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Will this really improve patient care?
Inviting patients to review your visit notes is a promising change in practice. Here’s how to get started.
Asking patients this one question can lead to better outcomes.
Need help with quality, practice productivity, and population health? You've come to the right place.
Admit it, you're guilty of at least one of these.
Many practices are looking to transition to a patient-centered medical home. Terry Reilly Health System made that move while also serving as a safety net clinic for several communities in southern Idaho. The system's key steps included getting early buy-in by clinic leadership, continually adjusting patient panels for individual physicians to provide quality care but avoid burnout, creating care teams to improve efficiency, hiring care coordinators, and using the electronic health record to improve patient outcomes.
The drive away from fee-for-service and toward efficiency is requiring integrated health care groups to decrease hospitalization and procedures while still needing to maximize revenue. Including care coordinators can bridge this gap, helping identify and manage chronically ill patients who most need regular health services while freeing up physicians' time to provide care and actually increasing patient visits.
Running a practice successfully requires more than just medical knowledge and basic management techniques. It requires an entrepreneurial approach. Miramont Family Medicine in Fort Collins, Colo., has realized higher revenue, larger patient panels, and other benefits by laying a foundation for the future, including investing heavily in technology infrastructure, the addition of new ancillary services, improved efficiency practices, and reorganizing as a patient-centered medical home.
It's well known that the patient-centered medical home requires new modes of practice. Less known, and less understood, are the implications of these new modes for the layout of the office or clinic. The authors describe changes they have made in a series of neighborhood clinics to adapt the physical practice layout to patient-centered care and the needs of the clinical team.
The authors examine several ways that the work of medical assistants changes as practices make the transition to medical home status, and they suggest several strategies used by such practices to help medical assistants work at the top of their abilities and licensure.