Re: SPREADING THE MESSAGE

[Guest guest]

I'm sorry to attach this to a previous message, but I sent out this note an

hour ago and it still hasn't come through. I am trying to send it out this

way.

Lee

In the past 2 weeks my 14 year old daughter was just diagnosed with a

serious medical condition and I have been trying to hold everything

together.... get her the appropriate doctors appointments, treatment ect.

I am also trying to hold my practice together. I have no employees.

I have a lady who is a friend who has volunteered her time to help me keep

up with some of the clerical secretarial needs of my office.

Has anyone ever had volunteers work in their office? are their HIPPA things

that I have to worry about. Anything special that I have to do for someone

to offer to help me out for a short time?

Any input, advice would be greatly appreciated

Thanks

Lee

SPREADING THE MESSAGE

Hi everyone,

I know many of you are actively speaking around the country/regionally in an

effort to

educate (and help) our colleagues who are in less than ideal sitauations. I

continue to

write and publish items on the ideal practice model in newspapers, journals,

etc...

Can we share our successes and failures? I think we can learn from each

other and then

be more effective in our presentation of the topic.

I have been met with 99% success from speaking and publishing. The public

is yearning

for this. Yesterday when my piece was published in the newspaper entitled

" Patient-

centered practices allow physicians to heal themselves, system " I received

emails and

phone calls from docs and patients alike who are aligned with this

philosophy and eager.

One doc and her husband asked for my autograph on the piece (hilarious!)

Here is an

exercpt that I received from a community member and that was sent in as a FU

letter to

the editor:

To the Editor:

In her guest viewpoint (R-G 5/22/06), Doctor Pamela Wible describes a new

model for the

old practice of family medicine. It is to simply shed the bloated

bureaucracy attendant

with the current practice of medicine, and start a slim and trim new micro

practice. The

new model heals both doctors and their patients.

On the website www.idealmicropractice.org, we are greeted by a cartoon of

smiling

medical faces captioned: " I'd like you to meet our health care associates,

consulting

associates, accountants, lawyers, insurers, publicists... " This is the

bureaucracy that must

be shed.

To increase their bottom-line, doctors can either raise income or lower

expenses. Current

practice emphasizes the former. But Doctor Wible's model emphasizes the

latter: reducing

the high overheads that undermine collaborative communications between

doctor and

patient.

Whether our current health care system is broken really isn't much of a

debate anymore.

The latest research shows that health care in America costs twice that in

Britain, but our

citizens are only half as well. Politicians and vested interests do

continue to argue about a

solution. But with only rhetoric on the table, perhaps it is time for a

grassroots effort by

the practicioners. Physician, heal thyself! And your patients in the

process.

Doctor Wible's enthusiasm for back-to-the-future family medicine is

infectious. Let's

hope this bug is highly contagious among her peers.

Benton Elliot

I thought this was a great commentary from the patient's perspective.

One doctor in town did email me and felt defensive as if I was implying that

he was not

practicing " patient-centered " medicine. I think I was able to allay his

fears. We all really

want the same things, By the way, this one emial was the only negative

feedback I have

received in over 1 year in the limelight on this topic!

Any ideas who, where, when to speak or publish on this topic? What was your

best/worst

audience? Any real recruits who have followed in your footsteps?

I have a feeling that speaking at the residency programs would be a great

way to get the

message across to an audience that is motivated and receptive. I have

compiled a list of

all the FP residency directors in Washington and Oregon state and I think

I'll start

contacting them to see if they would like me to speak to their residents.

I also keep in touch with all the doctors aroung the country who have

contacted me with

interest. I send them updated pieces that I have written and encourage them

to ask me

questions. Some are flying cross country to meet me ans see how I do this in

hopes of

doing the same. Along the same lines a few of my patients are on the FP kick

and plan o

go the med school and pursue a career in FM. I continue to nurture their

interest.

Maybe I'll turn my house into a bed and breakfast for exhausted doctors who

want a

chance to experience an ideal medical prcatice!! That would be a kick...

Lets share our ideas on this...... (and nothing is too crazy!)

