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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.

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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:

1 Philadelphia: Cradle of Liberty

2 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

3 Ranier Maria Rilke

4 A CASE

5 Who is the doctor? Where is the patient in Balint? Where is the illness located?

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7 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

8 Who Is the Doctor?

9 Dragon Slayers?

10 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

11 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

12 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!

13 Where Is the Patient in Balint?

14 Patient Experience of Care Got Worse

15

16 Where Is the Illness Located?

17 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

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19 Tomorrow’s Balint?

20 Welcoming the Dragon!

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22 A Case Revisited

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24 Ranier Maria Rilke


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