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Cool -- nice job, .

Good picture, too.

Locke, MD

From: [mailto: ] On Behalf Of Brady, MDSent: Saturday, January 10, 2009 12:01 PMTo: Subject: New column

Group,

I was asked by my local paper (after I floated them the idea) to write a recurring column entitled, “The Medical Maze” where I answer questions posed to me about how to handle certain aspects of the medical labyrinth. The first one came out yesterday: http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0,2395346.story

The good news is that I believe over time this column will be able to start hitting on some of the tougher issues of medical care in this country. The bad news is that the supplement of the paper it is being written for might be cut out as of…well…this might be the last one. J

In any case, I have a bug in the ear of the editor to try and let me do this slightly more frequently (every other week) and actually put it in the “Life” section. I’ll keep you guys posted as to how things progress.

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Good start!

Matt in Western Pa

RE: New column

Cool -- nice job, .

Good picture, too.

Locke, MD

From: [mailto: ] On Behalf Of Brady, MDSent: Saturday, January 10, 2009 12:01 PMTo: Subject: New column

Group,

I was asked by my local paper (after I floated them the idea) to write a recurring column entitled, “The Medical Maze” where I answer questions posed to me about how to handle certain aspects of the medical labyrinth. The first one came out yesterday: http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0,2395346.story

The good news is that I believe over time this column will be able to start hitting on some of the tougher issues of medical care in this country. The bad news is that the supplement of the paper it is being written for might be cut out as of…well…this might be the last one. J

In any case, I have a bug in the ear of the editor to try and let me do this slightly more frequently (every other week) and actually put it in the “Life” section. I’ll keep you guys posted as to how things progress.

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what if they ask you something you don't know?

Group,

I was asked by my local paper (after I floated them the

idea) to write a recurring column entitled, "The Medical Maze"

where I answer questions posed to me about how to handle certain aspects of the

medical labyrinth. The first one came out yesterday: http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0,2395346.story

The good news is that I believe over time this column will

be able to start hitting on some of the tougher issues of medical care in this

country. The bad news is that the supplement of the paper it is being written

for might be cut out as of…well…this might be the last one. J

In any case, I have a bug in the ear of the editor to try and

let me do this slightly more frequently (every other week) and actually put it

in the "Life" section. I'll keep you guys posted as to how

things progress.

-- If you are a patient please allow up to 24 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph fax

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He will just ask the group- someone will know the answer

---- wrote:

> what if they ask you something you don't know?

>

> On Sat, Jan 10, 2009 at 2:01 PM, Brady, MD <

> drbrady@...> wrote:

>

> > Group,

> >

> > I was asked by my local paper (after I floated them the idea) to write a

> > recurring column entitled, " The Medical Maze " where I answer questions posed

> > to me about how to handle certain aspects of the medical labyrinth. The

> > first one came out yesterday:

> >

http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0\

,2395346.story

> >

> > The good news is that I believe over time this column will be able to start

> > hitting on some of the tougher issues of medical care in this country. The

> > bad news is that the supplement of the paper it is being written for might

> > be cut out as of…well…this might be the last one. J

> >

> > In any case, I have a bug in the ear of the editor to try and let me do

> > this slightly more frequently (every other week) and actually put it in the

> > " Life " section. I'll keep you guys posted as to how things progress.

> >

> >

> >

> >

>

>

>

> --

> If you are a patient please allow up to 24 hours for a reply by email/

> please note the new email address.

> Remember that e-mail may not be entirely secure/

> MD

>

>

> ph fax

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I think it's selective .. you choose the questions you want to answer.

And maybe compile all of the questions that you do answer into a FAQ

which you keep on your website.

> He will just ask the group- someone will know the answer

>

> ---- wrote:

>> what if they ask you something you don't know?

>>

>> On Sat, Jan 10, 2009 at 2:01 PM, Brady, MD <

>> drbrady@...> wrote:

>>

>> > Group,

>> >

>> > I was asked by my local paper (after I floated them the idea) to write a

>> > recurring column entitled, " The Medical Maze " where I answer questions

>> > posed

>> > to me about how to handle certain aspects of the medical labyrinth. The

>> > first one came out yesterday:

>> >

>> >

http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0\

,2395346.story

>> >

>> > The good news is that I believe over time this column will be able to

>> > start

>> > hitting on some of the tougher issues of medical care in this country.

