Comments on: Disruption in the Neighborhood? The PCs Build the Medical Home. http://e-CareManagement.com/disruption-in-the-neighborhood-the-pcs-build-the-medical-home/ Chronic Disease Management • Technology • Strategy • Issues and Trends Mon, 15 Mar 2010 19:40:15 -0600 http://wordpress.org/?v=2.8.2 hourly 1 By: David C. Kibbe, MD MBA http://e-CareManagement.com/disruption-in-the-neighborhood-the-pcs-build-the-medical-home/comment-page-1/#comment-11679 David C. Kibbe, MD MBA Mon, 17 Nov 2008 12:55:55 +0000 http://e-CareManagement.com/?p=432#comment-11679 Vince: Great post, as usual. As a picket-fence-loving-Episcolpalian-barbequ-ing Primary Care physician, I welcome the success of the scenario you're painting here! Regards, DCK Vince: Great post, as usual. As a picket-fence-loving-Episcolpalian-barbequ-ing Primary Care physician, I welcome the success of the scenario you’re painting here! Regards, DCK

]]> By: Catherine McNair http://e-CareManagement.com/disruption-in-the-neighborhood-the-pcs-build-the-medical-home/comment-page-1/#comment-11669 Catherine McNair Wed, 05 Nov 2008 18:11:40 +0000 http://e-CareManagement.com/?p=432#comment-11669 So what about the "homeless" (consumers) in this neighborhoodd?As a "homeless" I am focused on keeping my job, getting my kids to college and worrying about my ageing mother living alone any longer. Frankly, "care coordination" means nothing to me. I doctor for any overall physical in 10 years and I just turned 53. I am about 30 pounds overweight, don't smoke but get almost no physical exercise besides walking to my car and desk at the office. I feel stressed and overeat often (especially junk food in a hurry). Frankly, I do not want to go to a doctor because I know I need to change my unhealthy habits but deo not want to be given a bunch of prescriptions and more tests for problems i an not yet aware of (blood pressure, diabets). I have gone to an "urgent care" center to get a prescription for my allergies last summer. The doctor asked me if I had a primary physician and I said no. I would not know out of the list in my PPO who to pick - my wife called a few that had nice sounding names - but found out their practices weren't taking new patients. Probably in a fww years I will be one of those that ends up in the ER with a heart attack. What I would like is help with changeing my lifestyle unhealthy habits so I can stay away from doctors as long as possible. Maybe, you could create a "halfway" house in your neighborhood. One with nice coaches to help me stay out of the endless rooms in the medical home. Frankly, I have never met a medical person that told me how to stay out of his/her office. So what about the “homeless” (consumers) in this neighborhoodd?As a “homeless” I am focused on keeping my job, getting my kids to college and worrying about my ageing mother living alone any longer. Frankly, “care coordination” means nothing to me. I doctor for any overall physical in 10 years and I just turned 53. I am about 30 pounds overweight, don’t smoke but get almost no physical exercise besides walking to my car and desk at the office. I feel stressed and overeat often (especially junk food in a hurry). Frankly, I do not want to go to a doctor because I know I need to change my unhealthy habits but deo not want to be given a bunch of prescriptions and more tests for problems i an not yet aware of (blood pressure, diabets).
I have gone to an “urgent care” center to get a prescription for my allergies last summer. The doctor asked me if I had a primary physician and I said no. I would not know out of the list in my PPO who to pick – my wife called a few that had nice sounding names – but found out their practices weren’t taking new patients. Probably in a fww years I will be one of those that ends up in the ER with a heart attack.
What I would like is help with changeing my lifestyle unhealthy habits so I can stay away from doctors as long as possible.
Maybe, you could create a “halfway” house in your neighborhood. One with nice coaches to help me stay out of the endless rooms in the medical home. Frankly, I have never met a medical person that told me how to stay out of his/her office.

]]> By: Christopher Langston http://e-CareManagement.com/disruption-in-the-neighborhood-the-pcs-build-the-medical-home/comment-page-1/#comment-11668 Christopher Langston Wed, 05 Nov 2008 14:16:13 +0000 http://e-CareManagement.com/?p=432#comment-11668 Really a brilliant post and really fun. I think airing the hidden conversations going on in each clubhouse is very important to MH being successful - or even defining what success should be. The clubhouse I want to peek into next is the primary care practitioners'. How do AAFP and ACP differ on MH? What is the role of NPs vs. MDs? What are they thinking about taking on extra work for not so much money? What do they think is the best way to do that work? What are they thinking about in-sourcing versus out-sourcing? What do they think about the winners and losers issues? Really a brilliant post and really fun. I think airing the hidden conversations going on in each clubhouse is very important to MH being successful – or even defining what success should be.

The clubhouse I want to peek into next is the primary care practitioners’. How do AAFP and ACP differ on MH? What is the role of NPs vs. MDs?

What are they thinking about taking on extra work for not so much money? What do they think is the best way to do that work? What are they thinking about in-sourcing versus out-sourcing? What do they think about the winners and losers issues?

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