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Best Practices for Medical Home Models: Insights from Delhi Rural Hospital, Louisiana

This panel session explores effective practices within the Medical Home Model at the Delhi Rural Health Clinic in Richland Parish, Louisiana. The clinic, serving a rural farm community, integrates a multidisciplinary approach with internal medicine and family practice physicians, nurse practitioners, and specialized diabetes care. Topics of discussion include advancements in chronic disease identification among school-aged children, referral systems, nutrition, and community health initiatives like "Growing Up Fit." Insights emphasize the importance of collaboration across health services to enhance patient care and outcomes.

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Best Practices for Medical Home Models: Insights from Delhi Rural Hospital, Louisiana

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  1. Best Practices Panel Session Medical Home Model System of Care Service District 1A, Delhi Rural Hospital, Louisiana

  2. Service District 1ADelhi Rural Health Clinic • LOCATION • Richland Parish • Northeast LA • Rural Farm Community • SIZE • 3 Internal Medicine Physicians • 3 Family Practice Physicians • 1 NP Specializing in Diabetic Foot Care & Wound Care • 1 NP Performing Diabetic Foot Care in 4 Area Nursing Homes • 1 NP for Saturday Clinic

  3. Delhi Rural Health Clinic-Medical Home Model Diabetic Foot Care Indigent/Script Assist Diabetes Ed. School Nurse MH DRHC Nutritionist Physical Therapy Diabetic Eye Exam Cardiac Rehabilitation

  4. Examples of Advancements:SBHC Medical Home Model • Identifying chronic/acute disease in children K-12 • Development of reporting tool: • of 525 students, 325 responses collected • 62% • Referrals made: • Primary care physicians • Ophthalmologist • Dentist • Mental Health Counseling • Dietitian • Growing Up Fit: early identification of HTN, obesity, healthy lifestyle

  5. Reporting Tool Results

  6. We do not have any relevant financial relationships to disclose.

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