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Care Programs

Health Homes Program

Riverside Family Physicians has partnered with Inland Empire Health Plan (IEHP) to provide a no-cost care management program for patients with complex chronic health conditions like diabetes, hypertension, or substance use disorder. If you qualify, the program has a care team that is dedicated to delivering care to you and providing supportive services including: finding doctors and setting up appointments, setting up transportation for health visits, getting follow-up services after you leave the hospital, and managing all your medicines

How can the

program help you?

You get your own care team, which includes specially trained professionals:

  • Nurse Care Manager
  • Behavioral Health Care Manager
  • Care Coordinator
  • Community Health Worker

Your care team works with all your Providers to create a personalized care plan just for you.

Get More Services

Joining the Health Homes Program will not change any benefits you now have. You can keep your Doctor, plus get:  

  • Your own care team
  • A personal care plan
  • Guidance through the medical process

These services are at no cost, and you can join or stop the program at any time.

Who is Eligible?

The Health Homes Program is for members with certain complex chronic health conditions who meet specific criteria. If you are interested in this program, please reach out to your Doctor for additional details.

My Path/Palliative Program

Riverside Family Physicians has partnered with Palliative Partners to provide a palliative care program to our patients that optimizes quality of life. My Path addresses patient needs, including physical, emotional and spiritual, while facilitating autonomy, access to information, and choice. The My Path program consists of a palliative care assessment and consultation, advanced care planning, individualized written plan of care, pain and symptom management, mental health and medical social services, and care coordination and a palliative care team. Please visit the Palliative Partners website here for additional details.

MyDoc Anytime Program

Riverside Family Physicians has partnered with Palliative Partners to provide a patient care coordination program patient care coordination program focused on optimizing and supporting the best quality of health for our patients. Eligible patients will have access to a care team that coordinates your care through prescription refills, appointment scheduling with your provider and the development of a personalized care plan. Please visit the Palliative Partners website here for additional details.

Coumadin Program

We monitor patients placed on short and long-term coagulation therapy to ensure that they receive safe and efficient care. We promote patient education regarding the safe use of anticoagulation therapy which includes dietary considerations, drug-drug and drug- disease interactions, self-monitoring parameters for sign and symptoms of bleeding/bruising as well as thromboembolisms, compliance to medication and follow-up appointments. We are focused on continuity of care for our patients to optimize anticoagulation therapy while minimizing hemorrhagic complications.

CHILDREN & ADOLESCENT HEALTH

Once you have your baby, your selected pediatrician will see them within the first few days of birth. After their first visit to the pediatrician, it is recommended for the child to have at least 6 visits with their pediatrician during the first 15 months of life. 

During these appointment, the pediatrician will assess physical, emotional, and social development of your child. The doctor will track your baby’s growth and development during these appointment and ensure your baby is meeting their developmental milestones. They will also be addressing prevention which means your baby will be scheduled to receive their infant immunizations during these visits.

The American Academy of Pediatrics recommend visits to be scheduled when they are:

While your baby has reached many developmental milestones during their first few visits with their pediatrician, your baby will still need regular visits. During this age, toddlers are starting to move around more which help develop their coordination and strengthen their body. Their appetite may change, and can drop because their grow rate has slowed down.  The American Academy of Pediatrics recommend visits to be scheduled when they are:

24 Months

  • Likes to hand things to others to play
  • Play pretend
  • Says several single words
  • Can help undress themselves
  • 30 Months

    • Gets excited when with other children
    • Repeats words overheard in conversation
    • Kicks a ball
    • Might use one hand more than the other

    36 Months
     

    • Shows concern for a crying friend
    • Carries a conversation using 2 or 3 sentences
    • Does puzzles with 3 or 4 pieces
    • Climbs well
    • Pedals a tricycle

    During the preschooler age, skills such as kicking a ball, understanding “mine” and “his/hers”, and completing puzzles. Prevention is also important during these ages. In this age group, your child’s pediatrician will be checking for language, cognitive, and social and emotional milestones. Our summers months (June – August) are busier than other months which can cause a delay in your child’s required immunizations to start school. If your child will be starting kindergarten at 5, be sure to schedule their Well Child Exam with time and before the school paperwork is due. The American Academy of Pediatrics recommend visits to be scheduled when they are:

    4 Years Old

    • Is more and more creative with make-believe play
    • Tells stories
    • Starts to understand time
    • Pours, cuts with supervision, and mashed own food
    • Draws a person with 2 to 4 body parts

    5 Years Old

    • Speaks very clearly
    • Likes to sing, dance, and act
    • Counts 10 or more things
    • Hops; maybe be able to skip
    • Swings and climbs

    On the grade school age, children should be encourage to engage in physical activity. Because of their rapid growth during this time, you may notice your child consume more calories – this is normal, but always make sure they have a well-balanced diet. Your child will also go through puberty and there will be changes to their bodies, for further information on nutrition, puberty, fitness, and school, visit HealthyChildren.org. To see the immunization schedule for your teen, click here.

    6-8 Years Old

    • Show more independence from parents and family
    • Start to think about the future
    • Want to be like and accepted by friends
    • Learn better ways to describe experience and talk about thoughts and feelings
    • Show rapid development of mental skills

    9-11 Years Old

    • Start to form stronger, more complex friendships and peer relationships. It becomes more emotionally important to have friend, especially of the same sex
    • Experience more peer pressure
    • Become more aware of body changes due to puberty
    • Face more academic challenges at school
    • Become more independent from the family

    The HealthyChildren.org, the official parenting website of the American Academy of Pediatrics, recommends talking to your teenager about dating and sex, fitness, nutrition, driving safely, school, and substance use. Annual visits are still recommended every year for teenagers to continue with prevention,

    12-14 Years Old

    • Show more concern about body image, looks, and clothes
    • Experience more moodiness
    • Express less affection toward parents; sometimes might seem rude or short-tempered
    • Have more ability for complex thought
    • Be better to express feelings through talking
    • Develop a stronger sense of right and wrong

    15-17 Years Old

    • Have more interest in romantic relationship and sexuality
    • Spend less time with parents and more time with friends
    • Learn more defined work habits
    • Show more concern about future school and work plans
    • Be able to give better reason for their own choices, including about what is right and wrong
    Your child is getting ready to graduate high school, congrats! If your young adult is getting ready to go to college, some colleges or universities require a Well Child Exam/Physical and additional vaccinations to start classes. It is also important to know how to prepare yourself and your teen for college. Go to HealthyChildren.org to see more tips on how to prepare your young adult.

    Most young adults over the age of 18 will complete the process of physical maturation, move into adult responsibilities and may learn a trade, work, and/or pursue higher education, develop new skills, hobbies, and adult interests, move into adult relationships with their parents, establish their body image, and enter into intimate sexual and emotional relationships.