ITEMS IN FPM ON TOPIC:
You need teamwork, data and a new approach to involving your patients.
The article outlines steps physicians can take to promote fitness (physical activity, nutrition and emotional wellness) to their patients, drawing on lessons from the AIM-HI research project.
Sometimes, what matters most is how far a patient has come.
The article describes health coaching, which is an approach to providing patients and families with the skills to help themselves in partnership with their physician. The article includes examples of health coaching to demonstrate to primary care physicians how to initiate coaching models in their practices.
This article discusses the concept of self-management and how best to teach patients with chronic illness to manage their illness with skill and self-efficacy.
The author, who runs a solo, no-staff practice, holds regular group visits for patients with a variety of conditions. She describes how the visits are organized and reimbursed.
The authors describe how technology can help family physicians manage chronic disease through self-care (feedback, motivation and eduation) and remote care (remote monitoring, remote diagnostics and communications).
The article describes what process changes a practice needs to make in order to conduct "planned visits," where the patient has all relevant lab work or tests completed prior to the visit with the physician and all information is in the chart, allowing for a more organized, productive encounter.
(But each piece is useful in itself.)
This is a case study in which Excel was used to do preventive care or chronic disease management and what lessons were learned. It will include a blank copy of the Excel spreadsheet that readers can download from the FPM Web site.