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Jama article today about The patient centered medical home movement - why nowGood stuffBasically I take this as 2 folks form Group Health in Washington touting their own stuff- rightfully so It is IMP stuff!

They report that by reducing panels size, increasing the length of visits, and building care around a care based relationship with increases in phone and email follow up  doing previsit chart reviews etc they were able  to  improve  the patient experience of care , clinical work experience as well, and they had fewer er visits and urgent  care visits(lower costs  which made up for the longer visits)

 DUH!  They are clear that for such a model to be broadly   successful  someone must " rethink reimbursmetn as well as adress resouce use "   DUh These guys are honorary IMPS. NOw how  do  we get anyone else to listen especially  those folks who might

" redesign  reimbursment "

PATIENTS-please remember  that email may not be entirely secure, and that Email is part of the medical  record and is placed into your  chart ( be careful what you say!)Email is best used for appointment making and  brief  questions

Email replies can be expected within 24 hours-Please CALL  if the  matter is more urgent .     MD         ph   fax

impcenter.org

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