piedmont HealthCare – Fairview Family Medicine is located at 150 Fairview Road, Suite 210, Mooresville, NC 28117, 704-235-0300.
For more information, please contact:Joy Durham RN, CCM, Piedmont Health Care Director of Operations, 704-873-4277 x1133.

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