>> > The

>> > bad news is that the supplement of the paper it is being written for

>> > might

>> > be cut out as of…well…this might be the last one. J

>> >

>> > In any case, I have a bug in the ear of the editor to try and let me do

>> > this slightly more frequently (every other week) and actually put it in

>> > the

>> > " Life " section. I'll keep you guys posted as to how things progress.

>> >

>> >

>> >

>> >

>>

>>

>>

>> --

>> If you are a patient please allow up to 24 hours for a reply by email/

>> please note the new email address.

>> Remember that e-mail may not be entirely secure/

>> MD

>>

>>

>> ph fax

>

>

--

Graham Chiu

http://www.synapsedirect.com

Synapse - the use from anywhere EMR.

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This is fantastic!

Any of you looking for a way to have a

voice take hope in this example. Follow on and speak up!

We must seize every chance we get to let

the public know about the reality of the front lines of care, to expose the

gaps between top-down policy and what is likely to actually help us help our

patients.

Consider hitting the theme that real

health care reform has to go beyond “insurance for all” to address the

impossible burden of work demanded by insurance companies, a burden crushing our

hopes and ability to deliver on our professional obligation to our patients.

Consider making the point that “health

information technology” does not currently perform many of the functions we

need to deliver effective care. Without addressing how offices function,

HIT fails to deliver the promised billions in savings.

Consider making the point that the current

NCQA PPC-PCMH™ tool is flawed and as likely exacerbate current problems

as help, that we need additional ways to understand value than this 180 element

behemoth, that in addition to the infrastructure and technology focus of the

PPC-PCMH™ we need a measure set that values the fundamental attributes of

effective primary care:

“I can get care when I need it”

“I have a provider who knows me”

“My primary care serves the bulk of

my needs”

“My primary care coordinates my care

throughout the health system”

It is a travesty that we suffer a policy

environment that pays only for “office visits,” rewarding

procedures over caring, and places zero value on all of the work we do for our patients

and families outside the “encounter.”

It should be intolerable to the US public that

the single solution to measuring quality in office practice – the NCQA’s

PPC-PCMH™ - favors large institutions and mega-groups (Dianne Rittenhouse

et al Health Affairs 2008). We cannot write off the 45% of practices in

the US

that are small and solo.

Gordon

From: [mailto: ] On Behalf Of Brady, MD

Sent: Saturday, January 10, 2009

11:01 AM

To:

Subject:

New column

Group,

I was asked

by my local paper (after I floated them the idea) to write a recurring column

entitled, “The Medical Maze” where I answer questions posed to me

about how to handle certain aspects of the medical labyrinth. The first one

came out yesterday: http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0,2395346.story

The good

news is that I believe over time this column will be able to start hitting on

some of the tougher issues of medical care in this country. The bad news is

that the supplement of the paper it is being written for might be cut out as

of…well…this might be the last one. J

In any case,

I have a bug in the ear of the editor to try and let me do this slightly more

frequently (every other week) and actually put it in the “Life”

section. I’ll keep you guys posted as to how things progress.

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I know everything. Actually, that is what

you guys are for. J

Re:

New column

what if they ask you something you don't know?

On Sat, Jan 10, 2009 at 2:01 PM, Brady, MD <drbradythevillagedoctor (DOT) hrcoxmail.com>

wrote:

Group,

I was asked by my local paper (after

I floated them the idea) to write a recurring column entitled, " The

Medical Maze " where I answer questions posed to me about how to handle

certain aspects of the medical labyrinth. The first one came out yesterday: http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0,2395346.story

The good news is that I believe over

time this column will be able to start hitting on some of the tougher issues of

medical care in this country. The bad news is that the supplement of the paper

it is being written for might be cut out as of…well…this might be the last one.

J

In any case, I have a bug in the ear

of the editor to try and let me do this slightly more frequently (every other

week) and actually put it in the " Life " section. I'll keep you guys

posted as to how things progress.

--

If you are a patient please allow up to 24 hours for a reply by email/

please note the new email address.

Remember that e-mail may not be entirely secure/

MD

ph fax

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Oops,

didn’t read ahead. I hope to impose on you guys for answers periodically. J

Re:

New column

He will just ask the group- someone will know the answer

---- <jnantonuccigmail>

wrote:

> what if they ask you something you don't know?

