Who We Are
Mednovations is an innovative medical group and lab that seeks to serve its local community by providing innovative medical services to patients and clients in the Washington DC metropolitan area. The organization offers a range of laboratory testing and clinical exam services to those in need. Mednovations was founded by Dr. Chantal D. Lewis, a board-certified family medicine physician with over ten years of experience in providing care for the elderly, young adults and children. Dr. Lewis was one of the proud recipients of the Northern Virginia Top Doctors award in 2015 and 2016. Naturally enthusiastic, driven, and passionate about learning she brings a comprehensive approach to medical care by helping patients optimize their mental, spiritual, and physical health.
Over the years, Dr. Lewis has recognized the need for providing care for the elderly, disabled and homebound at their place of residence and has spent the last couple of years providing in-home physician services to patients in Northern Virginia. Most recently, she launched home clinical exams as one of the suite of services provided Mednovations. Treating every patient as if they were family, she provides a listening ear, a warm heart, and a patient-centered medical home for those in need.
What We Do
Physician House Calls for Home Bound and Elderly Patients
According to the population bureau report of 2016, the number of Americans ages 65 and older is projected to more than double from 46 million currently to over 98 million by 2060. The aging of the baby boom generation could fuel a 75 percent increase in the number of Americans ages 65 and older requiring nursing home care, assisted living or in-home care to about 2.3 million in 2030. As many elderly people are homebound or disabled, their emotional, social and medical needs vary from the general population. Many elderly patients will require care at home because of decreased mobility and or debilitating ailments.
The team of clinicians at Mednovations thrive on providing care at a patient’s place of residence. Why? Because we understand that addressing a patient’s medical needs at home means that they are in a comfortable and familiar environment where they can rest and in heal in the presence of loved ones. Our physician house call model provides in-home doctor exams for chronic illnesses, yearly physicals and non-urgent acute illnesses such as colds or urinary tract infections. We maintain a small panel of homebound patients to ensure each patient receives optimal care. In addition, unlike concierge-style house call practices, we do not charge a monthly membership fee. We bill your insurance for your medical care, and we only charge a nominal convenience fee for travel to your home. Our target patient populations are those who are homebound and have difficulty traveling to a physician’s office.
We also have in-house phlebotomists that can collect blood and urine samples at your home for a nominal fee. In essence, we bring medical care right to your doorsteps.
Please note that we do not provide house – calls for emergent or urgent medical conditions. All urgent or emergency medical conditions should be handled by calling 911. We also do not provide house calls at night time, weekends or on major holidays. For more information or to schedule an appointment, please give us a call.
Transitional care refers to the coordination and continuity of health care during movement from one healthcare setting to either another or to home.
The purpose of transitional care is to ensure the coordination and continuity of health care as patients transfer from the hospital or nursing home back to their place of residence. Once a patient is discharged to home from the hospital or nursing home within 72 to 96 hours, one of our friendly clinicians can provide a physical exam at home and develop a comprehensive post-discharge medical plan of care. Part of the transitional care evaluation will include a review of hospital notes, medication review and reconciliation, coordinating the completion of follow up labs, communication with specialists and primary care doctors and last but not least, patient and caregiver education.
If you are receiving home physical therapy or home skilled nursing, the doctors at Mednovations will work closely with your home health agency to coordinate your care and to complete all necessary paperwork required by Medicare or Medicaid. For patients with complex care medical needs, transitional care is essential for a speedy recovery at home and to prevent re-hospitalization of the patient.
Physician House Calls for Insurance Approval of Home Health Care
Home health care typically includes care given by skilled medical professionals, such as skilled nursing care, physical therapy, occupational therapy, and speech therapy. Home health care can also include non-medical care, such as social services or assistance with daily living from a home health aide. Home health care is usually less expensive, more convenient, and just as effective as care given in a hospital or skilled nursing facility.
Typically, when a patient is discharged home from the hospital or skilled nursing facility they may receive at home care from a nurse who can help with wound care or giving IV antibiotics or they may receive care from a physical therapist who can help with rehabilitation from a stroke.
In other cases, a patient may at home may develop the need for home health care. Mednovations can assist with providing a home face to face physical examination to determine the need for home health care, and as well we complete the necessary paperwork and orders to ensure Medicare covers your services. The team of home health providers, including physicians, nurses, and therapists, will work together to reduce avoidable hospital re-admissions. Our main goal is to keep you healthy at home.
Home Physician Visits for Durable Medical Equipment
Durable Medical Equipment is also known as DME is any equipment that provides therapeutic benefits to a patient in need due to certain medical conditions or illnesses. DME consists of items which may include but not limited to; wheelchair, walkers, ventilators, oxygen, monitors, pressure mattresses, chair lifts, and nebulizers.
In some cases, Medicare or other insurances will cover the cost of the equipment if the following criteria are met;
- The DME is prescribed by a licensed clinical provider
- The DME does not serve primarily as a comfort or convenience item
- The equipment does not have significant non-medical uses
When patients need additional medical equipment to make life more comfortable Mednovations can help. We can provide the necessary clinical evaluation and complete the paperwork and orders needed to process your DME all in the comfort of your own home or at your assisted living facility. Call or email us today for more information.
