Www.careresource.org Application Wp-content Uploads CR2013 PatientHandbook Final ENG

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    Miami Dade Ofce

    3510 Biscayne Blvd.

    Miami, FL 33137Tel (305) 576-1234

    P A T I E N T H A N D B O O K

    Broward Ofce

    871 W. Oakland Park Blvd.

    Ft. Lauderdale, FL 33311Tel (954) 567-7141

    Miami Beach Ofce

    777 17th Street, Suite 400

    Miami Beach, FL 33139Tel (305) 673-3555

    CARERESOURCE.ORG@CareResourceFL /CareResourceCONNECT

    WITH US:

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    1 CARE RESOURCE PATIENT HANDBOOK

    At Care Resource, we believe in partnering with you to help you reach

    your health care goals. As partners, we ask that you take an active role in

    your health care and we will provide the guidance and advice to support

    you.

    The decisions you make in your daily life effect your overall health. Your

    Care Resource health care team can offer you help to get the most from

    your health care.

    Here are just a few tips for a healthier life...

    Enjoy a nutritious diet - limit fats and sugars

    Get plenty of rest

    Develop good coping skills to help you manage stress

    Dont use harmful substances - such as drugs, tobacco,

    and excessive alcohol

    Take your medications as prescribed

    Plan ahead - dont run out of medications Learn about resources that might help you

    Keep all of your Care Resource appointments

    Your Helath Care Team

    EXT. 212Medical Records, Authorizations,

    & Referrals

    EXT. 290 & 291Front Desk/Check-In, PrescriptionsRequest, Letters and General Info

    EXT. 119 & 117Front Desk/Check-In, PrescriptionsRequest, Letters and General Info

    EXT. 360Front Desk/Check-In, PrescriptionsRequest, Letters and General Info

    EXT. 119Medical Records, Authorizations,

    & Referrals

    EXT. 470 & 471

    Medical Appointments & Cancellations (ALL LOCATIONS).

    EXT. 365Medical Records, Authorizations,

    & Referrals

    Miami Office Broward Office Miami Beach Office

    MEDICAL SERVICES EXTENSIONS

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    TO MAKE AN APPOINTMENT CALL (305) 576-1234. 2

    Table of Contents

    The Care Resource Mission and Vision -------------------------------------------3

    Patient Rights and Responsibilities---------------------------------------------- 4-5

    Condentiality, Concerns, Compliments----------------------------------------6

    The Primary Care Medical Home Model ----------------------------------------7

    Services We Offer ------------------------------------------------------------------------8

    Sliding Scale, Billing Statements, & Balances ----------------------------------9

    No-Shows -----------------------------------------------------------------------------------9

    What to Expect at Your Medical Appointment----------------------------- 10

    Walk-in Appointments & Running Late ----------------------------------------- 10

    LGBT Health Care--------------------------------------------------------------------- 11

    HIV/AIDS & Infectious Disease Care-------------------------------------------- 12

    Requesting Your Records ----------------------------------------------------------- 12

    Urgent Medical Care ----------------------------------------------------------------- 13

    Behavioral Health & Substance Abuse Services---------------------------- 14

    Dental Services------------------------------------------------------------------------- 15

    Nutritional Services -------------------------------------------------------------------- 15

    Health Screenings --------------------------------------------------------------------- 16

    Laboratory Services------------------------------------------------------------------- 17

    Case Management and Outreach --------------------------------------------- 17

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    3 CARE RESOURCE PATIENT HANDBOOK

    MissionThrough Education, Prevention, Research, Care & Treatment, and

    Support Services, Care Resource Improves Upon the Health and

    Overall Quality of Life of Our Diverse South Florida Communities in

    Need.

    VisionCare Resource strives to expand and improve the provision of

    a broad continuum of services in response to growing needs for

    certain services among specic populations in the South Florida

    community, making special efforts to engage hard-to-reach

    populations through effective, culturally appropriate messages.

    Mission &Vision

    The

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    TO MAKE AN APPOINTMENT CALL (305) 576-1234. 4

    Care Resource is committed to providing quality health care. It is our

    pledge to provide health care services with respect and dignity. In

    keeping with this pledge and commitment, we present our Patient

    Rights and Responsibilities.

    Your Rights as a PatientAs a client of Care Resource, you have many rights. We always want to make

    sure you are valued and served in the most professional manner. Heres what

    you can expect:

    Respectful treatment by staff.

    Services provided without discrimination because of race, age, religion,nationality, origin, sex, sexual orientation, gender identity, disability oreconomic status.

    Condentiality (privacy) except when there is danger to you or others.

