Gila River Health Care’s (GRHC) model of care involves working closely with patients and their families by recognizing their unique needs by respecting their culture and beliefs.
Your Patient-Centered Care Team includes these core functions and attributes:
Click each one to learn more
Relationship-based care focuses on the whole person and understanding and respecting each patient’s needs, culture, values and preferences.
The care team works to meet each patient’s acute care and chronic care health needs.
Patients have access to services with shorter waiting times for urgent needs, enhanced in-person hours, and around-the-clock telephone access to members of the care team.
Gila River Health Care uses evidence-based medicine and clinical decision support tools, engages in performance measurement and improvement, measures and responds to patient experiences and satisfaction, and practices population health management.
Care is coordinated across the broader health care system, including specialty care and the provision of community and support services.
The role of your Patient-Centered Care Team is:
- Explain medical care and medications so you understand.
- Listens to your concerns, answers questions about your care, and assists you (the patient) with decision-making.
- Arrange additional testing or evaluation if needed.
- Arrange referrals for specialty care if needed.
- Provide clear instructions about care and treatment plans that you agree on.
- Assist with health education, health promotion, and basic assistance management.
- Help you find the appropriate team member for a specific service.
Your role as the patient:
- Schedule and attend your appointments.
- Call ahead if you are unable to make your scheduled appointment.
- Tell us your health history, symptoms, goals, and other important information about your health.
- Tell us about any changes in your health.
- Keep a list of all medications you routinely take and bring list to your appointments.
- Follow your provider’s instructions and take your medications as prescribed.
Frequently Asked Questions
It is a model of primary health care that has the following core functions and attributes:
• Patient-Centered Care
• Comprehensive Care
• Coordinated Care
• Superb access to Care
• Systems-based approach to quality and safety
Relationship-based care is directed towards the whole person. This model supports patients in learning to manage and organize their own care at the level the patient chooses. Concepts of PCCT:
• Patient selected Primary Care clinician (PCP)
• PCP and interdisciplinary teamwork in partnership with the patient
• Considerations of patient’s cultural, linguistic, and educational needs and preferences
• Patient involvement in establishing a treatment plan
• Support for patient self-management
Meeting the majority of the patients’ physical and mental health care needs. It requires a team of care providers. This may include: physicians, APN’s, PA’s, Nurses, pharmacists, nutritionists, mental health workers, social workers, educators, and care coordinators.
• The provision of acute, preventive, and chronic care
• Provision of continuous and comprehensive care
• Team-based approach and the use of a multidisciplinary team to provide care
• Use of internal and external resources to meet patient needs
• Primary care clinician works collaboratively with an interdisciplinary team
The PCCT coordinates care across all elements of the health care system, including specialty care, hospitals, home health care, and community services and support. Coordination of transitions between sites of care is critical.
The PCCT delivers accessible services with shorter waiting times for urgent needs, enhanced in-person hours, around-the-clock telephone or electronic access to a member of the care team, and alternative methods of communication such as e-mail and telephone. The PCCT practice is responsive to patients’ preferences regarding access.
The PCCT demonstrates a commitment to quality and quality improvement through:
• Ongoing engagement in activities such as using evidence-based medicine and clinical decision support tools to guide shared decision-making with patients and families
• Engaging in performance measurement and improvement
• Measuring and responding to patient experiences and patient satisfaction
• Practicing population health management
• Sharing robust quality and safety data and improvement activities
If you have a question about GRHC’s Patient-Centered Care Team Model, please call your local Primary Care or Pediatric Department.
Click each location to meet our Patient-Centered Care Team
Certified by The Joint Commission, recognized for
excellence in patient care
