Primary Care Practices Recognized for Patient-Centered Care
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Primary Care Practices Recognized for Patient-Centered Care

Bennington, VT—November 21, 2019— Southwestern Vermont Medical Center (SVMC) and Southwestern Vermont Health Care (SVHC) are proud to announce that each of its five primary care practices in Vermont—SVMC Deerfield Valley Campus in Wilmington, SVMC Internal Medicine in Bennington, SVMC Northshire Campus in Manchester, SVMC Pediatrics in Bennington, and SVMC Pownal Campus in Pownal—have achieved recognition for providing personalized, effective, and efficient primary care. The medical practices have been re-designated as Patient Centered Medical Homes by the National Committee for Quality Assurance (NCQA).

“To achieve this distinction takes enormous effort by teams of staff within each practice,” said Trey Dobson, MD, Southwestern Vermont Medical Center’s chief medical officer and medical director of Dartmouth-Hitchcock Putnam Physicians. “We are so proud of our primary care practices for their drive to continually improve patient care in the ways necessary to earn recognition from the NCQA.”

The primary care medical home program identifies practices that promote partnerships between individual patients and their personal clinicians. A team of doctors, nurses, and other allied health providers oversees each patient’s care. The team ensures that care for all the patient’s health needs is coordinated across the health care system.

To receive recognition, a practice must demonstrate its ability to meet six key standards of the Patient Centered Medical Home model, which was developed by the American College of Physicians, the American Academy of Family Physicians, the American Academy of Pediatrics, and the American Osteopathic Association. The areas include access to care, using tools to identify patients and their information; planning and managing patient care; providing self-care tools; tracking and coordinating care; and a system for measuring and improving performance. Each standard has several subsections. Practices must resubmit for consideration every year.

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers, and researchers.

Implementing the medical home model in Southwestern Vermont is supported by United Health Alliance through a grant from the Vermont Blueprint for health. United Health Alliance is a partnership between physicians and Southwestern Vermont Medical Center dedicated to improving medical care in the greater Bennington area.

About SVHC:
Southwestern Vermont Health Care (SVHC) is a comprehensive, preeminent, health care system providing exceptional, convenient, and affordable care to the communities of Bennington and Windham Counties of Vermont, eastern Rensselaer and Washington Counties of New York, and northern Berkshire County in Massachusetts. SVHC includes Southwestern Vermont Medical Center (SVMC), Southwestern Vermont Regional Cancer Center, the Centers for Living and Rehabilitation, and the SVHC Foundation. SVMC includes 25 primary and specialty care practices. For more information, visit svhealthcare.org.

Southwestern Vermont Medical Center provides exceptional care without discriminating on the basis of an individual’s age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or gender identity or expression. Language assistance services, free of charge, are available at 1-800-367-9559.

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Moving Forward Safely

One of the most frustrating and anxiety-producing traits of our COVID –19 pandemic is how much uncertainty is involved in all aspects of this disease. Symptoms caused by the Coronavirus, age groups affected, the usefulness of medications, anticipated death rate, and the timeline for development of a vaccine are examples of information that sometimes change on a weekly basis.

Vermonters have done a great job of limiting the spread of the virus and protecting our most vulnerable neighbors by following the Governor's "Stay Home, Stay Safe" order over the past few months. Now, we've all been directed to wear masks in public. Both Bennington and Wilmington's Select Boards have passed local mandates requiring masks in public places. Thanks to these efforts—along with distancing, handwashing, and other factors—Vermont is among the states with the fewest number of infections. Continuing each of these important infection-prevention strategies is crucial to returning to a more normal way of life.

As we open up and begin to re-connect, we fully expect to see a rise in COVID –19 cases in Vermont. Thankfully, we have had time to prepare for this increase. We also have adequate PPE, and increased testing will help us gather crucial information for stemming the spread with less disruption to our normal lives.

More than ever, I find it helpful to focus on what we have learned and how it can help us move forward safely. Here is some of what we have learned so far: Most large hospitals, often treating over 1000 COVID patients daily, effectively protected their workers by obsessively following the rules of screening, hygiene, distancing, and masking. Each of these components is designed to work together; Each alone has its inherent limits.

  • Absent quick testing at the workplace, the best screening is asking employees if they have COVID-like symptoms (fever, chills, new cough, shortness of breath, sore throat, loss of taste or smell) and to stay home if they do.
  • Washing our hands (or using sanitizer) after touching well-handled items or visiting populated areas. Washing your hands 10 times daily is not too often.
  • Though an uncovered sneeze or cough can travel farther, 6 feet distancing continues to be the sweet spot for safety.
  • Masks (double layer cotton and surgical) are effective to prevent spreading of large and some small droplets containing virus. They also seem to give some minimal protection to those wearing a mask. Since possibly 40 percent of transmission happens when we do not have symptoms, we wear our masks to protect others and to suppress overall infection rate. They also help many people (not all) to avoid touching their face. The downside is a warm chin; the upside is you may be protecting someone from a significant illness. Masks are not a symbol of government intrusion. Masks are simply a tool to protect others and show empathy.

It is difficult to predict how many COVID-19 infections will occur in our communities in the coming months. What I am certain of is that our choices, on where we go and what we do, often affect the safety of those around us. As we learn to live with this virus in our community, following the recommendation above will help us all.

Marie George, MD, is SVMC’s infectious disease specialist.

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