>

> On Sat, Jan 10, 2009 at 2:01 PM, Brady, MD <

> drbradythevillagedoctor (DOT) hrcoxmail.com>

wrote:

>

> > Group,

> >

> > I was asked by my local paper (after I floated them the idea) to

write a

> > recurring column entitled, " The Medical Maze " where I

answer questions posed

> > to me about how to handle certain aspects of the medical labyrinth.

The

> > first one came out yesterday:

> > http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0,2395346.story

> >

> > The good news is that I believe over time this column will be able to

start

> > hitting on some of the tougher issues of medical care in this

country. The

> > bad news is that the supplement of the paper it is being written for

might

> > be cut out as of…well…this might be the last one. J

> >

> > In any case, I have a bug in the ear of the editor to try and let me

do

> > this slightly more frequently (every other week) and actually put it

in the

> > " Life " section. I'll keep you guys posted as to how things

progress.

> >

> >

> >

> >

>

>

>

> --

> If you are a patient please allow up to 24 hours for a reply by email/

> please note the new email address.

> Remember that e-mail may not be entirely secure/

> MD

>

>

> ph fax

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Share on other sites

And all of us can link to the web version of it--( a blog based on these questions)

--- Original message -----

This is fantastic!

Any of you looking for a way to have a voice take hope in this example.

Follow on and speak up!

We must seize every chance we get to let the public know about the reality

of the front lines of care, to expose the gaps between top-down policy and

what is likely to actually help us help our patients.

Consider hitting the theme that real health care reform has to go beyond

"insurance for all" to address the impossible burden of work demanded by

insurance companies, a burden crushing our hopes and ability to deliver on

our professional obligation to our patients.

Consider making the point that "health information technology" does not

currently perform many of the functions we need to deliver effective care.

Without addressing how offices function, HIT fails to deliver the promised

billions in savings.

Consider making the point that the current NCQA PPC-PCMHT tool is flawed

and as likely exacerbate current problems as help, that we need additional

ways to understand value than this 180 element behemoth, that in addition

to the infrastructure and technology focus of the PPC-PCMHT we need a

measure set that values the fundamental attributes of effective primary

care:

"I can get care when I need it"

"I have a provider who knows me"

"My primary care serves the bulk of my needs"

"My primary care coordinates my care throughout the health system"

It is a travesty that we suffer a policy environment that pays only for

"office visits," rewarding procedures over caring, and places zero value

on all of the work we do for our patients and families outside the

"encounter."

It should be intolerable to the US public that the single solution to

measuring quality in office practice - the NCQA's PPC-PCMHT - favors large

institutions and mega-groups (Dianne Rittenhouse et al Health Affairs

2008). We cannot write off the 45% of practices in the US that are small

and solo.

Gordon

_____

From:

[mailto: ] On Behalf Of Brady, MD

Sent: Saturday, January 10, 2009 11:01 AM

To:

Subject: New column

Group,

I was asked by my local paper (after I floated them the idea) to write a

recurring column entitled, "The Medical Maze" where I answer questions

posed to me about how to handle certain aspects of the medical labyrinth.

The first one came out yesterday: http://www.dailypre

<http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-

jan09,0,2395346.story>

ss.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0,2395346.stor

y

The good news is that I believe over time this column will be able to

start hitting on some of the tougher issues of medical care in this

country. The bad news is that the supplement of the paper it is being

written for might be cut out as of.well.this might be the last one. :-)

In any case, I have a bug in the ear of the editor to try and let me do

this slightly more frequently (every other week) and actually put it in

the "Life" section. I'll keep you guys posted as to how things progress.

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Share on other sites

Yes that is why I hang with you Brady.AND you can sing.sigh

I know everything.

Re:

New column

what if they ask you something you don't know?

On Sat, Jan 10, 2009 at 2:01 PM, Brady, MD

wrote:

Group,

I was asked by my local paper (after

I floated them the idea) to write a recurring column entitled, " The

Medical Maze " where I answer questions posed to me about how to handle

certain aspects of the medical labyrinth. The first one came out yesterday: http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0,2395346.story

The good news is that I believe over

time this column will be able to start hitting on some of the tougher issues of

medical care in this country. The bad news is that the supplement of the paper

it is being written for might be cut out as of…well…this might be the last one.

