Posted by: AtlasMD

October 15, 2015

Why Transition to DPC? This Cardiologist Says ‘Practice Enjoyment and Quality.’

Who says DPC doesn’t work with specialties?

Making the switch from practicing invasive cardiology in a traditional healthcare setting to practicing Direct Primary Care was an easy decision for Dr. Kahn in Detroit. His new world doesn’t involve insurers, ICD-10, or billing fees. But it does involve a whole lot more happiness as of October 1! But let’s take a quick look at his “before:”

Generally, I was seeing more complex cases of heart disease compounded by obesity, metabolic disorders, and poor lifestyle. Trying to manage or at least give advice to patients was getting more complex and time consuming. In addition, the advent of advanced labs with inflammatory, oxidative, and genetic markers was taking more time to analyze and offer advice. Phone calls for pre-authorization first for invasive procedures, then for nuclear procedures, and now for just echocardiograms waste more and more time during the day. They say that if you love what you do, you will never work a day in your life. I was finding that what I was doing was starting to feel suspiciously like work.

He describes his activity with some of his patients as “the four minute smile” because he had to dart in and out of appointments that quickly just to stay on time. Unfulfilled and well, rushed, Dr. Kahn knew there had to be a better way. But he didn’t want to just follow suit of others around him who had thrown in the towel on medicine. Instead, he created his own solution and in turn his own opportunities.

So what does his “after” look like? We can’t wait to find out, but we imagine he won’t be sorry to leave “the four minute smile” in the dust.

Posted by: AtlasMD

September 28, 2015

The Pen and Paper Era was Accident Prone. How is Medical Tech Better?

The Pen and Paper Era was Accident Prone

“A study from the pen-and-paper era showed that 1 in 15 hospitalized patients suffered from an adverse drug event, often due to medication errors. A 2010 study (using data collected during the pre-digital era) estimated the yearly cost of medication errors in U.S. hospitals at $21 billion.” – Medium.com

Whoa.

When you look at those stats, it’s no wonder the industry couldn’t wait for a better way. Technology has done so much good in the way of standardization and reducing the margin of human errors. EMRs and the like have made it easier for docs to spend less time charting and more time actually with their patients. The benefits far outweigh any negatives, but that’s only if you use technology responsibly.

We can’t leave our jobs totally up to technology, as the story over on Medium.com illustrates perfectly. If we do, we’ll miss things like a massive accidental overdose (patient needed one pill, got 39 instead) and nobody wants to feel the guilt Nurse Levitt experienced so intensely. We’ll miss dangerous drug interaction warnings and potential allergy notifications. We’ll miss the opportunity to avoid life-threatening situations. Whether we’re in a hospital setting, or a clinic setting, this kind of attention to detail still matters. Immensely.  

We know this. And we, as Direct Care professionals, have adopted a business model that wholeheartedly embraces the very two things that can prevent errors like this from happening — even in the technology era. 

1. We’ve gotten rid of red tape and policy that does nothing but convolute the simplest of tasks. In fact, we’ve taken it upon ourselves to build the EMR that we want, and have thus turned it into a product incredibly useful for hundreds of other Direct Care practices, too. It’s based on accuracy, simplicity and ease of use. There are people working around the clock to make sure these things work together in tandem. 

2. We have time. Time to think through every prescription we order and dispense. Time to double check dosage. Time to actually pay attention to the alerts that fire when an irregularity has been electronically recognized. This gift is not something we take lightly. 

Technology can certainly make our jobs — our lives — easier and more efficient. For that we’re thankful on a daily basis. But we mustn’t forget that we are the threshold for which all medical decisions must pass. We can’t check common sense at the door in lieu of an app that thinks for us. And because we have a business model that allows us to work to the best of our abilities, we love our jobs… and therefore don’t want to just go through the motions. 

So thanks to technology, for all you do for us. But more importantly, thanks to Direct Care, for existing so that we may also operate as the best versions of ourselves. 

Posted by: AtlasMD

September 24, 2015

Medical Economics: The Rise and Fall of the Patient-Centered Medical Home.

RedTape01

On paper the idea of a patient centered medical home (PCMH) sounded great. But it’s gotten so bogged down with red tape that the only thing sticking to it is doubt. At least that’s the case for PCMH early adopter John L. Bender, MD, who recently contributed his perspective to Medical Economics.