Thanks in advance,

Pamela

Pamela Wible, MD

Family & Community Medicine, LLC

3575 st. #220

Eugene, OR 97405

roxywible@...

www.idealmedicalpractice.org

[Guest guest]

, I am very sorry to hear your news. I hope your daughter does well. I would have her sign a confidentiality agreement which can include HIPPA language. I would treat her like an employee (HIPAA treats volunteers as employees part of the workforce), but if you have never had one you probably don't have the papers on hand. I think a simple one page confidentiality/HIPPA agreement will do. First, have her review the HIPAA policy that you have your patients read. Then have her sign something stating that she understands your HIPAA policy, that you are the privacy officer that she will report to you, and that she will comply with your policy and maintain patient confidentiality even after she ceases to volunteer for you.Your liability carrier may also have some suggestions. Please call if you need more. Best of luck, Abby Leeclan wrote: I'm sorry to attach this to a previous message, but I sent out this note an hour ago and it still hasn't come through. I am trying to send it out this way. LeeIn the past 2 weeks my 14 year old daughter was just diagnosed with a serious medical condition and I have been trying to hold everything together.... get her the appropriate doctors appointments, treatment ect.I am also trying to hold my practice together. I have no employees.I have a lady who is a friend who has volunteered her time to help me keep up with some of the clerical secretarial needs of my office.Has anyone ever had volunteers work in their office? are their HIPPA things that I have to worry about. Anything

special that I have to do for someone to offer to help me out for a short time?Any input, advice would be greatly appreciatedThanks Lee SPREADING THE MESSAGEHi everyone,I know many of you are actively speaking around the country/regionally in an effort toeducate (and help) our colleagues who are in less than ideal sitauations. I continue towrite and publish items on the ideal practice model in newspapers, journals, etc...Can we share our successes and failures? I think we can learn from each other and thenbe more effective in our presentation of the topic.I have been met with 99% success from speaking and publishing. The public is

yearningfor this. Yesterday when my piece was published in the newspaper entitled "Patient-centered practices allow physicians to heal themselves, system" I received emails andphone calls from docs and patients alike who are aligned with this philosophy and eager.One doc and her husband asked for my autograph on the piece (hilarious!) Here is anexercpt that I received from a community member and that was sent in as a FU letter tothe editor:To the Editor:In her guest viewpoint (R-G 5/22/06), Doctor Pamela Wible describes a new model for theold practice of family medicine. It is to simply shed the bloated bureaucracy attendantwith the current practice of medicine, and start a slim and trim new micro practice. Thenew model heals both doctors and their patients.On the website www.idealmicropractice.org, we are greeted by a cartoon of smilingmedical faces

captioned: "I'd like you to meet our health care associates, consultingassociates, accountants, lawyers, insurers, publicists..." This is the bureaucracy that mustbe shed.To increase their bottom-line, doctors can either raise income or lower expenses. Currentpractice emphasizes the former. But Doctor Wible's model emphasizes the latter: reducingthe high overheads that undermine collaborative communications between doctor andpatient.Whether our current health care system is broken really isn't much of a debate anymore.The latest research shows that health care in America costs twice that in Britain, but ourcitizens are only half as well. Politicians and vested interests do continue to argue about asolution. But with only rhetoric on the table, perhaps it is time for a grassroots effort bythe practicioners. Physician, heal thyself! And your

patients in the process.Doctor Wible's enthusiasm for back-to-the-future family medicine is infectious. Let'shope this bug is highly contagious among her peers.Benton ElliotI thought this was a great commentary from the patient's perspective.One doctor in town did email me and felt defensive as if I was implying that he was notpracticing "patient-centered" medicine. I think I was able to allay his fears. We all reallywant the same things, By the way, this one emial was the only negative feedback I havereceived in over 1 year in the limelight on this topic!Any ideas who, where, when to speak or publish on this topic? What was your best/worstaudience? Any real recruits who have followed in your footsteps?I have a feeling that speaking at the residency programs would be a great way to get themessage across to an audience that is motivated

and receptive. I have compiled a list ofall the FP residency directors in Washington and Oregon state and I think I'll startcontacting them to see if they would like me to speak to their residents.I also keep in touch with all the doctors aroung the country who have contacted me withinterest. I send them updated pieces that I have written and encourage them to ask mequestions. Some are flying cross country to meet me ans see how I do this in hopes ofdoing the same. Along the same lines a few of my patients are on the FP kick and plan ogo the med school and pursue a career in FM. I continue to nurture their interest.Maybe I'll turn my house into a bed and breakfast for exhausted doctors who want achance to experience an ideal medical prcatice!! That would be a kick...Lets share our ideas on this...... (and nothing is too crazy!)Thanks in

advance,PamelaPamela Wible, MDFamily & Community Medicine, LLC3575 st. #220Eugene, OR 97405roxywible@...www.idealmedicalpractice.org

