ITEMS IN FPM ON TOPIC:
This article advocates the development of a coordinated clinical team within a primary care practice. Research has shown that a clinical team achieves better outcomes with patient health than individual work alone. The article encourages practices to get buy-in from all team members and to set reasonable clinical goals.
The article will describe pragmatic methods for creating a more innovative, quality-focused practice and more innovative work culture, with family practice examples.
Author describes how his residency program uses Crystal Reports to produce reports from their EMR system -- reports that have been useful in QI programs that have improved A1c, LDL and other outcome parameters.
The author describes how practices can evaluate whether their phone system is adequate for meeting demand and explains some process and equipment changes that might help improve performance.
The article describes one clinic's experience moving from paper charts to an electronic medical record run on wireless, tablet PCs.
The 2005 FPM survey of user satisfaction with EHR systems; this is the survey instrument, disseminated as an article in the Feb 2005 issue.
The author, who led his group's EMR selection committee, describes changes in the market, in EMRs, and in health care that make this the right time for all practices to seriously consider purchasing an EMR system.
The author explains how a commitment to patient care, discipline and focus, clear governance and decision making ability, improving office systems, and the willingness to invest in the practice make the difference between having a thriving, organized practice and just getting by.
The author explains how he made himself more available to patients (by handing our his home phone number, taking his own call and implementing "open access" scheduling) and shares the positive results he has seen (improved patient satisfaction, improved financial performance and a shorter physician work week).