J

In any case, I have a bug in the ear

of the editor to try and let me do this slightly more frequently (every other

week) and actually put it in the " Life " section. I'll keep you guys

posted as to how things progress.

--

If you are a patient please allow up to 24 hours for a reply by email/

please note the new email address.

Remember that e-mail may not be entirely secure/

MD

ph fax

-- If you are a patient please allow up to 24 hours for a reply by email/please note the new email address.Remember that e-mail may not be entirely secure/ MD

ph fax

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Share on other sites

That gets me thinking, maybe this what you were implying, that this could be the

" webring " .

Why don't we all create the forum for publishing new columns?

Consider a public blog addressing health care issues which could also serve as a

web ring that links us all together and increases our collective internet

presence? Not sure if this already being done with the wiki and IMP locator,

but I am thinking of a blog that is linked to some mainstream health related

websites.

We could have our groups members publishing articles to a public blog.

It would kill three birds. 1) Get the message out to the public about what is

missing and what is needed in the healthcare system. 2) create good P.R. For

IMPs in general and each of our practices by pulling the public in and increase

awareness of the success of the IMP model. 3) improve our rankings in search

engines by hopefully creating more hits on our " webring " .

Can anyone comment on whether this is a new idea, or been there done that.

Stew.

Eugene, OR

IMP scheduled to open 6/09

New column

Group,

I was asked by my local paper (after I floated them the idea) to write a

recurring column entitled, " The Medical Maze " where I answer questions

posed to me about how to handle certain aspects of the medical labyrinth.

The first one came out yesterday: http://www.dailypre

<http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-

jan09,0,2395346.story>

ss.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0,2395346.stor

y

The good news is that I believe over time this column will be able to

start hitting on some of the tougher issues of medical care in this

country. The bad news is that the supplement of the paper it is being

written for might be cut out as of.well.this might be the last one. :-)

In any case, I have a bug in the ear of the editor to try and let me do

this slightly more frequently (every other week) and actually put it in

the " Life " section. I'll keep you guys posted as to how things progress.

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Share on other sites

Good luck, !

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863

www.PinnacleFamilyMedicine.com

From:

[mailto: ] On

Behalf Of Brady, MD

Sent: Saturday, January 10, 2009

12:01 PM

To:

Subject:

New column

Group,

I was asked

by my local paper (after I floated them the idea) to write a recurring column

entitled, “The Medical Maze” where I answer questions posed to me

about how to handle certain aspects of the medical labyrinth. The first one

came out yesterday: http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0,2395346.story

The good

news is that I believe over time this column will be able to start hitting on

some of the tougher issues of medical care in this country. The bad news is

that the supplement of the paper it is being written for might be cut out as

of…well…this might be the last one. J

In any case,

I have a bug in the ear of the editor to try and let me do this slightly more

frequently (every other week) and actually put it in the “Life”

section. I’ll keep you guys posted as to how things progress.

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Share on other sites

You stud, you ;) You could be our

poster child for IMPs – good looking, attentive, sharp, approachable, etc

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863

www.PinnacleFamilyMedicine.com

From:

[mailto: ] On

Behalf Of Locke

Sent: Saturday, January 10, 2009

1:28 PM

To:

Subject: RE:

New column

Cool -- nice job, .

Good picture, too.

Locke, MD

From:

[mailto: ]

On Behalf Of Brady, MD

Sent: Saturday, January 10, 2009

12:01 PM

To:

Subject:

New column

Group,

I was asked

by my local paper (after I floated them the idea) to write a recurring column

entitled, “The Medical Maze” where I answer questions posed to me

about how to handle certain aspects of the medical labyrinth. The first one

came out yesterday: http://www.dailypress.com/features/custom/healthyliving/dp-hl-brady-main-jan09,0,2395346.story

The good

news is that I believe over time this column will be able to start hitting on

some of the tougher issues of medical care in this country. The bad news is

that the supplement of the paper it is being written for might be cut out as

of…well…this might be the last one. J

In any case,

I have a bug in the ear of the editor to try and let me do this slightly more

frequently (every other week) and actually put it in the “Life”

section. I’ll keep you guys posted as to how things progress.

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