How the Team Works

/How the Team Works
How the Team Works 2018-04-12T12:48:32+00:00

Our mobile health team is consisted of many highly trained and experienced medical professionals including RNs providing triage, Physicians Assistants (PAs), Nurse Practitioners (NPs) and Board Certified Medical Doctors (MDs).

Teams are Responsive

Because we work as a team, we can be more responsive to changes as they occur. If a patient’s condition worsens, these changes are generally reported to our triage staff by the patient, family, or community in which the patient resides. Our triage team is comprised of MAs, LPNs, and RNs. With guidance from the provider and by absorbing the information within a patient’s chart, they are prepared to order any referrals, lab work, Xrays or changes to medications quickly. Furthermore,  working as a team provides a change in condition with additional oversight and accountability which lends itself to fewer mistakes and improved patient outcomes.

Teams Increase Satisfaction

Research, and our own experience over the last 10 years shows that patients are more satisfied with their care when health care professionals collaborate.  Our health care team and our patients experience less stress because each member of our team fulfills their duties, knowing their counterparts are working toward coordinated goals.  Because the roles are clear among our team members, there is less confusion about patients’ treatment plans. At the same time, our patients also experience a sense of easier access to care, and greater clarity about their treatment and expected outcome.

Teams Decrease Hospitalization

Research has shown that an organizational benefit of teamwork is the reduction of unanticipated re-hospitalizations. These admissions increase both the overall cost associated with a patient’s care as well as the stress burden to the patient. This is in addition to the effects of the worsening condition itself. Working as a team provides, among other benefits, additional oversight and accountability which lends itself to fewer mistakes and improved patient outcomes.

Clinical supervision

Our MDs accompany our PAs and NPs regularly while they see patients to provide insight and understanding so that they can deliver ever more competent and caring service to our patients.

Examples of our teamwork

Glenda is a 92 year old woman with a history of Atrial Fibrillation and Congestive Heart Failure (CHF) living in an Assisted Living Facility in Denver.  She has been admitted multiple times to the nearby hospital for exacerbations of her CHF, many of which occurred simply because she could not get to her doctor’s clinic before her symptoms worsened to a dangerous level.  The last time she was hospitalized, she developed severe diarrhea that was identified as being caused by an organism for C-difficile, and it caused a significant decline in her overall health status.  When she came on board with our RMSC team, she expressed a desire to avoid further hospitalization if possible.  Her family, intimately involved in her care, expressed similar concerns.  Wednesday afternoon Glenda’s facility staff called our Medical Assistants (MAs) stating that she was becoming somewhat short of breath, with increased swelling in her ankles.  The MA immediately contacted the patient’s Primary Care Provider (PCP) who ensured that patient was stable at home, ordered a Chest Xray and a diuretic to remove the excess fluid.  The next day, during her already scheduled once weekly visit to the facility, the PCP was able to follow-up with Glenda.  She was much improved and grateful that she was kept out of the hospital.
Harry is a 78 year old man with a recent history of a complicated right hip fracture with repair who was at a Rehabilitation Facility after hospitalization and surgery. His RMSC PCP carefully followed his progress seeing him two to three times a week as needed. Harry was doing well for a while but his pain suddenly escalated one afternoon which he attributed to his over-enthusiasm during Physical Therapy earlier that morning. Nurses at the facility called our office, reaching our triage nurses. They in-turn immediately contacted the PCP who established over the phone with the facility nurses that there had been no trauma at the surgical site, and that the patient was otherwise stable. He ordered a short-term increase in his pain medication regimen and instructed the on-call provider to follow up with the staff overnight to ensure that Harry’s pain was improved. The next day, both the PA and the MD on the team were able to visit the patient together for a closer evaluation.