“Power Up”, the New Game by Hasbeen

You are NOT going to believe this but the same idiots are at the same game. It is actually so laughable that it is hard to type right now. Ok, it’s called Powering-Up Primary Care Teams: Advanced Team Care with In-room Support and here you go:

However, “a new team model is bubbling up across the country with the potential to reinvigorate primary care,” they add.

This new model comes with a bit of twist and has been dubbed “advanced team care with in-room support.” The authors explain that in this core team model, each physician is paired with two or three highly trained medical assistants or nurses — referred to as care team coordinators.

“This model extends the clinician visit into a team visit,” say the authors, with a care team coordinator beginning the visit by completing a number of tasks, including taking an initial history, reconciling medications, addressing chronic and preventive care gaps, and setting the visit agenda based on patient concerns.

The physician joins the visit after 10-15 minutes, “sits face-to face with the patient (without the computer dividing her attention),” expands the history and does a focused physical exam. The physician talks with the patient about a diagnosis and a care plan while the care team coordinator types notes and enters documentation into the EHR.

The team coordinator stays with the patient to review the care plan; set up referrals, labs and follow-up visits; and provide health coaching as indicated.

  • Advanced team care with in-room support?
  • Each physician is paired with two or three highly trained medical assistants or nurses?
  • A care team coordinator beginning the visit….team coordinator stays with the patient?

Can you afford this? Can anyone? This will be an initiative that will fail so quickly it will make your head spin. But I am sure it will be tried.

So who thought up this crap and who is in charge of it? Our old friends, Christine Sinsky, M.D., vice president of professional satisfaction at the AMA and Thomas Bodenheimer M.D., M.P.H., founding director of the Center for Excellence in Primary Care(cepc.ucsf.edu) at the University of California, San Francisco, Department of Family & Community Medicine. The letter is an ivory tower doc who is listed on The Commonwealth Fund site. The former has been hammered on this site before,

The people who think they are in charge of the healthcare system will try anything except the one thing that works, DIRECT PRIMARY CARE.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  2 comments for ““Power Up”, the New Game by Hasbeen

  1. Pat
    July 21, 2019 at 7:01 pm

    Said it before, and I will again: Dr. Sinsky is corrupt, and her livelihood does not depend on the frivolous, fanciful, fraudulent, and foolish ideas she peddles as “new” to those who have to see patients for a living. She is a marvelous poster girl for much that is sickening about medicine.

  2. Bridget Reidy
    July 21, 2019 at 1:44 pm

    So true. Funny how not that long ago the answer was one doc seeing several patients at one time.

    Here in British Columbia they are trying to increase attachment by building expensive urgent cares, and having NP’s very slowly attach patients. We have plenty of urgent cares, so convenient they come in with colds and healing skin lesions and skip the doc they feel lucky to be attached to. The government pays the NP’s MORE than the docs and expects way less. They say they’ll hire us an RN too, if we attach 500 more patients. The naivety and lack of stewardship is astounding. They think we’ll use the RN to do some of our chronic care visits, while not even allowing us to bill anything if we’re called into the room. And we have a nursing shortage too.

    And it’s here in Canada that Barbara Starfield proved that it’s the relationship the makes for the superior care in continuing primary care.

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