Presentation on theme: "Philadelphia: Cradle of Liberty. WELCOME THE DRAGON: Opening the Heart of Balint William L. Miller, MD, MA Lehigh Valley Health Network The 17 th International."— Presentation transcript:
Change & Transformation Established Traditional Practice Critical Mass of Patients, Clinical Processes, & Staff Practice Redesign Space & Office Design Access Design Technology Design Visit Types Financial Models Identity Shift TeamsProactive, Planned Care Paradigm Shift Patient- Centered Care Accountable Population- Based Care Whole Person Holistic & Comprehensive Care Care Process Design Citizen of Medical Neighborhood Web Portal Shared Record PCMH
Observation I ntervention DOPC STEP-UP IMPACT D irect O bservation of Primary C are (1994-97) S tudy T o E nhance P revention by U nderstanding P ractice (1996-2000) Insights from Multimethod Practice Assessment of Change over Time (2001-2004) P&CD P revention & Competing D emands in P rimary C are (1996-99) ULTRA Using Learning Teams for Reflective Adaptation (2002-07) NDP National Demonstration Project (2006-08) Cross-Disciplinary Literature CQI EPOCH EPIC SCOPE NRN-D
Lessons About Docs Surprising emotional reactivity & abrasiveness of docs Monumental power difference between doc and receptionist Surprising lack of self-care skills among docs Surprising lack of communication between docs Most practices want to improve, but few want to change Docs prefer hearing what to do rather than learning
A Transformed Physician Team-based Care Collaborative Care Facilitative Leadership Population Management Multiple “Channels” of Care Patient Partnership Transparency of Care Time for a Good Drink!
Health Care Spending per capita ($US Purchasing Power Parity) 2008 OECD Data United States $7538 Germany $3737 Organization for Economic Cooperation and Development: Health at a Glance 2010 http://www.oecd.org/document/16/0,3343,en_2649_34631_2085200_1_1_1_1,00.html http://www.oecd.org/document/16/0,3343,en_2649_34631_2085200_1_1_1_1,00.html