    To choose and/or change providers at anytime.

    Active participation in the development and review of an individualizedtreatment plan -- this includes the right to know and meet with theprofessional staff members responsible for your care, to know their

    professional qualication and to know their staff person. The least restrictive type of treatment that can meet your needs.

    The option to pursue a complaint through the written grievanceprocedure provided at intake.

    To understand the services that Care Resource provides including yourrights and responsibilities as a client before receiving services from

    Care Resource.

    To be referred to appropriate services and agencies when your needs are

    beyond what can be provided at Care Resource.

    To give informed consent or to refuse treatment and to be advised of theconsequences of such refusal.

    To a humane and safe environment giving your reasonable protection

    from harm and appropriate privacy with regard to your personal needs.

    To be provided care, treatment, or services in the language you feel mostcomfortable with.

    To obtain care from other clinicians within the primary care medicalhome, to seek a second opinion, and to seek specialty care.

    Patient Rights and Responsibilities

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    5 CARE RESOURCE PATIENT HANDBOOK

    Your Responsibilities as a PatientAs a client of Care Resource, you have many responsibilities too. We alwayswant to make sure you understand your responsibilities and accept the creditfor your success in treatment. We expect you:

    To maintain the condentiality of other clients.

    To follow the Program Rules.

    To follow the grievance procedure as outlined in the Client Grievance

    Procedure for any problem or concern.

    To inform therapist/case managers at the agencies from which you receiveservices, that you are also receiving services from Care Resource;

    coordination of services between agencies is to your benet.

    To treat all Care Resource staff, volunteers, and clients respectfully; you willnot be verbally or physically abusive.

    To follow the treatment plan that you have developed with your physician,therapist/case manager.

    To keep all scheduled appointments (medical, lab, dental, casemanagement, individual and group therapy). You will give 24 hours noticeif you need to miss an appointment and reschedule the appointment withyour physician, therapist and/or case manger.

    To attempt to remain drug and alcohol free while on the premises of Care Resource.

    To provide Care Resource staff with an update of any changes in your status(physical, nancial, emotional).

    To provide your own transportation whenever possible. If unable to provideyour own transportation; you should contact your case manager.

    To allow your providers to consult with other health care professionals aboutyour care.

    To arrange for payment of medical bills and applying for all benets andentitlement programs for which you are eligible.

    FEELING FRUSTRATED?

    ASK FOR HELPBut Dont Act Out.

    Violence, threats, or harassment of patients, staff or visitors WILL NOT be tolerated at Care Resource.

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    Condentiality

    Concerns, Compliments, & Suggestions

    Condentiality is important to us. Information about you will

    not be released outside of this agency or any Care Resource

    location without your consent (except by law, court order, or inan emergency). For information to be released your permission is

    required and you will be asked to sign a release form.

    Your condentiality is always being protected:

    If someone asks for information about you, we cannot tell her/himanything without your consent. This includes family members andfriends.

    If there is someone you would like us to give information to or shareinformation with, such as a partner or family member, you rst need tosign a release giving us permission to do so.

    If a Care Resource staff person sees you outside our ofces, she/he willnot acknowledge you unless you do so rst. This way you do not haveto explain to anyone who we are. It leaves the choice up to you.

    If at any time you are uncomfortable, or believe that a staff memberhas not kept your information private enough, please let that staffmember know. If you do not feel comfortable talking to that person,tell your provider or a supervisor. We want to provide the best possibleservice, and your comfort is important.

    TELL US HOW WE ARE DOING!

    Care Resource staff are always available to discuss your concernsor suggestions and once a year, Care Resource conducts ourannual patient feedback survey.

    You may also call our Quality Assurance Department at

    (305) 576-1234. Your input is very important to us!

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    7 CARE RESOURCE PATIENT HANDBOOK

    The Primary Care Medical Home Model

    The Primary Care Medical Home (PCMH) is an approach to providingcomprehensive primary care for children, youth, and adults. The PCMHis a health care model built on strengthening partnerships between

    individual patients, their network of providers, and, when appropriate, thepatients family.

    The PCMH involves many attributes. Among them:

    Each patient has an ongoing relationship with a primary care provider(PCP) who provides continuous and comprehensive care.

    The PCP directs a team of individuals within the organization whocollectively care for each patient.

    The team takes a whole-person approach to caring for patients.

    Quality and safety are hallmarks of the medical home.Some of these include:

    Health care providers will support their patients to achieve healthoutcomes through a compassionate partnership between physicians,patients, and the patients family.

