30 hours ago Thomas Chittenden Health Care is pleased to provide our patents with online access to their health information through our Patient Portal. By creating an account you can: View details about your upcoming appointments with our practice Update your family and medical history Exchange secure messages with our staff or provider team View lab results >> Go To The Portal
Thomas Chittenden Health Care is pleased to provide our patents with online access to their health information through our Patient Portal. By creating an account you can: View details about your upcoming appointments with our practice Update your family and medical history Exchange secure messages with our staff or provider team View lab results
© Thomas Chittenden Health Center • Website Privacy Policy Mon–Fri 8am – 5pm Sat/Sun acute visits (802) 878-8131 Contact us; 586 Oak Hill Rd., Williston, VT 05495
Home - Thomas Chittenden Health Center top tc-health.com. Weight loss counseling. Welcome to Thomas Chittenden Health Center! We are an independent Family Practice medical office located in Williston, Vermont, serving patients of all ages. Read more ». Providers are on call 24/7. Care Coordination.
To schedule an appointment with a provider, log into the Patient Portal or call the office during office hours at 802-878-8131. ... she went to Thomas Chittenden Health Center as the evening nurse for a year and then worked with Dr Joe Haddock for …
The Thomas Chittenden Health Center (TCHC) is an independent family medical practice located in Williston, Vermont, serving over 14,000 patients of all ages. TCHC is part of OneCare Vermont and is committed to transitioning to a new way to pay for and deliver care—one that provides better health outcomes and health care experiences for patients. Approximately 30% of TCHC’s patients are attributed to OneCare’s value-based model, which provides some financial stability while allowing TCHC to focus on improving health outcomes. OneCare Vermont has also provided funding to hire one full-time and two part-time care coordinators to help TCHC’s intensive, high-needs patients, keeping many of them from needing high-cost hospital stays. In 2019, with funding from OneCare Vermont, TCHC developed and initiated a quality improvement project in an effort to improve chronic pain management across the practice.
Thomas Chittenden Health Center was also featured in a September 1, 2020 case study by the Commonwealth Fund. "How Independent Primary Care Clinicians Leverage Trust to Help Vulnerable Populations".
To start the project, TCHC formed a team that represented every touchpoint a patient with chronic pain might have when interacting with the practice—from initially speaking with a nurse on the phone during scheduling, to seeing a provider. The goal was to create a practice-wide workflow to increase the rate of appropriate screening and treatment goals for chronic pain patients—as well as to increase support for providers prescribing opioid medication. Blueprint for Health provided team facilitation, and the Office of Primary Care and Area Health Education Centers (AHEC) Program provided assistance with coaching. In addition to developing several measures to track quality improvement (QI), a pain management council comprised of primary care providers was formed and met monthly. The council closely reviewed two to three case presentations, each of which included the patient’s history, and then discussed the available treatment options. This aspect of the project was successful, as Dooley stated, “It probably did more to improve our opioid prescribing practices than anything else we did in the project.” With support from fellow prescribers in the University of Vermont’s Office of Primary Care’ s Vermont Academic Detailing Program, the council provided the opportunity for providers to put their heads together and collaborate on the best course of action.
TCHC’s quality improvement project clearly had high-impact on the health and well-being of patients in their care. The project also helped create a sustainable process for the practice that has continued past the reporting-period for the project and has provided a template for future improvements in quality. It also highlights an important connection between the work of health care practices to the broader mission of OneCare Vermont. The funding received from OneCare allowed the practice to offset lost time and revenue when they weren’t seeing patients because of both the time needed to administer the project, and also to participate in the pain management council. The funding also allowed providers to spend more time with patients and perform mental health screenings. There is more opportunity for innovation when a practice isn’t dependent on counting every patient visit or service for income, but is instead able to operate under a set, predictable, and fixed budget supplemented by OneCare in order to better serve patients with higher quality care, and to even be able to receive additional funding when certain improvements are made.
The chronic pain management project was led by Rick Dooley, a physician assistant at the practice, in an effort to improve opioid prescribing practices. As Rick puts it, “Providers want to do what is right and better for the patient —they don’t want to prescribe opioids if effective non-opiate alternatives are available.