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:
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 Balint Congress Philadelphia, PA September 8, 2011
Ranier Maria Rilke
Who is the doctor? Where is the patient in Balint? Where is the illness located?
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
Who Is the Doctor?
Observation I ntervention DOPC STEP-UP IMPACT D irect O bservation of Primary C are ( ) S tudy T o E nhance P revention by U nderstanding P ractice ( ) Insights from Multimethod Practice Assessment of Change over Time ( ) P&CD P revention & Competing D emands in P rimary C are ( ) ULTRA Using Learning Teams for Reflective Adaptation ( ) NDP National Demonstration Project ( ) 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!
Where Is the Patient in Balint?
Patient Experience of Care Got Worse
Where Is the Illness Located?
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