Posted by: AtlasMD

February 13, 2015

Business Insider: Why Your Doctor is Always Late.

Twenty minutes goes fast. Really fast.

So fast, in fact, that in the blink of a eye 20 minutes will vanish in the course of an already busy day. It takes a lot to stay on schedule in 20 minute increments, and only a little to throw a string of 20 minute time slots completely off course. (Pee fast!)

Welcome to the life of a physician who begins her day knowing there’s a very high probability her timeliness will derail halfway through the morning.

In a recent article published on Business Insider, “Dr. Tardy” outlines part of her day, giving examples of the types of patients she sees and the time it takes to care for them well. Through the interruptions, mishaps, and even some unexpected generous gaps to make up for lost time, she demonstrates that real patient care can’t be scheduled in 20 minute slots.

Dr. Tardy explains that she tries her hardest to “do the right thing for her patients, tries to take the time to listen without making them feel rushed.” And maybe that’s true. But what if she didn’t have to try so hard? Think how different her day would be if she knew she had 45 minutes (at least!) with each patient. If, when she needed to call a patient to explain the urgency behind an impending trip to the ER, that call wasn’t interfering with her next patient.

Hmmm… Dr. Tardy needs to be introduced to Direct Primary Care, where patient care is put above all else. The thing is, traditional medical practices say that, too – that patients come first. At the end of the day, actions speak louder than words, which is why the DPC business model is built around patient care rather than patients being squeezed into an impossibly tight schedule in a feeble attempt to keep their doors open.

In a world where a patient being 15 minutes late doesn’t derail the day, Dr. Tardy could change her name to Dr. Timely.

Read the full article over here on Business Insider. >

Posted by: AtlasMD

February 9, 2015

Healthcare Informatics: Healthcare Should Be More Like Amazon

David Chou was recently interviewed for a piece at Healthcare Informatics about how the healthcare industry should take a hint from the internet giant Amazon “in order to achieve patient engagement.”

Chou’s reasoning for using analytics to understand patient behavior and patterns is proactive, and indicative of what Direct Care believes should be the standard. He says “We need to project what issues each patient is going to have.”

But to gain the data, technology must be embraced more than it is today – by both patients and healthcare workers. According to the 2014 HIMSS Analytics Mobile Devices Study, it looks like we’re on the right track!

“Interest in telehealth is growing among providers, which could help keep patients out of the hospital. In addition, more than 50 percent of U.S. hospitals are using smartphones and/or tablets and 69 percent of clinicians are using both a desktop/laptop and a smartphone/tablet to access data.”

So how do we continue this trend? Chou says it’s all about changing behavior.

“I think it’s not what they need to know, it’s changing their behavior and how they practice medicine. They do get called for emergencies, but when that [engagement] floodgate opens you know the patient is going to [contact] the doctor anytime they have concerns. It won’t have to be urgent. So it’s a behavior change more than anything. Most of the physicians they know how to use technology. Everyone has text messaging. Everyone knows how to use two-way communications applications. It’s not that they don’t know what they’re doing, it’s just not on a professional manner.”

Click here to read the full interview, which also includes Chou’s thoughts on how patient-generated data can be useful for doctors.

Posted by: AtlasMD

December 19, 2014

If Not Your Doc, Who CAN You Trust?

We hate to hear stories like the one Dr. Frances told recently over at Kevin.md. The picture he paints about his friend who has been the unfortunate victim of not only cancer, but “community” treatment mishaps leaves only one word in our minds.

Chaos.

And that is not the ideal word you want to use to describe healthcare. According to Dr. Frances, several of those mishaps could have easily been prevented if someone were just paying attention to the patient instead of his results. Among these mistakes? The patient was prescribed meds that clashed and is no longer able to participate in lung cancer studies because alternative treatments (also prescribed by his docs) compromised his kidneys.

Dr. Frances has had it up to here. Read more

KevinMD: Setting the Record Straight

Dr. Neuhofel, family physician and owner of NeuCare Family Medicine is ready to set the record straight. He took the time to tackle a few of the most widely spread rumors, including affordability and Dr. shortage.

Myth #1: DPC is Too Expensive

  • Many DPC clinics were founded to help those who were struggling to afford care through traditional healthcare.
  • “Concierge” doesn’t mean “high priced.” Rather, most DPC clinics charge on the lower end of the retainer spectrum, landing somewhere in the $30-50/month range.
  • Savings are passed back to the patient in more ways than one: “discounts on labs, diagnostic testing, medications, procedures and more.”

“Just last week, I was able to provide nine doses of sumatriptan to a new patient for $8.12. She had previously been paying more than $100 per month through her insurance for the same amount of the drug.”

Read more

Posted by: AtlasMD

December 4, 2014

A Better Home for Traditional Docs

It’s not that physicians of traditional primary care don’t know what they’re doing. It’s not that they’re bad at their jobs. It’s not that they don’t care about their patients, or are incapable of making eye contact during an appointment.

The problem with how traditional docs perform is a result of something much worse.

