giving a talk to residents on my IMP

[Guest guest]

Hi to All,

I am wondering how I explain to residents that quality measured by " I

receive exactly the care I want and need exactly when and how I want

and need it " works. Why is it significant? How do we know this is a

measure of quality?

I would hope that like me it would make sense and having patients be

able to respond " yes " would be a goal they would naturally aspire

to. But we are talking about residents in an afternoon conference

series I would like to " wow " them and help them " see " this

perspective. I know that Wasson has researched this so it is

right but I do not know how to explain it. There is resistance to

anything " quality " for many reasons including too many retrospective

audits and inaccurate data.

Also there was a graph at the camp where confidence in IMPs was good

but reliability needed to improve. Where is that from?

A little background- I left my family medicine faculty medical

director position in July of '08. Thanks to the wiki site and camp

and Ramona Seidel's example I opened my practice in October and am up

to 20 patients (thank goodness for moonlighting). My business model

includes charging by code as an out of network cash only practice and

have a few patients on a direct access model. My goal on the direct

access plan is for health care to be accessable and affordable.

Thanks.