    Evidence-based medicine and clinical decision-support tools guide decision making patients have the right to a coordinated care,

    including referrals to specialty care.

    Primary care providers in the practice accept accountability forcontinuous quality improvement through voluntary engagement inperformance measurement and improvement.

    Patients actively participate in decision-making and feedback issought to ensure patients expectations are being met.

    Information technology is utilized appropriately to support optimalpatient care, performance measurement, patient education, andenhanced communication

    Care Resource believes this model is the strongest avenue for the care ofour patients. Through this model, working together with their health careteam, patients are able to achieve their best quality of life.

    To learn more about this care model, visit:www.jointcommission.org/accreditation/pchi.aspx

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    Services We Offer

    Miami Office Broward Office Miami Beach Office

    Outpatient Primary Medical Care

    In-Office Lab Services

    Primary Dental Care

    Medical Case Management

    Housing Case Management

    Linkage Case Management

    Mental Health Therapy/Counseling

    Outpatient SubstanceAbuse Counseling

    Health Prom. & Prev. Services

    I-ACT for WOC

    PREP-M

    ARTAS

    Transportation Assistance Services

    Food Bank Services

    Available at SoBeThrifty

    ThroughFood For Life Network

    Miami Ofce | 3510 Biscayne Blvd. | Miami, FL 33137

    Broward Ofce | 871 W. Oakland Park Blvd. | Oakland Park, FL 33311Miami Beach Ofce | 777 17th Street, Ste. 400 | Miami Beach, FL 33139

    X

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    Miami Office Broward Office Miami Beach Office

    SPECIALIZED PROGRAMS

    CORE PROGRAMS

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    9 CARE RESOURCE PATIENT HANDBOOK

    Sliding Scale, Billing Statements, & Balances

    No-Shows

    Sliding Fee Scale

    Patients who are uninsured may be eligible for a discounted fee for

    services. If you apply, your fee eligibility is based on your gross household

    income and household size and is calculated using federal guidelines.

    To qualify, your total household income must fall at or below 200% of the

    Federal Poverty Level.

    You may apply by completing the fee scale application form and turning

    it in at the registration desk - medical, behavioral health, or dental - with

    the required proof of income and family size. The following documents

    are acceptable proof of income:

    One month of consecutive pay stubs or letter of salary

    1040 Tax Forms

    Unemployment letter

    Social Security award letter

    Support letter, also called Verication of No Income

    (for those with no income)Billing Statements and Balances

    Care Resource collects co-pays and fee-scale fees at the time of your

    visit. However, you may also receive a bill or statement from us after your

    visit. We will send you a bill if your insurance tells us that you are nancially

    responsible for more costs from your visits such as co-insurance,

    deductibles, and non-covered services. Please contact your insurance

    company directly for explanations on costs they will not cover. Please call

    Care Resources billing department if you have any questions about your

    bill. Please pay your balance while in the ofce or by mail.

    Couldnt make your appointment? Missed it? Forgot it? Please give us24-hours notice if you know you will not be able to keep your scheduledappointment so that we may offer the time to someone else who needs

    to be seen. If you cant remember when your next appointment isscheduled, please call your ofce location to get the exact date and time.

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    TO MAKE AN APPOINTMENT CALL (305) 576-1234. 10

    What to Expect at Your Medical Appointment

    Walk-In Appointments

    Running Late for Your Appointment?

    Your rst medical appointment will last about one hour. Follow-up and

    sick visit appointments will usually last less than one hour.

    EVERY APPOINTMENT - remember to bring:

    Your insurance card

    A legal photo ID (license, state-issued ID, or passport)

    Any necessary referrals

    Any co-pays

    Arrive 15 minutes before your medical appointment

    Bring completed forms and/or be ready to complete all necessarypaperwork. Our front ofce staff can help you if you need assistance

    lling out paperwork.

    You will be checked in by the front desk staff. Next, a patient care

    assistant will check your weight, height, blood pressure, and pulse.

    Your primary care provider will ask you about your medical history and

    examine you. You may also visit the lab for blood tests. A case

    manager will be available if you have any questions or needs.Before you leave the ofce, go to the reception desk to check out.

    You will be able to schedule your next appointment before you leave.

    Care Resource accepts walk-in appointments for individuals who are unableto call ahead for an appointment. Walk-in patients will be accommodated

    around pre-scheduled appointments and patients with urgent care needs.

    Care Resource respects each clients time and expects that clients also respectour providers time. If you are running late for your appointment, please call ourofce to let us know!If you are running late and unable to call, Care Resource willmake every effort to accommodate you when you do arrive for your appointment.

