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Location - Family Medicine at MedStar Georgetown

Since 1978, our residents and faculty have provided continuous care for their panels of patients at the Fort Lincoln Family Medicine Center, located a few minutes outside Washington, D.C. in an urban, underserved setting. The FMC is a 20,000 visit per year medical center, which underwent EMR implementation and PCMH transformation in the last 18 months. The FMC has an in-house social worker, referral specialist and two community health educators dedicated to our at-risk populations (breast health, diabetics, prenatal and pediatric patients). We have interprofessional teams with an associated curriculum, and a resident-run diabetes group visit program with a certified diabetes educator. Several new primary care ambulatory practices have recently opened under the Providence Health Services umbrella, and are all beginning PCMH transformation. 

The GMC features the following:

  • 19 examination/consultation rooms
  • Two treatment rooms equipped for:
    • Minor surgery
    • Flexible sigmoidoscopy
    • Colposcopy, endometrial biopsy
    • Nasolaryngoscopy
    • Skin and podiatric procedures
  • On-site phlebotomy and point of care testing
  • Large conference room
  • Faculty and staff offices
  • Computer facilities with wireless internet access, and network linkages with Georgetown University and Providence Hospital

At Fort Lincoln we implemented several new quality improvement and operational features as part of our PCMH transformation:

  • Provider team and practice scorecards to track how we are doing operationally and clinically
  • New job descriptions for social work, health educator, nurses and referral specialist roles to accommodate PCMH care coordinator responsibilities
  • New group visit program for diabetic patients and health literacy assessments for evaluating barriers to care
  • A new transitions of care program: social work consults for ER visits/hospitalized patients to ensure adequate follow up, referral specialist tracking outstanding consult visits/notes; and front office requesting records from other medical facilities
  • Transformed twice daily huddles into pre-visit planning for chronic disease, elderly and pediatric patients ordering needed flu shots, pneumonia shots, labs (e.g. A1C), consult visits, mammograms, preventive care follow-up visits
  • Care plans are now a central part of every at-risk patient encounter, with diabetes, hypertensives and smokers receiving collaborative action plans and patient education by community health educators, social workers and nurses

Fort Lincoln Family Medicine Center