It’s an environment that allows talent to be used at less than its full potential. It’s knowledge being hidden behind a wall of rules that prevents it from shining through. It’s a flawed system that spends so much time communicating internally that it can’t effectively communicate to those who need it most: patients.

Physicians in a traditional healthcare setting went through medical school just like the rest. They have what it takes. They got into the business to help people, but the setting they find themselves in is more conducive to sticking with the red tape rather than sticking it to the red tape. And that means paperwork, paperwork, and more paperwork.

Many docs have already found a better home. One that puts them in control and gives them the kind of life they dreamed of in med school. One that serves their patients by providing them proactive healthcare and time. Ahh, time. Life under this roof challenges them to be better, think outside the box, and push their own limits. This life they’ve found? It doesn’t revolve around paperwork.

The Direct Care movement is in full swing, and it’s calling those physicians who feel… stuck. Disillusioned. Trapped. But it’s also calling physicians who feel invigorated, entrepreneurial, and inspired.

There’s room for everyone here.

Posted by: AtlasMD

December 3, 2014

Getting Patients to Take Their Meds is a Work in Progress.

A while back, we told you about a new method aimed at getting patients to take their meds – this one revolved around video games. But gaming isn’t a motivator for everyone, and researchers are trying to find the trouble spot surrounding the lack of adherence to doctor’s orders.

Dr. Steve Leuck, PharmD is a pharmacist and founder of AudibleRx. Dr. Leuck is excited that more research is being done to get to the bottom of the issue, but he thinks success might revolve around patient education.

“When patients understand why they are taking their medications, and importantly, what the consequences are of not taking their medication, they are much more likely to be adherent to their pharmaceutical regimen,” he said.

The studies that have already been conducted looking at things like utilizing pill box organizers, having the pharmacist talk to the patient about the medication, text reminders, even web-based support. But a lot of variance in how the studies were conducted and the sheer lack of studies in general prevented them from coming to any conclusions we can run with.

The case isn’t cracked… yet. But those in the field aren’t done trying.  Read more

Posted by: AtlasMD

November 25, 2014

Disillusioned Physicians Learn about DPC.

It doesn’t take long for the true colors of healthcare’s current condition to shine through.

“I’ve only been in practice for a year and I’m already disillusioned,” said Levis. “I think we spend more of our time doing paperwork than we spend taking care of people. I’m here to explore this concept of direct primary care and learn about its viability.” – Erika Levis, M.D., of Pleasant Hill, Iowa

Levis, along with nearly 40 other family physicians from around the country recently gathered for a workshop to learn everything they could about Direct Primary Care. Many of them had questions about how they could make the model work for them. They quickly learned they had options – that the model is flexible and with some hard work and research, they could make their practice exactly what they’d always dreamed of. Angela Kerschner, MD is already taking advantage of this versatility. Read more

Posted by: AtlasMD

November 24, 2014

The Right People are Asking the Right Questions.

RightPeopleRightQuestions2

It’s a great time in healthcare.

Not only because more and more Direct Primary Care practices are popping up all over the country. Not only because patients are spreading the word about how DPC is working for them. And not only because now more than ever, doctors actually want to practice medicine.

There’s another reason why it’s such a great time to be in healthcare amid swirling chaos in the form of health insurance, doctor burnout and misinformation.

Medical students are asking for DPC training. 

And what’s better, the DPC community is willing to teach it.  Read more

Posted by: AtlasMD

November 20, 2014

Medium.com: Sharing is the Future of Healthcare

Susannah Fox sheds light on something so many people take for granted in her recent article for Medium.com. Sharing.

Time is of the Essence.

Fox shares a story of a patient with a very rare condition who took it upon herself to track her medications’ interactions. It’s because of this she was able to refuse a certain prescribed medications that could have been lethal to her. When met with resistance from the prescribing doctor, she had to defend herself against the argument that, “for 20 years he has been telling all his patients to take it and no one else has ever complained.”

The particularly frightening portion of this story is that the physician prescribed without checking how the medications would interact with each other. Equally disturbing is that he then challenged the patient, attempting to coerce her into submission.

Maybe he had a reason for doing what he did. Maybe he didn’t have the time to do his research. Maybe he was in a rush to get to his next patient. Who knows.

But that sigh of relief you just heard? That came from all the Direct Primary Care physicians out there who don’t have to worry about such things as rushing from one patient to the next, or not having time to do research. Because the DPC model is not reliant upon meeting quotas, making a certain amount of money, or owing anything to big pharma. Read more

Posted by: AtlasMD

November 19, 2014

What Really Happens When You Cut the Red Tape?

Dr. Michael D. Shaw takes us to the heart of what Direct Primary Care is all about in his recent contribution to HealthNewsDigest.com.

“The doctor/patient relationship has deteriorated precisely because the patient is no longer the client.”

The moment physicians are forced to turn their attention from a patient, hold up one finger as if to say, “Hold on.” and become engaged elsewhere is the very moment the doctor patient relationship begins to break down. It’s all traced back to the fact that physicians must see so many patients in such a short amount of time… and are therefore forced to spend on average a mere 7 minutes with them during the appointment.

Third parties. Insurance. Bureaucracy. Read more