    If you arrive for your appointment beyond a reasonable time frame and thestaff is not able to accommodate you, your appointment will be rescheduled.

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    13 CARE RESOURCE PATIENT HANDBOOK

    When Care Resource is Open

    If you are a Care Resource medical patient and you are feeling sick or have

    an urgent (not life-threatening) medical problem, call your Care Resource

    medical ofce and ask to speak to the medical staff. If you get our voicemail, leave a message. We often have same day or walk-in appointments

    for sick/urgent matters - however, it is recommended that you call before

    coming in.

    When Care Resource is Closed

    We are available after hours through our answering system. If your

    problem cannot wait until we open again, call our main phone line:

    305-576-1234. Let the answering system know whether you require medical

    or mental health care. Our answering system will relay the call to the

    on-call provider who will address the issue or concern.

    If you are having a medical or mental health emergency, call 9-1-1 or go

    to the nearest emergency room.

    If you go to an emergency room, let your ER provider know you are aCare Resource patient. If you are sick and need an appointment, call to

    schedule one.

    Urgent Medical Care

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    TO MAKE AN APPOINTMENT CALL (305) 576-1234. 14

    Behavioral Health & Substance Abuse

    Care Resources diverse behavioral health and substance abuse services

    and programs will help you manage your emotional and psychological

    well-being, so you can thrive.

    Our Behavioral Health services include:

    Counseling and Therapy

    Individual counseling

    Group counseling

    Psycho-educational groups

    Health and behavioral services

    Psychiatry

    Psychiatric diagnosis

    Medication management

    Care Resource offers outpatient substance abuse services.

    Our staff of addictions professionals provide:

    Evaluations

    Individual and group counseling

    Outpatient program services

    Referrals to more intensive treatment programs as needed

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    TO MAKE AN APPOINTMENT CALL (305) 576-1234. 16

    Health ScreeningsCare Resource offers walk-in testing services to anyone.

    Our HIV/STD screening services include:

    HIV Counseling, Testing, and Referral

    Free, condential/anonymous

    No appointment necessary

    Oral swab (OraQuick) andconrmatory nger stick (OraSure)

    Results in 20 minutes

    STD Screening and Treatment

    Current Care Resource patients:

    please make an appointment with

    your provider or walk-in.

    Non-patients: Screening for

    Chlamydia, gonorrhea, syphilis,

    HIV, Hepatitis C; is available Treatment as needed based

    on diagnosis.

    Other Health screening services include:

    Glucose, Cholesterol &Blood Pressure Screening

    Current Care Resource patients:

    please make an appointment with

    your provider or walk-in.

    Non-patients: Screening for

    Glucose, Cholesterol & Blood Pressure

    screening is available

    Treatment as needed based on diagnosis.

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    17 CARE RESOURCE PATIENT HANDBOOK

    Laboratory Services

    Case Management and Outreach

    Most Care Resource locations now offer convenient, on-site lab services

    to provide you with most routine testing.

    Costs of testing are dependent upon your insurance. Or, if you are on aCare Resource sliding fee scale, you will be responsible for part of yourbill for lab tests. Please call ahead if you want information on prices forindividual tests.

    Results:Lab results are available in the ofce or through our Patient WebPortal. Just log-on with your username and password to quickly andsecurely access your lab test results!

    Patients will be given a referral for lab services we do not offer at our

    ofces.

    Care Resources case managers are available to assist in coordinatingyour care by assessing your eligibility for programs and services to helpsupport your health. Together, you and a case manager will identify your

    needs and develop a plan of care.

    Our Case Management services include help with:

    Insurance and pharmacy coverage

    Income entitlement programs

    Job training and education programs

    Housing

    Transportation

    Emergency and nancial assistance

    Substance abuse programs

    Mental health support

    Concrete needs such as: food, clothing, eyeglasses,

    and medically necessary items

    Case managers also help with referrals, advocacy, and developing and

    maintaining realistic health care plans. Current Care Resource patients

    are welcome to case management by simply walking in.

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    NOTES

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    MIAMI DADE OFFICE3510 Biscayne Blvd.

    Miami, FL 33137Tel 305.576.1234

    BROWARD OFFICE871 W. Oakland Park Blvd.Ft. Lauderdale, FL 33311

    Tel 954.567.7141

    MIAMI BEACH OFFICE777 17th Street, Suite 400Miami Beach, FL 33139

    Tel 305.673.3555

    TRANSGENDER DROP-INCENTER AT SOBE THRIFTY

    1435 Alton Rd.Miami Beach, FL 33139

    Tel 305.672.7251