tag:blogger.com,1999:blog-3503957686158274288.post8143054284018425053..comments2024-03-12T12:32:15.598-05:00Comments on On Health Care Tech & Policy: If You Want to Win, You May Have to FightMargalit Gur-Ariehttp://www.blogger.com/profile/08777722834145614546noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-3503957686158274288.post-41674694817789164932013-05-21T19:21:47.727-05:002013-05-21T19:21:47.727-05:00We are so on the same page regarding the need for ...We are so on the same page regarding the need for physician involvement. Physicians will either learn to collaborate and lead the way, or the profession will continue to suffer. It is a choice to either excel or to passively, incrementally wither.roateshttps://www.blogger.com/profile/01790583139758416841noreply@blogger.comtag:blogger.com,1999:blog-3503957686158274288.post-36448815476229147382013-05-21T17:08:00.360-05:002013-05-21T17:08:00.360-05:00This is what I am encountering as well, and as you...This is what I am encountering as well, and as you know very well :-), there is absolutely nothing in the PCMH model mandating this type of interference with patient care, although some entities are using PCMH as the vehicle by which to embed such disruption (and expense) into beautifully functioning primary care practices. I wish practicing doctors would stand up and take charge and ownership of medical home implementations....Margalit Gur-Ariehttps://www.blogger.com/profile/08777722834145614546noreply@blogger.comtag:blogger.com,1999:blog-3503957686158274288.post-67040310437379392332013-05-21T16:23:29.602-05:002013-05-21T16:23:29.602-05:00From recent physician experience, the term "c...From recent physician experience, the term "care team" is unfortunately becoming a bit of a pejorative. Too often, the results have been the insertion of a group of administratively assigned persons from outside the patient's direct care providers that come in carrying clipboards and too often have agendas that are not necessarily patient-centered. A true care team needs to be the choice of patients and the physicians that deserve their trust.roateshttps://www.blogger.com/profile/01790583139758416841noreply@blogger.comtag:blogger.com,1999:blog-3503957686158274288.post-31854436047274021832013-05-21T12:13:51.023-05:002013-05-21T12:13:51.023-05:00I completely agree, Vince. The broader "team&...I completely agree, Vince. The broader "team" is or should be an important consideration. However, I find that many docs are perceiving "team care" as a threat to their idea of proper patient care. All I wanted to do here is to clarify that this is not necessarily so. <br />I am planning on a follow up post....Margalit Gur-Ariehttps://www.blogger.com/profile/08777722834145614546noreply@blogger.comtag:blogger.com,1999:blog-3503957686158274288.post-50821355059160437912013-05-21T11:23:31.966-05:002013-05-21T11:23:31.966-05:00Margalit,
I think your introducing the distinct...Margalit, <br /><br />I think your introducing the distinction of "staff" is helpful, but not necessarily sufficient.<br /><br />I (and I presume NCQA) think of "team" as including broader care contributors that might or not be employed by the physician practice.<br /><br />For example, part of a diabetic patient's care team might include -- internist, nurse educator, nutritionist, endocrinologist, health coach -- some of all of which might be employed the PCMH practice.<br /><br />Thus, thinking of "staff" as those in doctor's employ is useful, but still it's useful to think of broader team that might or might not be under MD control.Vince Kuraitishttp://e-caremanagement.comnoreply@blogger.com