The Minnesota Department of Health has recertified Riverwood Healthcare Center as a Health Care Home. This means that Riverwood primary care clinics in Aitkin, Garrison and McGregor have met a set of rigorous standards to provide patient and family-centered care and will continue working to improve the quality, experience, and value of care.
Health Care Homes provide complete care, ranging from disease prevention to management of complex and chronic conditions, and are dedicated to meeting the highest standards for health care delivery. Certified Health Care Home clinics offer a team-based approach to primary care that makes it easier for patients to communicate and partner with their care team. They are their patients’ home for health care.
A Health Care Home coordinates care with specialists and community services to ensure patients receive what they need to stay healthy and improve and manage their health. This includes expanded access to appointments, 24/7 access to a clinic representative, proactive planning for care, designated patient care coordinators, and an overall focus on quality improvement.
Riverwood is proud to announce that its primary care clinics in Aitkin, Garrison and McGregor have been certified by the Minnesota Department of Health as Level 3 HCHs. This means that the designated clinics have met the requirements of the Foundational Level of certification as well as those of Level 2 and have further advanced their care model.
Level 3 clinics have done considerable work to integrate care delivery with the community, including contributing to the community health needs assessment and population health improvement process, as well as playing a role in implementing and monitoring the progress of community health improvement efforts.
At Riverwood, seven registered nurse care coordinators work within the health care team to provide chronic care management, principal care management, and behavioral health integration services to about 324 patients with complex medical conditions or needs. These nurses offer an added layer of care, helping to coordinate treatment and connect patients with the resources they need to reach their health goals. Care coordination services help to improve care transitions that reduce hospital readmissions, adverse health events, and unnecessary emergency department use.
Dr. Tim Arnold, Riverwood family physician, comments, “The registered nurse care coordinators do a great job of watching the hospital patient list and incoming messages and handling emerging problems. They follow up with patients regularly, which helps to reduce chronic disease problems and new health issues. I feel this allows me to take better care of my patients.”
Heidi Olesen, RN, primary care services manager, adds, “Achieving a Level 3 Certification demonstrates that our clinics provide a high level of quality care to our patients. Our team works to coordinate care, address social determinants of health, focus on population and community health, and continuously looks for ways to improve care delivery and outcomes for our patients.”
See more information on the health care home model of care at https://www.health.state.mn.us/facilities/hchomes/index.html