Orlando F. Mills, MD, MPH

Welcome to your Patient Centered Medical Home!

We meet three times each year and are open to new members!  We meet on a Saturday and provide coffee and refreshments. We thank and appreciate our Advisors for becoming a member of our Patient Advisory Council.  Please email our team at [email protected] or call our office at 732-303-6455.  If you call, leave a message and we will get back to you.


Our mission and vision for the Patient Advisory Council is as follows:

 

Mission:  To partner with you, our patient, to be our teachers.  To hear your voice, learn your opinion, identify your needs and to see the office experience from your perspective.

  

Vision:  A practice culture that values the patient perspective within the practice.


What is the experience of being a patient in our office?  Patients are valuable teachers from whom we can learn.  In each of our meetings we asked our advisors to think broadly about the practice as a whole.  We listened to the "voice of the patient" and made changes to our practice.

2014 April Meeting:  Summary of main topics discussed

1.   Billing statements are confusing and not always timely. The practice has since changed our billing company to resolve these issues.

2.  The Patient Portal Tab was difficult to find on the website.  We labeled it more prominently so you can find it.

3.  We needed to make our Portal instructions more clear - urgent messages should be called in to the office or answering service after hours. 
2014 October Meeting:  Summary of main topics discussed
1.  Advisers informed the practice that “blast” messages about general health issues were not helpful. The practice has since stopped sending any general portal communications.

2  Advisers suggested an "agenda" for each office visit.  The practice responded by posting an "Agenda" in each exam room asking: Is there anything else that you want to discuss with Dr. Mills today?

2015 April Meeting: Summary of main topics discussed
1.  We "walked" through our website as a group. Advisers gave input such as more information on healthy meal preparation. 
2.  We distributed a Patient Education Handout to each of our Advisers and asked if these were useful, clear, easy to understand.  Our Advisers indicated that these were helpful, clear and easy to understand.  We will continue to develop similar tools. 
2015 October Meeting: Summary of main topics discussed:
1.  We discussed our Relaxation Room and our Care Coordinator's project "The effect of the relaxation room on reducing blood pressure". We presented favorable results at a Medicare seminar in December, 2016.
2. We discussed ways to prevent illness and asked for suggestions from our Advisers.  Suggestions included reminding patients when they are due and what is the recommended frequency for preventive measures such as colon screening, mammograms and pneumonia vaccines. We responded by developing an office posting called "Prevention Is Key". We added patient education on "Healthy Eating" and "Stress Reduction".

2016 May Meeting:  Summary of main topics discussed:

We discussed "Pre-Visit Planning" with our Advisers.  Pre Visit Planning is a process of calling the patient prior to the visit to prepare the patient for the discussion on prevention and other measures that will be discussed in the visit. The patient can be sent information on the preventive tests and/or vaccinations that may be discussed in the visit with Dr. Mills.  All Advisers expressed that the Pre-Visit planning process is useful and not a burden to them if they are reached on the telephone.  Our second topic was Advance Directives and POLST.  All Advisers stated they had improved clarity on Advance Directives and POLST following today’s discussion. For more information see the Advance Directives tab on our website or check out 

www.polst.org/advance-care-planning.  

2016 October Meeting: Summary of main topics discussed:
One topic was "telephone etiquette" and importance of the reception Care Team attention to the personal needs of the caller.  Our Care Team are educated to "escalate" phone calls for medication refills to Dr. Mills for advice and follow up. It is important for medications to be "followed" with an office visit for patient safety as dosage adjustments may be needed.  Medications should be brought in to every visit in the original bottles so that an accurate reconciliation can be performed.  Dr. Mills will always prescribe enough medication to make it to the next office visit safely. 
Question to the Advisers: Is the information you receive what you need and want? And Do you feel there is time available for you to ask questions?
  Advisers answered yes to both of these questions.  Finally we asked Advisers about opioid concerns in today's environment and all were in favor of pain education and medication safety agreements.
2017 May Meeting: Summary of main topics discussed:
In this meeting our Advisors suggested that our Portal was not easy to navigate. We have since updated our Portal instruction handout for new patients.  We asked our Advisors for suggestions on how to accomplish our quality initiatives, one of which is to help our patients who smoke stop smoking. We learned some valuable lessons from our Advisors who have have had family members quit the habit once and for all! Thank you Advisors!

