the person certain medical home is a it's a team-based approach to health
care where the GP works with a team of people to look after the patient's
welfare in health so the idea is that we focus it on the patient look at their
needs look at their goals and work together with the patient to achieve that
it really is about combining the traditional core values of medicine to
meet the demands of the modern world it's about getting back to the patient
and understanding their needs and what will work for them.
As a family physician you need to be comprehensive you need to have your team involved to get the
better outcome for your patient you don't have to be a patient and sick to
get care from us it can be just part of your preventative health care program
how I came to this practice I became very very ill at home and I needed a
doctor so I came to this Medical Centre without a an appointment got to the door
to try and make an appointment and I opened the door and I'm saying I can't
breathe and so next thing Doctor Merhnoosh and nurse Kath came out took me
in and they administered some oxygen and they looked after me and I was very
anxious at this time they settled me down they did all the right things and
then during that time just before I was going out I think it was the nurse she
said we would like to monitor you for the next you know for the rest of the
time like for the next 12 months we want to keep an eye on you so you're going to
come in here for checks and things and to me that was music to my ears because
I lived alone and I had no one no one at home all the children had left and I
thought well this is good you know someone's gonna look out look out for me
the team at Sydney North Health Network are providing practices in our region
with a program of support and education to further enhance the
quality of care that they provide patients GP's and practice staff can get
involved by developing their leadership skills and promoting a positive
workplace culture understanding patients healthcare needs and using data and
technology to drive improvement are the next steps
practices involved in the program can expect to see their team's working more
collaboratively and with more confidence
in this practice I'm in a very lucky
position that they allow leave time to spend with the patient which is critical
and I get to do a health assessment with the patient and then I go with the GP
and talk together with the patient and the GP and kind of handover to the
patient so it's connecting to that patient finding out what's important to
them and continually touching base with the patients
our model is really based
on prevention so every three months we will check back in with the patient and
the basis of that check in is to one keep them accountable but two also make
sure they're on track with their goals and offering the support if need be
you get a Care Manager assigned to you as soon as you walk in the door and that
Care Manager really coordinates your care throughout the clinic throughout
your whole time here we also have a wide range of healthcare professionals all
together under the same roof so we've got the GP dietitian physio occupational
therapists and psychologists as well as the nurse and all of these people work
together as a team to look after that one patient
well I think the main
benefits are the follow-ups you know they're very very caring and they really
want you to follow up every little thing that they do and get feedback on it
the focus is actually on the patient and the patient's journey whether it's
in complex health situations or whether it's in wellness getting them as fit and
as healthy as we possibly can we get to know them when you spend time with them
we follow up and we connect them to services that are around our community
to aid them in getting well and healthy
it just opened up lots of areas where it
was that I wouldn't have gotten otherwise without their help and I just
did as I say I believed in them and you know I am going to get better I really
believe that I'm very positive and this this team are more positive they're on
to me all the time you know and saying yes yes you can do it and I can