I had the good fortune last week to see a screening of excerpts from an extraordinary documentary film that will be shown on PBS television stations in April. The film is called Rx: the quiet revolution and highlights four case studies. Each is an inspiring example of new models of health care delivery that are advancing the “triple aim” of better care for individuals, better health outcomes for communities, and lower costs. Our own remarkable Dr. Jennifer Mieres is the film’s executive producer.
The screening left me inspired and in awe of the great work being done by front line professionals all across the country. It also introduced me to a fabulous metaphor for the importance of engaging patients in their own care.
Continue reading There is Good News Out There
I was recently on a commercial airline flight when I noticed a bit of a commotion across the aisle. Two flight attendants were responding to the situation, which was triggered when one of the passengers in that trio of seats reached over and started eating the food of her fellow traveler. They quickly moved “the victim” out of the way, and were struggling to manage “the perpetrator.” I overheard them agree that they were concerned about the medical condition of the passenger, and moments later, one of the flight attendants used the public address system to ask if there was a doctor on board. Continue reading Is there a doctor on-board?
With the approach of the 4th of July, I have had “independence” on my mind. In my professional role, I always have “autonomy” on my mind, since it is often at the top of the list of things that doctors care deeply about, and I have been kicking around how the two relate to one another.
Webster’s (OK, the on-line Merriam-Webster dictionary) defines “independence” as “freedom from outside control or support” and offers up “self-sufficiency” and “self-reliance” as synonyms. “Autonomy” is defined as “the quality or state of being self-governing” and suggests “self-determination” among the synonyms.
Continue reading Independence and Autonomy
I was invited to give a talk about “patient satisfaction” at a recent OB/Gyn Grand Rounds. I have written previously that “satisfaction” is a pretty low bar, and so I spoke instead about the patient experience. Continue reading Evaluating Physician Performance
A recent article in Health Affairs by Thomas Bodenheimer and Mark Smith (Health Affairs, November 2013; 32:11, 1881-1886) addressed a timely and important issue: assessing the needed size of the primary care physician workforce. I found the article particularly relevant, since our medical group is grappling with this question right now, and it challenged me to think about the question differently. Continue reading Counting Doctors or Making Doctors Count