What is a patient-centered care team?
Patient-centered means that you are the focus of your healthcare team.
Patient-centered care team begins with your primary care provider (personal physician) and encompasses a team of professionals working together to provide comprehensive medical care.
Patient-Centered Care Team includes:
- Patient and Family
Primary Care Provider
Responsible for leading the team
Collaborates with the patient and team in developing goals and care plan
Office Nurse/Medical Assistant
Active member of the team
Notifies primary care provider and health coach of patient questions
Health Coach
Develops ongoing relationship with the patient
Acts as liaison between the patient and their healthcare team
Active in patient education, goal setting, and self-management
support for patients with chronic diseases
Other members of your Healthcare Team:
Social worker
Pharmacists
Panel specialist
Patient access
Medical specialists
Behavioral health specialists
Coordination of your care may include:
Primary care
Hospital care
Specialty care
Home health care
Community services and resources
Role of Patient-Centered Care Team
Provide comprehensive and evidence-based care to manage your healthcare needs
Listen to your healthcare concerns
Develop goals through shared decision-making
Explain your care plan
Answer your healthcare questions
Coordinate your healthcare needs, including prescriptions, lab work and specialty care
Respect your cultural background and language preferences
Encourage your involvement in your healthcare plan
Provide education and self-management support
What is your role on the healthcare team?
Receive care from a primary care team
Actively participate in care plan development and revision
Learn what you can do to stay as healthy as possible
Follow the plan that you and your patient-centered care team developed
Maintain open communication with your health coach
When you come to your next appointment:
Bring a list of:
Important things you want to discuss with your provider
Medication changes since your last visit, including prescriptions, over-the-counter medications and herbal supplements
Medical information or services that have been provided to you from someone other than your primary care provider
Let your team know if you need a prescription medication refill
When you have questions or concerns between appointments:
Your healthcare concerns can be managed by your healthcare team Monday – Friday, 8 a.m. – 5 p.m. If your health requires attention outside of our normal clinic hours, please call 701.780.5000 or toll-free at 1.800.732.4277 and ask to be connected to the Nurse Line.
Locations
Please call your healthcare team with any questions.
Grand Forks / East Grand Forks:
Altru Family Medicine Residency
725 Hamline St.
Grand Forks, ND 58203
701.780.6800
Altru Clinic | East Grand Forks:
607 DeMers Ave.
East Grand Forks, MN 56721
218.773.0357
Altru Family Medicine Center
Internal Medicine
1380 S. Columbia Dr.
Grand Forks, ND 58201
701.795.2000
701.780.6400 - Internal Medicine
Altru Professional Center
4440 S. Washington St.
Grand Forks, ND 58201
701.732.7600
Regional Locations:
Altru Clinic | Devils Lake
1001 7th Street NE
Devils Lake, ND 58301
701.662.2157
Altru Clinic | Crookston
400 S Minnesota St
Crookston, MN 56716
218.281.9100
Altru Clinic | Roseau
711 Delmore Dr
Roseau, MN 56751
218.463.1365
Altru Clinic | Warroad
412 N Main Ave
Warroad, MN 56763
218.386.2020