Medical Evaluations to Determine Hospice or Palliative Care Eligibility
Hospice is a specialized type of care for those facing a life-limiting illness. Hospice care also provides support for families and caregivers of those patients facing that life-limiting illness. Hospice not only addresses the patient’s physical needs but also their emotional, social and spiritual needs. Hospice care may be provided in the patient’s home or a long-term residential center. The goal of hospice is to manage a patient’s pain and other symptoms so that the patient may live as comfortable as possible and make the most of the time that remains. It ensures that the patient has the best possible quality of life in their last months.
In order to receive hospice services, a hospice physician must certify that the patient meets specific medical criteria. Generally, the patient’s life expectancy is six months or less if the illness runs its typical course. However, if the individual lives longer than six months and their condition continues to decline, they may be recertified by a physician for additional time in hospice care. However, if a hospice patient’s condition improves, they may be discharged from hospice care. Mednovations can provide at home clinical examinations to see If a patient meets the criteria for hospice. Our examinations are done with compassion and kindness, knowing that this is an extremely difficult time for both the patient and their loved ones.
Like hospice care, palliative care provides specialized medical care for people with serious illness. This type of care is focused on providing relief from the symptoms of illness such as cancer, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), kidney disease, Alzheimer’s, Parkinson’s and many more. This type of care treats symptoms that may be causing distress.
Palliative care is provided by a specially-trained team of doctors, nurses and other specialists who work together to provide an extra layer of support. Unlike hospice care which begins when a patient is terminally ill, palliative care is appropriate at any at any stage in a serious illness, and it can be provided along with curative treatment. Like hospice care, a physician must examine the patient and decide that they are eligible for palliative care.
Medical Evaluations and Management for Assisted Living Patients and Residents of Senior Communities
If you own a small to medium sized assisted living facility or senior living facility and are looking for a physician to provide medical care with a personal touch for your residents, then the friendly staff at Mednovations can help. Our clinicians can provide the initial physical examination needed to have your resident admitted to the facility, and as well we can provide routine visits for continuous management of chronic care illnesses. We are also available for evaluations for acute illnesses such as urinary tract infections and upper respiratory tract infections among other things.
The clinicians and staff at Mednovations will collaborate with the staff at the assisted living facility to ensure that each patient is managed appropriately, and we also communicate with family members of patients to answer any medical questions or concerns they may have.
Memory Care Management
Memory care is a distinct form of care designed to meet the specific needs of a person with Alzheimer’s disease, Parkinson’s disease or other types of dementia or memory problems. Alzheimer’s disease and other dementias can be difficult for patients and their families to manage. The clinicians at Mednovations can assist with care planning for patients with dementia. The memory care process is ongoing and continually evolves and adapts to address the patient’s medical needs. We collaborate with appropriate medical specialists such as neurologists to create a comprehensive care plan. We also assist in providing families with information on community support resources such as local memory cafes that can be of tremendous assistance to family members. Our clinicians help to support both the patient and family as the progression of memory ailments worsens.
Onsite Specimen Collections
Mednovations recognizes the need in the community for mobile phlebotomy or home blood draw services. Many elderly or disabled patients are home bound and cannot travel to laboratories or physician’s offices to have blood or urine tests done. As such, Mednovations has developed a unique and much-needed service where phlebotomists travel to the residence of the patient, collect blood or urine samples and transport the specimen to the appropriate laboratory for analysis.
Our friendly and knowledgeable phlebotomists travel to private homes and medical facilities such as a skilled nursing home or assisted living communities. We know the importance of patient privacy, and that’s why each of our staff is trained in HIPPA rules and regulations. In addition, we ensure that all specimens are collected and packaged in a sanitary manner. Once test results become available, the patient’s physician or clinician will then contact them to discuss test results.
Patients should be aware that while insurance will cover the cost of the laboratory test, it does not cover the cost of collecting the specimen and transporting it to the laboratory. Call us now to schedule your home blood draw or urine collection.
High-Risk Chart Review and Consultation
We all are aware of the escalating costs of health care in America. Most of the high costs surrounding American health care involves emergency room care and hospital admissions. Many organizations and health care professionals are seeking ways to decrease emergency room use and hospital admissions. Some of the most common chronic care illnesses that cause recurrent hospital admissions are diabetes, chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) among others. The clinicians at Mednovations can assist your organization with chart reviews, consultations, and strategic planning for management of high risk and complex care patients with an emphasis on preventing re-admissions. Contact us today for more information.
Continuing Medical Education
Continuing medical education (CME) consists of educational activities which serve to maintain, develop, or increase the knowledge, skills and professional performance and relationships that a physician or other healthcare clinician use to provide services for patients. There many forms of continuing medical education including self-study courses, conferences, and live seminars. If you are looking to keep your staff update on current primary care and home care related topics, the staff at Mednovations can customize a live educational presentation or seminar to fulfill the educational needs of your health-care professionals. Contact us today for more information.
Fees and Payment
Mednovations accepts Medicare, Medicaid and some commercial insurances such as United Health Care and Aetna. In most cases, your insurance will cover the cost of your physical examination, medications, treatments and laboratory tests. In situations where patients do not have medical insurance we also provide services for reasonable out of pocket fees. When a clinician travels to a patient’s private residence, we charge a nominal convenience fee to cover travel costs. This fee is not covered by insurance and is paid out of pocket by the patient prior to the clinician arriving. For details on insurance, fees and payment options contact our office today.