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Provider and patient

Patient-Centered Care

What is a patient-centered care team?

Patient-centered means that you are the focus of your healthcare team.

Patient-centered care team begins with your primary care provider (personal physician) and encompasses a team of professionals working together to provide comprehensive medical care.

Patient-Centered Care Team includes:

  • Patient and Family
  • Primary Care Provider

    • Responsible for leading the team

    • Collaborates with the patient and team in developing goals and care plan

Office Nurse/Medical Assistant

  • Active member of the team

  • Notifies primary care provider and health coach of patient questions

Health Coach

  • Develops ongoing relationship with the patient

  • Acts as liaison between the patient and their healthcare team

  • Active in patient education, goal setting, and self-management

  • support for patients with chronic diseases

Other members of your Healthcare Team:

  • Social worker

  • Pharmacists

  • Panel specialist

  • Patient access

  • Medical specialists

  • Behavioral health specialists

Coordination of your care may include:

  • Primary care

  • Hospital care

  • Specialty care

  • Home health care

  • Community services and resources

Role of Patient-Centered Care Team

  • Provide comprehensive and evidence-based care to manage your healthcare needs

  • Listen to your healthcare concerns

  • Develop goals through shared decision-making

  • Explain your care plan

  • Answer your healthcare questions

  • Coordinate your healthcare needs, including prescriptions, lab work and specialty care

  • Respect your cultural background and language preferences

  • Encourage your involvement in your healthcare plan

  • Provide education and self-management support

What is your role on the healthcare team?

  • Receive care from a primary care team

  • Actively participate in care plan development and revision

  • Learn what you can do to stay as healthy as possible

  • Follow the plan that you and your patient-centered care team developed

  • Maintain open communication with your health coach

When you come to your next appointment:

Bring a list of:

  • Important things you want to discuss with your provider

  • Medication changes since your last visit, including prescriptions, over-the-counter medications and herbal supplements

  • Medical information or services that have been provided to you from someone other than your primary care provider

  • Let your team know if you need a prescription medication refill

When you have questions or concerns between appointments:

Your healthcare concerns can be managed by your healthcare team Monday – Friday, 8 a.m. – 5 p.m. If your health requires attention outside of our normal clinic hours, please call 701.780.5000 or toll-free at 1.800.732.4277 and ask to be connected to the Nurse Line.


Please call your healthcare team with any questions.

Grand Forks / East Grand Forks:

Altru Family Medicine Residency
725 Hamline St.
Grand Forks, ND 58203

Altru Clinic | East Grand Forks:
607 DeMers Ave.
East Grand Forks, MN 56721

Altru Family Medicine Center
Internal Medicine
1380 S. Columbia Dr.
Grand Forks, ND 58201
701.780.6400 - Internal Medicine

Altru Professional Center
4440 S. Washington St.
Grand Forks, ND 58201

Regional Locations:

Altru Clinic | Devils Lake
1001 7th Street NE
Devils Lake, ND 58301

Altru Clinic | Crookston
400 S Minnesota St
Crookston, MN 56716

Altru Clinic | Roseau
711 Delmore Dr
Roseau, MN 56751

Altru Clinic | Warroad
412 N Main Ave
Warroad, MN 56763