Health

Why Medical Appointments are like Math Tests

By Eileen B. Wyner, NP
Bulfinch Medical Group

Eileen Wyner, NP

A medical appointment is a really big investment.  It takes time from our busy lives that may impact our employment or family commitments.  It costs us financially through transportation costs, parking fees, childcare expenses and copays.  It also can cause anxiety and uncertainty because of worry about the outcomes of tests (on top of all of the other things I mentioned).  Even so, a medical appointment is the single best investment you can make in your healthcare. The best way to gain the most from this investment is studying the night before. That’s right, just like preparing for that all important math test it’s worthwhile to prepare for your upcoming medical appointment.

Remember, you and your health care provider are teammates working for the same goal: the best health you can achieve.  Using the tips below to prepare for your appointment will help you both get the most out of your time together.

  1. Review your prescriptions and see if you need any refills on medications or supplies.  It is also important to have updated pharmacy contact information so your prescriptions are not delayed, and check to see if you need any specialty referrals.
  2. Make sure that you have your updated insurance information and photo ID with you. Medical offices do not automatically receive insurance changes, so it is important to check this information at each appointment to prevent issues with bills and referrals. You can update your address and phone number at this time if they have changed since your last office visit.
  3. Allow plenty of time to get to your appointment and park so you are not late. We try to accommodate people who are late but sometimes it can’t be done.
  4. Please be patient with me if I am running late. I work very hard to keep on time because I value YOUR time, but if I have a very sick patient, I may run behind. I promise that I will still give you the time you need for your care.
  5. Don’t forget to bring any results from home such as blood pressure, weight, and blood sugar checks. The information I get during the office visit is just one snapshot in time; seeing it along with your home results gives me a clearer picture of your health.
  6. Write down any questions and concerns you want to talk about during your appointment.
  7. Take notes during the appointment and use the same notebook for each visit. This will help keep all of your information organized and in one place if you need to review something you’re unsure about.

I know being a patient is a full time job for many people, and it can be daunting to keep track of everything that goes into good self-care and good health.  I think that preparing for your appointment, just like studying the night before the math test, can make this process less overwhelming and as successful as possible.

Announcements

Shared Decision Making Chat

We’re honored to have had Leigh Simmons, MD and Karen Sepucha, PhD from the Health Decisions Sciences Center chat with us on Twitter earlier this week about using shared decision making to set healthcare goals and build stronger relationships with providers.

Click below to read the transcript.

Announcements

Diabetes Care Redesign: Update

Mass General Hospital ShieldMass General Hospital is undergoing a process of redesigning care delivery to increase the value and quality of care.  In the area of diabetes care, the emphasis has been on collaboration across disciplines to support patients on insulin.  To this end, the Diabetes Care Redesign Team called together a multidisciplinary team of stakeholders (including representatives from primary care, nutrition and endocrinology among others) to develop a set of best practices for starting patients on insulin.

A pilot program using this new process was developed and tested at three sites in and around the hospital.  This new process creates a diabetes care team, led by a designated diabetes nurse champion, for each practice.  Physicians work in close partnership with nurses and dietitians, making it easier to stay in touch regarding patient care.  Patients are supported between office visits through frequent follow-up phone calls by their care team and use of the Patient Gateway or iHealthSpace internet health portals.  The pilot program helped improve blood sugar control without increasing side effects. It is has now been expanded to all Mass General primary care practices.

The biggest challenge thus far has been wider implementation of this new care model at a time when the hospital is transitioning into the Patient-Centered Medical Home.  To support efforts at sustainability, twice yearly conferences were established to support teams and promote knowledge sharing.  These conferences also serve as a venue for teams to troubleshoot with peers over problems they have encountered, and review best practices.

Last May, the Diabetes Care Redesign Team was one of several groups to receive the Nathanial Bowditch Prize in recognition of their work improving quality of care while reducing cost.  Receiving the award was a gratifying experience, confirming that hospital administration believes in this new care model.  Funds received with the award are being put toward conferences and training to further support program growth.

The Diabetes Care Redesign team will be participating in the MGH/MGPO Care Redesign Fair next Wednesday, September 4th.  All are welcome to come and learn more about the ongoing work to improve care delivery across clinical areas.  The fair will be held 9am to 2pm under the Bulfinch Tent.

Diabetes ABCs

Diabetes ABCs: Y

You

Y

You are the center of your care team.  Our mission is to empower you to take charge of your health and live well, but ultimately you are the one in control.  Decide what motivates you to make healthy changes in your life – whether it’s exercising regularly, learning to prepare healthy meals, or simply checking your blood sugar regularly.  It’s a lot to handle, but know that no one expects you to be perfect.  If you start to feel overwhelmed or think you might be suffering from diabetes burnout, talk to your health care provider.  Mass General also offers regular diabetes support groups at the main campus and regional HealthCare Centers.

(Content reviewed by MGH Diabetes Center)
Diabetes ABCs

Diabetes ABCs: T

Team

T

Managing diabetes can be difficult, but you don’t have to go it alone; your care  team is there to help.  Members of your team can include:  your primary care physician/endocrinologist, a Certified Diabetes Educator and a nutritionist.  Other teammates include a podiatrist to help care for your feet and an eye care provider (an optometrist or ophthalmologist) to help care for your eyes.  And don’t forget your support network of friends, family, and peers.  Everyone has an important role in helping you to live well with diabetes.

(Content reviewed by MGH Diabetes Center)