Practice redesign

November/December 2014 Issue
Three Questions to Guide Any Change Effort [The Last Word]

The change you're pursuing is more likely to succeed if you can answer "yes" to each of these questions.

May/June 2014 Issue
Practice Transformation: Taking the Direct Primary Care Route [Feature]

This practice cured its insurance headaches by switching to a cash-only payment model and charging annual retainer fees.

March/April 2014 Issue
Practice Transformation: Lessons From a Safety Net Clinic [Feature]

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.

November/December 2013 Issue
Physicians Assemble: Integrating Small Groups to Preserve Independent Practice [Feature]

Changes in the economics of health care are forcing many independent practices to join or sell out to large health care organizations. For practices that value their independence, creating virtual networks with other independent practices can provide the size to remain competitive and thrive. These groups can include independent practice associations, management service organizations, or loosely affiliated group practices. Any group will still need to serve the individual practices and be structured to avoid anti-trust concerns.

September/October 2013 Issue
Practice Transformation: Running Your Business Like a Business [Feature]

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.

November/December 2012 Issue
A Team-Building Model for Team-Based Care [Feature]

To reduce anxiety associated with a change to multidisciplinary team care, the authors used concepts and techniques from family therapy. They offer their approach as a way other practices can ease the pain of major process changes.

November/December 2010 Issue
The PCMH and ACO: Opposed or Mutually Supportive? [Opinion]

The patient-centered medical home and the accountable care organization are not competing concepts; rather the PCMH is a fundamental component of the ACO.

September/October 2010 Issue
The Patient-Centered Medical Home: Still a Work in Progress [Feature]

The article, an overview of the results of research into the outcomes of the TransforMed National Demonstration Project, is based on an interview with one of the key members of the research team.

January/February 2010 Issue
Climbing One Step at a Time [From The Editor]

Practice redesign is a huge, daunting task that becomes more manageable if you take it one step at a time -- and not just because you're tackling it piecemeal. There's some synergy at work.

Nov-Dec 2009 Issue
Step-by-Step Practice Transformation [From The Editor]

Clearly, it's possible to improve your practice one piece at a time. But can you ever achieve radical practice redesign by this route? The author introduces an article by Anton Kuzel, MD, MHPE, which proposes a step-by-step plan for revolutionizing your practice.

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