articles: the btwbs vs dtwb method

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great, we have a concept, the ideal micropractice, and there are practice parameters in order to be ideal. it's a standard, and a goal toward which practices can move. there are parameters, not yet identified, which define those ideally-practicing micropractices. they are a set of circumstances and conditions. the problem is, we still don't know what and how they are, so we're back to definition, parameters, and survey. if we comprise the collection of ideal micropractices, then we're it. is there some other group which is? again, until and unless we know us and define us, we may invite others to tread our path, yet be unable to be their guide. LLShirley PigottMD wrote: Hi Gordon,How can we help? Do you have a definition of "ideal micro-practice"? Do you want to include any information, with references, from the position papers of the AAFP (FOFM), AAP, and ACP, regarding the medical home?SPTexas On 1/3/07, L. Gordon <gmooreidealhealthnetwork> wrote: Hi folksHere's what I'm proposing as a

series of articles about our work:The IMP project is moving ahead and continuing to gather steam.I'd like to propose the following:A) Why this Series of Articles1. There is a need for better care. My example was "IMP". My example shows that many are willing/able/needing to change.2. The following series of articles will provide info from several perspectives about IMP as an innovative, replicable and realistic change model. Because the IMP change model is a win for clinicians, we build each article around the perspective/experience of the physician. But physicians are not the only winners. IMP has great potential for patients so we will illustrate each article with info from patients (we have lots of patient verbatims we can use). IMP also has great potential for those who pay for care so each article will include a commentary or example from the business community.3. IMP is not an

innovative model for solo clinicians only. Large practices need to recognize how valuable IMP innovations are to all types of practice. For this reason, each article also includes a commentary about the implications for workforce within various types of practice.4. Finally, we recognize that transitions from the current financial and practice model is not going to happen over night. "There is the old joke that when you are up to your neck in alligators it is hard to recall how to drain the swamp." So we conclude each article with some frequently asked questions. The Origins and Direction of IMPs and IMP relationship to Consensus Statements about Health Care Change.IOMCCMPatient-centered, collaborative careP4PC) Brief Summary and topics for the series24/7 accessScreening all patientsMeasuring office practice and using the measurement to steer improvementGetting paid for

innovative modes of care delivery (e.g. Virtual Office Visits, group visits)I'd also like to suggest some position papers on office measurement and changing the nature of how we finance health care (esp. primary care) in the U.S.I have a number of the articles in draft form (close to completion), a cadre of other docs starting some companion pieces, and business folks from the National Business Coalition on Health ready and willing to provide their input.Gordon __________________________________________________