Saturday, October 24, 2015

Direct Primary Care: Ohio

Ohio Academy of Family Physicians discussing DPC.  Some thoughts.



Click Here:  Direct Primary Care Defined

Click Here: DPC Coalition site

Prepare to aggregate information about DPC for members.

Collaborate with meetings about DPC.  Speak at meetings about DPC w/ OAFP perspective

Influence FMIG's, Departments of FM and residencies about DPC

Buffer movements that add unreasonable restrictions to DPC

Short may be better.  Watch out for restrictive language in def and/or legislation.

Less is better legislatively.

Family Medicine makes for great DPC physicians.

Legislation- escape from insurance.  Specifically exclude DPC from oversight  by insurance commish.

Avoid written agreements w/ patients unless you want it for all pts of all FamilyPhysicians.

Protect each physician's scope of practice.

Ask for same considerations of med profession as legal profession would get for practice.

Avoid phony quality initiatives.

Have pride in Family Medicine.  We're good.  We're well trained.

Don't let poor self esteem cause restrictions of DPC Docs legislatively.  We're good.

Search Dr Synonymous about DPC = >50 posts with lots of information.

Sunday, October 18, 2015

Meaningful Use for Symphonies

I went to the symphony tonight.  I enjoy some classical music from time to time.  I remember playing the Barber of Seville record from the Reader's Digest Classic Collection in 1963 before each high school football game to get focused and fired up (it's true).  Chopin is another favorite of mine.

After the usual warm-ups, the conductor focused the symphony by raising the baton and leading them.  They proceeded to play eight perfect scales.  The conductor bowed.  We applauded.  He enjoined the symphony to stand and bow.  We applauded.

They sat down and played another scale perfectly.  And bowed.  We applauded.  The conductor bowed again and walked off the stage.

The master of ceremonies entered, "That's our concert for tonight, Ladies and Gentlemen.  I hope you enjoyed our first concert to honor the medical profession and the physicians in our community.  We followed their lead and demonstrated Meaningful Use of our instruments.  We hope you enjoyed it. We appreciate the attendance of our government regulators tonight, too.  They will judge our Meaningful Use quality and let us know within three months when we get to do another performance,  in a Meaningful way.  Goodnight"

Wednesday, October 7, 2015

BTR Show: Hybrid DPC Can be Done- It Ain't Easy

My Weekly Dr. Synonymous Show on BlogTalk Radio: Reviews primary care payment evolution and options from cash pay to insurance to direct pay monthly and others.  IT makes it possible to relate in the current complex system (s) in ways that are still sensitive to patient and physician needs.  Here is the link:


Hybrid DPC- Can Be Done, BUT Harder than New Pure DPC

Dr Jonas, your host on the Dr Synonymous Show will discuss some aspects of Hybrid Direct Primary Care that are challenging hurdles for those with an existing practice who want to continue with their current patients while adding Direct Primary Care.  It doesn't have to be either/or for everyone.
Generally DPC is for private practice physicians.  That's who I'm talking to in this show.
Next is a commentary about Osteoporosis in Men as presented in the Journal of Family Practice in September.
A blog and tweet review follows.
Other items on this show will include a review of two medicare ads for patients.

Monday, October 5, 2015

Family Medicine: Thank You Emergency Physician for Caring

He called about my patient in the Emergency Room.  She had a pile of co-morbidities.  He was working his way through them, and her specialists and her personality.  He cared.  He heard her request for admission.  He was working to get her in.  Thanks -Dr ER Doctor Who Cares.