Re: Simple rules drive the complex behavior of effecti...

[Guest guest]

Enjoy your blog immensely, Gordon. For a talking point, perhaps we could put it this way. Primary care is about a health care relationship. And people don't make a relationship with a "system," or a "team," or an "environment." People make a relationship with another person -- in this case, their health care provider. And the most satisfying of human relationships are the ones in which both people are invested, over time, with mutual trust and appreciation.

The entire PCMH model is flawed, and failed because of this flaw in the large pilot study published last spring, because of the violation of this "rule of human relationships." Patients felt they had less of a health care relationship, instead of more of one, because their care was parceled out to many team members, none of whom were fully invested in the improvement of the patient's health, and none of whom took the time to know the person well, as an individual.

That's why people love the IMP model -- it's personal again. It's the neighborhood health care provider. They can send their friends and family and know they won't be shuffled off to some large impersonal group or building, but will be cared for in an intimate, personal manner.

Deanna Tolman, FNP

Head2Toe HealthCare, LLC

Aurora, CO

Something is missing in public conversations of quality measurement and improvement of primary care. There is no question we have a lot of opportunity to improve primary care and solid agreement that good primary care is the foundation of high performing health systems.

The conversations around quality and primary care fall into a trap and once in that trap never seem to escape. The trap is the mistake of making part of a system work well at the expense of the overall system performance.

more...

Gordon

[Guest guest]

Absolutely. I'm flattered!

Deanna

Deanna!

May I steal your words and add a little literary license?

" ...That's why people love the IMP model -- it's personal again. "

IMP. It's personal.

Think you just gave me an idea for next year's IMP camp t-shirt.

Kathleen

That's why people love the IMP model -- it's personal again.

[Guest guest]

Deanna! May I steal your words and add a little literary license? " ...That's why people love the IMP model -- it's personal again. "IMP. It's personal.Think you just gave me an idea for next year's IMP camp t-shirt.KathleenThat's why people love the IMP model -- it's personal again.

[Guest guest]

Sounds great!Or even...IMP.  Medicine is personal again.Best,Paras_________________Paras Mehta, MD

PGY-3, Carolinas RehabilitationBoard of Directors, American Academy of Medical Acupuncture

paras.mehta@...On Wed, Dec 1, 2010 at 4:58 PM, wrote:

 

Absolutely.  I'm flattered!

 

Deanna

 

 

Deanna!  

May I steal your words and add a little literary license?

" ...That's why people love the IMP model -- it's personal again. "

IMP.  It's personal.

Think you just gave me an idea for next year's IMP camp t-shirt.

Kathleen

That's why people love the IMP model -- it's personal again. 

[Guest guest]

Really like that!!Sounds great!Or even...IMP. Medicine is personal again.Best,Paras_________________Paras Mehta, MDPGY-3, Carolinas RehabilitationBoard of Directors, American Academy of Medical Acupunctureparas.mehta@...On Wed, Dec 1, 2010 at 4:58 PM, wrote: Absolutely. I'm flattered! Deanna Deanna! May I steal your words and add a little literary license?" ...That's why people love the IMP model -- it's personal again. "IMP. It's personal.Think you just gave me an idea for next year's IMP camp t-shirt.KathleenThat's why people love the IMP model -- it's personal again.

[Guest guest]

Love it.

To: Sent: Wed, December 1, 2010 5:46:41 PMSubject: Re: Simple rules drive the complex behavior of effecti...

Really like that!!

Sounds great!

Or even...

IMP. Medicine is personal again.

Best,

Paras

_________________

Paras Mehta, MD

PGY-3, Carolinas Rehabilitation

Board of Directors, American Academy of Medical Acupuncture

paras.mehta@...

Absolutely. I'm flattered!

Deanna

Deanna!

May I steal your words and add a little literary license?

" ...That's why people love the IMP model -- it's personal again. "

IMP. It's personal.

Think you just gave me an idea for next year's IMP camp t-shirt.

Kathleen

That's why people love the IMP model -- it's personal again.

[Guest guest]

Check this out as a media minded copy writer, instead of : That's why people love the IMP model -- it's personal again.

Try this instead: That's why people love "their IMP" -- it's personal again.

It implies personal ownership, control, involvement of the patient, patient focused... It's "Their" IMP. That's MY wife... Oh you should hear MY bass player and drummer kick it out and hold up the bottom.... Pride in ownership... get's 'em everytime...

To: Sent: Wed, December 1, 2010 4:58:04 PMSubject: Re: Simple rules drive the complex behavior of effecti...

Absolutely. I'm flattered!

Deanna

Deanna!

May I steal your words and add a little literary license?

" ...That's why people love the IMP model -- it's personal again. "

IMP. It's personal.

Think you just gave me an idea for next year's IMP camp t-shirt.

Kathleen

That's why people love the IMP model -- it's personal again.

[Guest guest]

Deanna, Yes! Yes! Yes!

I use the marriage analogy.

CONSIDER:

How successful would your marital relationship be if

you had these folks in your bedroom at night?

3 MAs - Marital Assistants

2 CNAs - Certified Nuptial Assistant

a PA - Pregnancy Assistant

an NP - Nuptial Practitioner

an administrator from EBM - evidence-based marriage

the QI ( " Quit Interrupting " us) Team

Most of what I do in my " consulting " is teach people

how to be human again. Since when did we need a

bunch of body guards to protect us from one another?

~ Pamela

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

roxywible@...

www.idealmedicalpractice.org

>

> Enjoy your blog immensely, Gordon. For a talking point, perhaps we could

> put it this way. Primary care is about a health care relationship. And

> people don't make a relationship with a " system, " or a " team, " or an

> " environment. " People make a relationship with another person -- in this

case,

> their health care provider. And the most satisfying of human relationships

> are the ones in which both people are invested, over time, with mutual trust

> and appreciation.

>

> The entire PCMH model is flawed, and failed because of this flaw in the

> large pilot study published last spring, because of the violation of this

> " rule of human relationships. " Patients felt they had less of a health care

> relationship, instead of more of one, because their care was parceled out to

> many team members, none of whom were fully invested in the improvement of

> the patient's health, and none of whom took the time to know the person

> well, as an individual.

>

> That's why people love the IMP model -- it's personal again. It's the

> neighborhood health care provider. They can send their friends and family

and

> know they won't be shuffled off to some large impersonal group or building,

> but will be cared for in an intimate, personal manner.

>

> Deanna Tolman, FNP

> Head2Toe HealthCare, LLC

> Aurora, CO

>

>

> In a message dated 12/1/2010 2:07:59 P.M. Mountain Standard Time,

> gmoore@... writes:

>

>

>

>

> Something is missing in public conversations of quality measurement and

> improvement of primary care. There is no question we have a lot of

> opportunity to improve primary care and solid agreement that good primary care

is

> the foundation of high performing health systems.

> The conversations around quality and primary care fall into a trap and once

> in that trap never seem to escape. The trap is the mistake of making

> part of a system work well at the expense of the overall system performance.

> _more..._

> (http://idealmedicalpractices.typepad.com/ideal_medical_practices/)

>

>

> Gordon

>