“This year I am considering not maintaining PCMH recognition. It is basically a marketplace decision. The payments from insurers to maintain my care coordinators on payroll, to continue externally reporting from my large data registry, and all the other trappings of robust PCMH just are not sufficient.”

Dr. Bender is well aware of the rise of Direct Primary Care, but he has his doubts about that, too. He warns that you don’t want to be the first, or the last to adopt a new payment model. We might argue that at this point you’ll be neither, indeed. The payment structure is working brilliantly for DPC clinics around the country, and continues to adapt to the flexibility needs of patients. Maybe its success is partially to blame for its “cult following!”

But there’s another point Dr. Bender mentioned that we’d like to address. “Whether DPC will create a reduced standard in the delivery of healthcare quality remains to be seen, and the concern for quality is perhaps the largest hurdle DPC must overcome.”

We’ll go ahead and speak on behalf of the DPC community when we say – Challenge Accepted! We know DPC presents a lot of opportunities for us, as healthcare providers, to live the life we want while providing the kind of care we always imagined – while at the same time avoiding bureaucratic policies that seem to do little more than add paperwork to the stack at the end of the day. And we didn’t go to medical school to fill out paperwork…

So we’ll press on in hopes of proving to Dr. Bender that quality is the very pinnacle of what we wake up to do every day. We make ourselves available to our patients nearly 24/7, and via nearly every communication outlet available (Skype chat, anyone?). We’ll continue to make house calls as needed, and go above and beyond to save our patients money at every turn of the bend, including on medications and procedures. We’ll develop relationships with our local medical communities to negotiate the best deals possible on external procedures like labs. We’ll continue to use our spare time to sit extra minutes with patients during their appointments, do extra research to help with their preventative care, and further spread the concept of Direct Care to everyone who will listen. We’ll continue to walk patients through their invoices line by line if they want, explaining exactly where each cost comes from (they’ll continue to not be surprised, though, because they typically know the cost in advance!).

We hope not only patients, but other physicians considering a transition to Direct Care will continue to see the value in our business model. It might seem too good to be true, but there are practices all over the country who are living proof of its validity.

Posted by: AtlasMD

August 25, 2015

You Have Time, But You Still Need Efficiency.

As a DPC doc, time is on your side. But that doesn’t mean you shouldn’t do everything in your power to manage it effectively. Tasks like handling off-hours communication, or sending effective and quick email responses can be streamlined to make sure you have time for everything. Here are a few tips to help make sure you have a leg up on your time management instead of the other way around.

Do your patients follow up on their own emails?

If your patients send emails, and then follow up with questions, perhaps there’s more you can do to make your response to them robust and comprehensive. Anticipate their needs, and include more information than they’ve asked for. Go a step above and beyond what they’re expecting. Speak human, not doctor. You went to medical school, not your patients! Use simplified terms, and include links to more in-depth explanation where applicable. Here’s a great resource to make each and every email you send infinitely better, from your word choice, to tone, to the actual content of your message.

Do you send the same email time and time again?

Your patients have lots of questions, and it’s great that you’re available to answer them all. But those questions become repetitive and before long you find yourself typing the same response over and over. Something’s gotta give, right? Use text snippets to reduce the time you spend responding while still maintaining your email’s integrity. Tools like Breevy integrate with your operating system to abbreviate bits of content, and then automatically expand into an entire paragraph. Essentially, it works just like macros in the Atlas.md EMR if you’re familiar. Super handy, quick, and accurate! Read more

Posted by: AtlasMD

June 30, 2015

The Atlas.md EMR is Lowering Credit Card Transaction Fees!

CreditCardFee01

After much internal consideration, research, and full-circle thinking, we’re in a really exciting position to show you just how much we care about the success of your Direct Care practice. The credit card transaction fee in the Atlas.md EMR has dropped from 3.1% to 2.5%.

We’re Putting Ourselves in Your Shoes

At the core of it all, we’re only giving you what we would want if we were in your position. And that’s to know the company behind the product is thinking about us all the time. We’ve lowered the fee to make all the features you’re privy to more affordable and cost effective. It’s worth the loss in profit to us to know you’re getting the most bang for your buck!

