1. Southern West Virginia Health System
Healthcare Navigation for Survivors: How to Talk to Your Primary Care Physician WV TBI Annual Conference
Gregory A. Elkins, M.D.
Chief Medical Officer
Southern West Virginia Health System

2. Two Talks
Same Story
Different Perspectives

3. Wizard of Oz and Wicked

4. Goals and Objectives Discuss Strategies for Preparation for the Visit
What to Expect at the Visit
Communication and Planning for After the Visit
What about Between Planned Visits
Specific Barriers and Ideas about how to Overcome those

5. Preparation Make List Specific TBI Concerns
Chronic Concerns regarding TBI
Chronic Non-TBI Concerns/Diseases (Diabetes, HTN, med refills, etc.)
Acute Concerns

6. What to Expect at the Visit
Check In
Lots of “Silly” Questions (New Government Regulations)

7. What to expect at the Visit
Screenings by Staff
Substance Abuse
Mental Health

8. What to Expect at the Visit
Forgive us if we talk to your caregiver and gently remind us that YOU are the Patient

9. What to Expect at the Visit
Prioritize what is on your list
Understand there may be time limits

10. Planning for After the Visit
Communication
What is the best way to communicate lab and other test results
New options including Patient Portals

11. What about Between Visits
What are the best ways to communicate/get care if there are acute needs or other things between visits (Paperwork, etc.)?

12. Specific Barriers and Ideas about how to Overcome them
Lets learn from each other-Group discussion

13. Goals and Objectives Discuss Strategies for Preparation for the Visit
What to Expect at the Visit
Communication and Planning for After the Visit
What about Between Planned Visits
Specific Barriers and Ideas about how to Overcome those

14. Take Home Point
The reason all of these concepts work for patient and PCP communication is
The patient who survived TBI is still a person like any other, they just added TBI to their list of medical issues.

15. Thank You