Fam Pract Manag. 2021 May-June;28(3):35.
- BRING THESE TWO ITEMS TO HOME HEALTH VISITS
- PAIR MEDICAL ASSISTANTS WITH SPECIFIC PHYSICIANS
- EXPAND BUPRENORPHINE TREATMENT VIA TELEHEALTH
BRING THESE TWO ITEMS TO HOME HEALTH VISITS
As a home-based primary care physician, I see medically complex older and disabled adults in their homes. Two purchases have helped me feel more comfortable and confident doing this rewarding work.
The first is a portable place to sit. I have found that a plastic stepstool is the right height and level of support. I can use my tablet on my lap for documentation while making sure I don't sit in something I don't want to take home with me. It's also easy to carry and store in the backseat of my car.
The second item is a backpack-style diaper bag. It has many pockets to keep my small items contained and accessible, and I can wipe it down when needed. To leave my hands free, I keep it on my back until I need it. Newer diaper bags are gender-neutral and understated.
Editor's note: See the FPM article “House Calls: Providing Care Beyond the Office Walls.”
PAIR MEDICAL ASSISTANTS WITH SPECIFIC PHYSICIANS
To improve productivity and patient care, practices should pair medical assistants (MAs) with specific physicians rather than rotating them.
NorthShore University Health-System in Illinois matched MAs with physicians based on their ranked choices and had each pair complete standard forms to establish preferred workflows, task delegation, communication patterns, and schedule management. Physicians found they were gradually able to delegate more tasks to their assigned MA. After six months, relative value units per physician increased by 11% over the previous six months and A1C values, cervical cancer screening rates, and depression screening rates also improved. According to the study authors, physicians reported increased satisfaction and “an enhanced sense of personal accountability and investment in success by the MA often lacking in the rotating staff
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