We’re a Business, But…

Our driving passion isn’t to make money. It’s to help you build and run a successful DPC practice that will give you the life you want, and your patients the care they deserve. The whole point of Direct Primary Care is to lower overhead and cut red tape. Actions speak louder than words, which is why we dropped that number. A transaction fee may seem like a small thing, but we know it’s huge to you.

Thank you for being loyal customers of the Atlas.md EMR. We hope we can remain by your side as you continue to breathe life into Direct Care.

Posted by: AtlasMD

June 19, 2015

Recommended Reading: Good Boss, Bad Boss

RecommendedPost02We often get asked for recommended reading lists. We’re delivering! These semi-weekly posts feature a book we highly recommend to learn more about business, philosophy, and different perspectives to help you run your business. Do you have a recommendation that’s not on the list yet? Mention it in the comments!

This Week’s Recommendation: Good Boss, Bad Boss. How to Be The Best and Learn from the Worst. 

Now with a new chapter that focuses on what great bosses really do. Dr. Sutton reveals new insights that he’s learned since the writing of Good Boss, Bad Boss. Sutton adds revelatory thoughts about such legendary bosses as Ed Catmull, Steve Jobs, A.G. Lafley, and many more, and how you can implement their techniques.

If you are a boss who wants to do great work, what can you do about it? Good Boss, Bad Boss is devoted to answering that question. Stanford Professor Robert Sutton weaves together the best psychological and management research with compelling stories and cases to reveal the mindset and moves of the best (and worst) bosses. This book was inspired by the deluge of emails, research, phone calls, and conversations that Dr. Sutton experienced after publishing his blockbuster bestseller The No Asshole Rule. He realized that most of these stories and studies swirled around a central figure in every workplace: THE BOSS. These heart-breaking, inspiring, and sometimes funny stories taught Sutton that most bosses – and their followers – wanted a lot more than just a jerk-free workplace. They aspired to become (or work for) an all-around great boss, somebody with the skill and grit to inspire superior work, commitment, and dignity among their charges.

As Dr. Sutton digs into the nitty-gritty of what the best (and worst) bosses do, a theme runs throughoutGood Boss, Bad Boss – which brings together the diverse lessons and is a hallmark of great bosses:They work doggedly to “stay in tune” with how their followers (and superiors, peers, and customers too) react to what they say and do. The best bosses are acutely aware that their success depends on having the self-awareness to control their moods and moves, to accurately interpret their impact on others, and to make adjustments on the fly that continuously spark effort, dignity, and pride among their people.

Put Good Boss, Bad Boss on your bookshelf. >

Posted by: AtlasMD

June 8, 2015

Direct Care is a Slow Tsunami.

Overwhelming. Unstoppable. Enveloping.
Direct Care is taking the nation by storm, but unlike a tsunami, it’s not of the destructive variety. Rather than water, the country is being steadily blanketed with a refreshing alternative to traditional family medicine. As it slowly (but oh, so surely) spreads from town to town, city to city, more and more people realize how much they truly benefit from the patient-centric healthcare model.

Docs are getting excited, too. Every time they hear from a happy patient they wonder why it took them so long to transition in the first place. But even better, all the great feedback they’re hearing just validates they’ve done the right thing – not only for their patients but for themselves as well. Their quality of life skyrockets and their passion for medicine reignites. Once they’ve transitioned, it’s hard to look back at their old lives and remember how negatively they felt way back when.

Dr. Catherine Krouse has gone Direct Care precisely because of the difficulty of that old life. “You just end up getting drained and drained and drained. And then when your cup is completely empty, then you just get guarded and angry. And then you put up walls, and that really creates barriers.” Read her full story here and learn about the newest Direct Care practice in Falmouth, Maine called Lotus Family Practice.

 So as this #slowtsunami continues to commence with many more stories just like Catherine’s, the Direct Care community expands with confidence and the staying power to make patients and physicians happy for the long haul. 

Posted by: AtlasMD

June 5, 2015

Recommended Reading: 9 ½ Things You’d Do Differently if Disney Ran Your Hospital

RecommendedPost02We often get asked for recommended reading lists. We’re delivering! These semi-weekly posts feature a book we highly recommend to learn more about business, philosophy, and different perspectives to help you run your business. Do you have a recommendation that’s not on the list yet? Mention it in the comments!

