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The Mountaineer Online



MEDDAC plans changes to support Patient Centered Medical Home


As MEDDAC transitions into the new Patient Centered Medical Home (PCMH), the goal is to provide a robust and comprehensive patient-focused primary care experience for beneficiaries and their Families. As such, MEDDAC is adding new and enhanced services, while making adjustments and changes in some existing services.
On new services, Guthrie now provides 24/7 access to health care teams. Whether Guthrie Primary Care Clinic (formerly known as the Family Medicine Clinic) is open or closed, provider access is still an option. Just call 772-2778. You will be connected with a clinic representative that will connect
you with your primary care manager, PCM Team or the provider on call.
In addition, patients now have the option to communicate with Guthrie Clinic online using the Army Medicine Secure Messaging Service, or AMSMS, provided by Relay Health. Patients can still call the clinic or come in for a face-to-face office visit, and the central appointment line is still available at 888-838-1303 or 772-2778.
Those who opt to use AMSMS can consult their doctor (through a web visit); request an appointment; request medication refills; request a lab or test results, and send a note to their doctor.
(Note: To learn more about the service or get started, go to https://app.relayhealth.com/
Registration.aspx and click Patient. Follow the prompts to register. You can use any web-
accessible device).

Changes at Primary Care Clinic
One existing service that will change, effective this month, is the incorporation of the Urgent Care Clinic into Guthrie Primary Care Clinic.
Beginning Jan. 14, Guthrie Primary Care Clinic will become an appointment-based clinic only, from 8 a.m. to 6 p.m., Monday through Friday, and will no longer offer walk-in urgent care services. Instead, beneficiaries enrolled with Fort Drum MEDDAC must first seek urgent care services from their primary care manager.
“As we move towards the full implementation of the Patient Centered Medical Home, the incor-
poration of the urgent care into the Primary Care Clinic allows patients improved access to their primary care team,” said Lt. Col. David M. Wallace, chief of Guthrie Primary Care Clinic. “PCMH is defined as ‘a health care setting that facilitates partnerships between individual patients and their personal physicians, and when appropriate, the patient’s family.’
“As a PCM myself, I would prefer that patients have the improved access, continuity of care and focus on wellness that regular visits to their health care provider affords, (rather) than the irregular care that a UCC can provide. The combination of after-hours on-call providers, the AMSMS e-mail system, and the expanded hours of the Guthrie Primary Care Clinic are a needed change for enhancing 24-hour access to your health care team.”
If an appointment for urgent care with the PCM cannot be provided within 24 hours, the beneficiary will either be triaged by telephone or see a triage nurse to assess the health concerns. If the assessment results in a confirmed need for an urgent care clinic visit, a referral will be provided.’

If you have urgent care needs, the following applies:
*During clinic hours: Call 772-2778 to speak with an access center clerk or triage nurse.
*After clinic hours: Call 772-2778. You will be transferred to our answering service, which will take your information and contact the PCM of the Day. The PCM of the Day will return your call within 30 minutes and address your health concerns.

Soldier urgent care procedures are as follows:
*Soldiers assigned to Conner Troop Medical Clinic should first go to sick call from 6:45 to 7:30 a.m. at CTMC. After sick call hours, call 772-2778.
*Soldiers assigned to Aviation Consolidated Aid Station should first go to sick from 7 to 8 a.m. at ACAS. After sick call hours, call 772-2778.
*Soldiers assigned to MEDDAC, DENTAC, Veterinary Services, or Warrior Transition Unit cadre should first go to sick call from 8 to 8:30 a.m. at Guthrie; after sick call hours, call 772-2778.
Remember: TRICARE Prime patients require a referral from their PCM to use local urgent care centers.
To prevent getting billed, if you have used a civilian urgent care center after hours or on the weekend, call your PCM the next business day to have a referral submitted to TRICARE.
Col. Mark W. Thompson, MEDDAC commander, shared two points on the urgent care change.
“First, urgent care capabilities will still be available. They will sometimes just be within the community, and in reality, for folks living off-post, they will be closer, and for folks living on post, the closest UCC is right out the front gate.
“Second, by moving UCC within the Primary Care Clinic, we have the ability to ‘gain’ 20,000 appointments over course of year. …
The reality is we are likely to be gaining appointments for our primary care teams while not really losing urgent care capability,” he said.
Local community urgent care facilities are as follows:

JEFFERSON COUNTY
*Samaritan LeRay Urgent Care, U.S. Route 11, Evans Mills, N.Y. 13637-3270; 629-4080; open 9 a.m. to 8:30 p.m. daily.
*MedREADY 19472 U.S. Route 11, Watertown, N.Y. 13601; 779-1104; open 8 a.m. to 8 p.m. Monday through Friday and 9 a.m. to 5 p.m. Saturday and Sunday.
*Quickmed Urgent Care, 727 Washington St., Watertown, N.Y. 13601; 785-7009; open 10 a.m. to 10 p.m. daily.
*Watertown Urgent Care, 457 Gaffney Drive, Watertown, N.Y. 13601; 779-2273; 8 a.m. to 7:30 p.m. Monday through Friday and 8 a.m. to 5:30 p.m. Saturday and Sunday.
*North Country Urgent Care, 21017 State Route 12 F, Watertown, N.Y. 13601; 786-3436; 8 a.m. to 7:30 p.m. Monday through Friday and 8 a.m. to 5:30 p.m. Saturday and Sunday.

LEWIS COUNTY
*Tug Hill Urgent Care, 7518 S. State St., Lowville, N.Y. 13367; 376-2273; open 8 a.m. to 8 p.m. Friday through Wednesday and closed on Thursdays.

ST. LAWRENCE COUNTY
*Mountain Medical Services, 2 Hospital Drive, Massena, N.Y. 12662; 705-0700; open 8 a.m. to 8 p.m. Monday through Friday and 10 a.m. to 6 p.m. Saturday and Sunday.

For additional information about receiving care, call 772-2778.

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