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Let’s share helpful dot phrases
When I was at Northgate seeing some diabetic patients the other day Marty Levine showed me a dot-phrase he had developed that includes patient friendly language explaining the most common things that he and his colleagues often put into After Visit Summaries. Those topics include: What is diabetes? How do I know if my diabetes [...]
Myths and Realities of Meaningful Care Plans
Let’s clear the air right up front. You do NOT have to use the infamous “.CHR…” dot-phrases if you don’t want to! No one is trying to turn you into a robot using the same cookie-cutter, boiler-plate lingo as everyone else. Those dot-phrases were designed by your peers (docs, nurses, clinic staff) and were meant [...]
The Heart of the Medical Home
From the point of view of our patients what’s not to like about the Medical Home? The phones get answered promptly, you can often talk directly to the doctor or nurse who know you best, you can get questions answered, order your medicines and check your lab results on line. The Medical Home is a [...]
A Precocious Toddler
Someone asked me the other day about how I thought the Medical Home roll out was going. “Amazingly well,” I said. “Like a precocious toddler.” That brought a puzzled frown. Here is what I meant. The old adage says that you have to learn to crawl before you can walk and to walk before you [...]
A Little Ray of Sunshine
I am in Renton today keeping myself “grounded” by seeing patients with diabetes. It is a beautiful sunny day outside, but I have felt the warmth of several rays of sunshine inside the clinic too. The first two patients I saw this morning were people whom I hadn’t seen before, and the third was someone [...]
Sub-"Standard Work"
I was recently asked to review a paper for the Journal of General Internal Medicine (JGIM) to let the editor know if I thought JGIM ought to publish it. I’d like to share my thoughts as I reviewed the study. The paper reported early findings from a five-year randomized controlled trial comparing two approaches to [...]
Are we there yet?
I had the privilege to be on the Management Guidance Team for the “Prepared for Visit” RPIW at Factoria last week. It was an overwhelming success by many different measures. I want to share some thoughts I had about the content, the process, and the people involved, but before I do let me set some context. [...]
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