This Week’s Recommendation: If Disney Ran Your Hospital: 9 1/2 Things You Would Do Differently

Using examples from his work with Disney and as a senior-level hospital executive, author Fred Lee challenges the assumptions that have defined customer service in healthcare. In this unique book, he focuses on the similarities between Disney and hospitals – both provide an “experience,” not just a service. It shows how hospitals can emulate the strategies that earn Disney the trust and loyalty of their guests and employees.

The book explains why standard service excellence initiatives in healthcare have not led to high patient satisfaction and loyalty, and it provides 9 1/2 principles that will help hospitals gain the competitive advantage that comes from being seen as “the best” by their own employees, consumers, and community.

Put If Disney Ran Your Hospital: 9 1/2 Things You Would Do Differently on your bookshelf. >

Posted by: AtlasMD

June 3, 2015

Direct Primary Care Awareness Happens in December!

Have you heard? Direct Primary Care Awareness now has its own official month, and what better time of year than when we’re already buzzing with love for, well, everything? Bring it on, December!

So, what does that mean for your clinic? It means you get to continue doing what you’ve been doing all year – promoting DPC to everyone you meet on the street, in the grocery store checkout line, and at the car wash. Okay, the car wash might be a bit of a stretch, but you catch the drift. Because Direct Care Awareness now has a month associated with it, that makes it the perfect time to hold community events and staff activities. You still have some time to plan these events and we’ll remind you when it’s not quite so hot outside but it’s never too late to start brainstorming how you can make more of an impact on those around you. The DPC Journal has some ideas to kickstart your creativity.

Here’s something to remind your patients about… 

The holidays tend to be absolutely insane. For patients, getting in to see the doc during those busy months can be nearly impossible in a traditional healthcare environment. A trip to the ER could set them back precious shopping hours, not to mention thousands of dollars. Thank goodness there’s an alternative! With many DPC physicians offering 24/7 availability, house calls and the ability to handle most “ER” type visits right in their own clinic (at no extra cost!!!), your patients can check “the possibility of needing to see the doc” right off their list of things to stress about. Make the decision to switch to Direct Care easy for them by presenting sanity during a time when sanity can usually be found flying right out the window.

Posted by: AtlasMD

April 20, 2015

The Truth in Numbers. It’s a DPC Thing.

The Truth in Numbers. It’s a DPC Thing.

We talk a lot about the services Direct Care practices offer. We also talk a lot about how DPC docs have the time and resources to put their patients first. And then there’s the ever present mantra of how DPC cuts out the middle man, taking healthcare back to two key embodiments: quality and simplicity.

That’s all well and good, but it’s time we talked more about the numbers. They don’t get nearly enough attention, and they’re starting to feel left out. And they definitely deserve it.

Dr. Josh of Atlas MD recently talked to the Vermont Watchdog about some of the savings his clinic is able to pass along to their patients:

“I just stitched up a kid, one of our patients, who fell at the ice rink and needed six stitches in the chin. That could be $2,000 in an emergency room or $500 at an urgent care center. But I can do it for free.”

Beyond that, though, there are savings around nearly every corner.

“MRIs cost about 80 percent less than what hospitals charge. Blood tests costs $3, not the hundreds of dollars charged in the hospital system. Migraine medicines that cost more than $100 per month at a pharmacy cost just $6 at Atlas MD.”

The savings extend to companies, too. Dr. Josh explains:

“We have an employer with 17 employees in a local company. In 2013, they paid $98,000 for their health insurance. By the end of 2014, they were paying $48,000 because of how we helped restructure their plan in combination with us.”

Of course Atlas MD isn’t the only clinic who can offer these types of savings – it’s a DPC thing. Dr. Ryan Neuhofel of Neucare gives an example of the savings his Direct Care practice can offer in the way of affordability.

“I also recently managed a forearm fracture in an uninsured patient for a total cost of $45 ($10 for a splint, $25 for an X-ray, and $10 for cast a few days later).”

The savings are everywhere – even in prescription medications. We talked about that a while back, remember? Many Direct Care clinics have an in-house pharmacy which not only makes things incredibly convenient for the patient, but brings wholesale prices to the forefront. That’s right – prescription medications at wholesale prices. Oh, and if the DPC clinic can’t offer you the prescription in-house, they’ll probably send you out the door with a @GoodRx coupon for additional savings at the pharmacy.

They say there is strength in numbers. With Direct Primary Care, we also find the truth.