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 Click above for NPR's story of Ballard's Pioneering of PCMH

 Click above for NPR's story of Ballard's Pioneering of PCMH

Clinic Medical Director: Mark Johnson

Location: Located at the Swedish Hospital Campus in downtown Ballard

Population: Ballard has historically been the center of Seattle’s large Scandinavian seafaring community and the patient population is socio-economically diverse. SFM-Ballard was designed partly to meet the unique challenges in this community with a large percentage of self-employed, unemployed, or small business owners who cannot afford private insurance but who are also not eligible for Medicaid. As a result roughly 20% of SFM-Ballard patient’s participate in a unique monthly self-pay program. The population served also includes 50% Medicaid patients and 10% Medicare Patients.

Staff: 6 Residents (two per year.) Medical team: 2 MA’s, 1 RN, 1 ARNP. Medical team and office space designed to maximize collaboration in complex patient care and chronic disease manage

Payment Model: Patients enrolled in the self-pay program as well as some insurance companies pay a flat monthly fee for all primary care services offered within the clinic. This payment model allows for innovative care delivery system focused on improving clinical outcomes and not on seeing as many patients as possible.

Specialty Clinics: Psychiatry Co-visits, Free behavioral health counseling provided by graduate psychology interns. High procedure volume. Typically colposcopy, arthrocentesis, joint and soft tissue injections, IUD/nexplanon; skin excision/biopsy/I&D, nail removal, paracentesis, LPs, circumcision, hemorrhoid banding.

Features: In office labs including U/A, lipid panel, blood glucose, HgbA1c, Hct, Urine tox, urine buprenorphine.  EKG, NST, Ultrasound.

Other Clinic Highlights

  • Continued Swedish Pilot Project for Medical Home Model with unique payment model allowing for scheduled phone visits, home visits, active management of chronic disease through registries, diabetes group visits, chronic pain group visits
  • 60 minutes new patient visits, 30 minute follow-up visits
  • Suboxone Program
My most recent afternoon in clinic is a good representation of a typical day at Ballard. I discussed family planning and health maintenance in a co-visit with a husband/wife couple from Serbia. I provided counseling and motivational interviewing to a patient who successfully quit smoking with Chantix. Next, I had a routine visit with my continuity obstetrics patient and reviewed her anatomy ultrasound. The following two visits were routine follow ups for medication management: one with a patient gender transitioning to female and the next for blood pressure control. My last in person clinic visit was an ED follow up for an overdose suicide attempt. Our fantastic behavioral health specialist gave me a warm hand-off prior to my visit with her, which helped me prioritize my visit, assess her suicide risk and develop a safe action plan for her until her next follow up appointment. Lastly, I had a phone visit with one of my patients on Suboxone to check-in on her co-occuring anxiety and depression. I am grateful for the opportunity to train at Ballard and look forward to having more time in clinic as an R3!
— Andrew Wei (R2)