Chronic Disease Management Archives:
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 [...]
Medical Home Works!
We asked our fabulous Burien RN, Sherrie Elmer, to share her thoughts on what Medical Home means for her and our patients. These are her words. IS THIS THE RIGHT WORK? This question has been asked of me since the recent changes made to the FP RN roles at the initiation of the Medical Home [...]
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 [...]
It's more than a green dot
As the physician pacesetter for the Chronic Disease Management process I’ve struggled a bit with having a clear and cogent explanation of what is really different about the new workflows for the providers. The questions I get fall into a couple of broad categories: “How is this really different from what I do already?”; and “What [...]
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 [...]
All "a-Twitter" about Group Health
The medical home concept blows up the idea of the in-person visit as the “coin of the realm”. There is great value for our patients when we can meet their needs without them having to leave their lives, travel to the clinic, see us in person, and then travel back to what they would rather [...]
Is This the Right Work?
Michael Erikson and I are currently working with others to evaluate where we are on the roll-out of the “Chronic Disease” component of the Medical Home. This is focused on how a physician and RN work together to co-manage a patient with a chronic disease when they go through an unstable period. An example would [...]
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