2017 October Meeting:  Summary of main topics discussed:
  1. How would you go about getting a prescription or your lab work sent to you?  Portal or call the office.  Care Team can FAX a prescription to the lab or pharmacy if a patient requests.  Results of tests can also be seen on the Portal under “My Records”.  Most Advisors not having difficulty with the Portal.
  2. When you are speaking to any member of our Care Team (including Dr. Mills) do you feel that we listen carefully to you?  All Advisors answered yes. Several advisors agreed and said they always have a “list” ready to discuss.  This topic led to a discussion about medication review by Dr. Mills. An outcome of this discussion was to improve education for patients on medication prescribing and safety.
  3. Do you feel that all members of our office team show respect for what you have to say?  All Advisors answered yes.   This led to a discussion of patient centered care and the right to have a different opinion about a medical subject and the obligation of the office to respect your choices even if they differ from our opinion. 
  4. When you are in our office do you feel the Team spent enough time with you?  All Advisors answered yes, they do not feel rushed. 
  5. When you leave our office following an encounter, do you know what to do next and do you have an appointment card in hand?  All Advisors answered yes. A written “plan” is provided in hard copy or sent to the Portal if needed.  If a patient is referred to a specialist our Care Coordinator follows up to see if the appointment was completed.    
  6. What is working or not working so well in the practice?   Advisors asked if we do routine screenings such as balance or cognition.  Screenings for balance are not done in this office; screenings for cognition are done based on assessment of need by Dr. Mills
  7. How are we doing? For the second time at a Patient Advisory Council meeting, the Care Team shared the most current measures of quality we are studying in our office for their input. 
April 2017: Summary of Main Topics Discussed
  1. Patient Advisors assisted with the final draft of Medication Safety education. In addition to reviewing prescribing policies, information was added on safe disposal of unused medications and sharps, hospice medications, reporting all medications taken including vitamins and over the counter medications.  We hope to provide this useful tool to all new patients and to assist all patients in safe practices of taking medication.
  2. The second half of our meeting was devoted to reviewing our newest patient education update "Where Do I Go?"; a tool to help patients sort out when to call the office, when to go to an Urgent Care Walk In Center and when to go to the Emergency Room. We ended our meeting with Care Team members of the Meridian Hackensack System and local Urgent Care which is the newest resource in our Medical Neighborhood.  Our guests elaborated on the times when Walk In care is appropriate- especially when our office is closed or on a holiday and when a true emergency occurs.   Thank you Advisors and Guests!
April 2018: Summary of Main Topics Discussed
During this meeting Advisors got to work and reviewed two Patient Education Documents provided by our office. 
1.  Where Do I Go? (Office, Urgent Care, Emergency Room) new education trifold draft.  Advisors liked the format of this education tri-fold and no suggestions for improvement recommended.  Will begin to use trifold in the office and provide to new patients in the New Patient Kit2.  Medication Safety; Prescribing and Renewal Policies; Suggestions for improvement are to include vitamins, chemotherapy and medication adjustments that may be needed, safe disposal of medications including sharps containers and controlled substances.  Also discussed Hospice rules around medications which may include using only Hospice provided medications.  Also suggested font be larger in this trifold. The trifold was updated with these recommendations and can be obtained in our office or sent to any patient's Portal. It is also contained in our New Patient Kit.
July 2018: Summary of Main Topics Discussed
In this meeting, Advisors reviewed and updated the Advance Directive Form currently in use in our office.  The new version is easier to understand with fewer repeated sections. This Advance Directive can be found on this website under the Advance Directive Tab.

October 2018: Summary of Main Topics Discussed

In this meeting Advisors provided their insights for a relaxing office environment, getting durable medical equipment from local resources; We also discussed getting immunizations as well as healthful eating and exercise.