Caravan Health (ACO) 24 – Open Door Senior Care Services
Open Door Community Health Centers is offering a Senior Care Service Line, in partnership with Caravan Health ACO 24, an Accountable Care Organization (ACO) Service Provider. An ACO is a group of doctors, hospitals, and/or other health care providers that work together to improve the quality and experience of care provided.
Senior Care Services is a Medicare shared savings program. The program is one of the ways Medicare helps us coordinate and provide better quality care for our Medicare patients.
These are the cornerstone of the residency. In precepted clinics, the APC residents each develop their own patient panel while having an expert Open Door primary care provider (MD, APRN or PA) exclusively assigned to them.
2 Sessions / Week x 1 / Month
The APC residents complete rotations in areas of high-volume/high-burden/high-risk situations most commonly encountered in the setting of the FQHC. Sample rotations include: orthopedics, dermatology, women’s health, pediatrics, geriatrics, newborn/nursery, HIV care, adult behavioral health, child and adolescent behavioral health, and healthcare for the homeless.
Mentored independent clinics
2 Sessions / Week
During independent clinics, the APC residents work as members of a team and see patients at the delegation of other primary care providers, who remain available for consultations. The focus is on the practice of episodic and acute care visits.
1 Session / Week
The NP/PA residents attend formal learning sessions on a variety of complex clinical challenges most commonly encountered in FQHCs. The content of the presentations is planned to correspond to the residents’ current clinical experiences.
Quality Improvement Training: Training on Open Door’s Quality Improvement model, including clinical microsystems and facilitation as well as leadership development.
Journal club: bimonthly journal presentation related to evidence-based practice…
“Hot Topic” Preclinic Conference: weekly preclinic conference led by individual residents or faculty related to core primary care topics and patient presentations
Quality Improvement Project and Training: Training on Open Door’s Quality Improvement model, including clinical microsystems and facilitation, as well as leadership development.