Friday, June 13, 2014

Honoring Patients and Doctors, NOT Centering One of Them

There's lots of concern about patient centering and patient engagement these days as confusion driven by healthcare transformation increases.

"Payment Centering" is a better way to translate patient centering. Much of what's happening in healthcare is due to the EHR or EMR, that in turn is about coding and billing.  It's ALL about billing, folks.

"Bonus engagement" is how many in "The System" feel about patient engagement.  The physician is so distracted by the EHR or EMR with its lists of quality initiatives, many of which lead to physician bonuses, that it's hard to relate to the patient's main problem.  "Non-Compliant" is every patient who doesn't align with the bonus potential for their physician.

As I've written before, Human Centering is one way around the PCMH, EMR, EHR, coding and billing traps.

A Human Patient and a Human Physician relate as Humans through Human connection and Honor each other.  

Honoring each other as Humans and trusting each other as Neighbors works better than putting either one in the center. Likewise having one of them bill the other one for every utterance or add extra problems beyond the reason for the session for the other one to solve are more dishonoring.  Honoring patients and doctors as Humans leans in the right direction for the future of health care.

How might it be done?  Direct Primary Care is one way to have the time to listen and Honor each other.  Independent practice may also contribute more opportunity to listen and Honor each other.

What do you think?

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