Dr Synonymous Show October 8,2013: Direct Primary Care Transitional Practice Becomes Hybrid

Direct Primary Care:  Transitional Practice Becomes Hybrid

A.Patrick Jonas, MD, ABFM

—Beavercreek, OH

—Family Health Connections, Inc.

—Families Only

—1.6 FTE Family Physicians

—1-2 half days/week FNP

—Next Door New 75 bed gen hosp

—Suburban, Mall across street

—Suddenly:  A Dynamic Dysequilibrium
—Recession

—EMR, Meaningless use,  Quality initiatives

—Financial Losses

—Intrusive “Administrivia”

—Disruption

—STRESS

—Philosophy of Care- Before DPC

—Deliver Continuous , Comprehensive Care

—To Individuals and Families

—From Birth to Death

—Philosophy of Care -With DPC

—Be a Neighborly Family Practice

—In a Human Centered Way

—A Human Centered Health Home (HCHH) is Neighborly

—Respect

—Protect

—Connect

—Detect

—Correct

—Reflect

—Scope of Practice

Families Only

Persons of all ages & stages- includes Hospice

Well, Ill or Injured

Acute, Chronic, Prevention

Integrative Practices aligned w/NCCAM

Ext Relationships w/ Drs, Labs, Imaging, Hosp

—Marketing

—Families w/Individuals & Current Patients

—Small Businesses via Chamber of Commerce

—Physician Offices and PHA

—Churches

—Health Food Stores

—Holistic Practitioners

—Contracts

—Retain Commercial, Medicare, Medicaid

—No new patients in any of them

—Retain Hospital relationship w/privileges

—Seek vendor relationships for DPC & Network

—Challenges of Hybrid Practice

—Office Staff Belief/Support

—Patient Understanding & Motivation

—We seek limited number of patients

—Align with philosophy and scope

—Avoiding “The Beast”

—Guilt

—Direct Primary Care:  Transitional/ Hybrid Practice

—Questions?

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