[Guest guest]

I am sorry to hear that ! You can make her sign a confidentiality

agreement, like you would do with any employee and give her some HIPPA

training (can be something brief, like what is considered protected

health information... and make her sign that she got the training). At

least, that is what they did with volunteers at my previous practice.

May your daughter get healthy again.

> I'm sorry to attach this to a previous message, but I sent out this

> note an

> hour ago and it still hasn't come through. I am trying to send it out

> this

> way.

>

> Lee

>

>

> In the past 2 weeks my 14 year old daughter was just diagnosed with a

> serious medical condition and I have been trying to hold everything

> together.... get her the appropriate doctors appointments, treatment

> ect.

>

> I am also trying to hold my practice together. I have no employees.

>

> I have a lady who is a friend who has volunteered her time to help me

> keep

> up with some of the clerical secretarial needs of my office.

>

> Has anyone ever had volunteers work in their office? are their HIPPA

> things

> that I have to worry about. Anything special that I have to do for

> someone

> to offer to help me out for a short time?

>

> Any input, advice would be greatly appreciated

>

>

> Thanks

>

> Lee

>

> SPREADING THE MESSAGE

>

>

> Hi everyone,

>

> I know many of you are actively speaking around the country/regionally

> in an

> effort to

> educate (and help) our colleagues who are in less than ideal

> sitauations. I

> continue to

> write and publish items on the ideal practice model in newspapers,

> journals,

> etc...

>

> Can we share our successes and failures? I think we can learn from

> each

> other and then

> be more effective in our presentation of the topic.

>

> I have been met with 99% success from speaking and publishing. The

> public

> is yearning

> for this. Yesterday when my piece was published in the newspaper

> entitled

> " Patient-

> centered practices allow physicians to heal themselves, system " I

> received

> emails and

> phone calls from docs and patients alike who are aligned with this

> philosophy and eager.

> One doc and her husband asked for my autograph on the piece

> (hilarious!)

> Here is an

> exercpt that I received from a community member and that was sent in

> as a FU

> letter to

> the editor:

>

>

> To the Editor:

>

> In her guest viewpoint (R-G 5/22/06), Doctor Pamela Wible describes a

> new

> model for the

> old practice of family medicine. It is to simply shed the bloated

> bureaucracy attendant

> with the current practice of medicine, and start a slim and trim new

> micro

> practice. The

> new model heals both doctors and their patients.

>

> On the website www.idealmicropractice.org, we are greeted by a cartoon

> of

> smiling

> medical faces captioned: " I'd like you to meet our health care

> associates,

> consulting

> associates, accountants, lawyers, insurers, publicists... " This is the

> bureaucracy that must

> be shed.

>

> To increase their bottom-line, doctors can either raise income or lower

> expenses. Current

> practice emphasizes the former. But Doctor Wible's model emphasizes

> the

> latter: reducing

> the high overheads that undermine collaborative communications between

> doctor and

> patient.

>

> Whether our current health care system is broken really isn't much of a

> debate anymore.

> The latest research shows that health care in America costs twice that

> in

> Britain, but our

> citizens are only half as well. Politicians and vested interests do

> continue to argue about a

> solution. But with only rhetoric on the table, perhaps it is time for

> a

> grassroots effort by

> the practicioners. Physician, heal thyself! And your patients in the

> process.

>

> Doctor Wible's enthusiasm for back-to-the-future family medicine is

> infectious. Let's

> hope this bug is highly contagious among her peers.

>

> Benton Elliot

>

>

>

> I thought this was a great commentary from the patient's perspective.

>

> One doctor in town did email me and felt defensive as if I was

> implying that

> he was not

> practicing " patient-centered " medicine. I think I was able to allay

> his

> fears. We all really

> want the same things, By the way, this one emial was the only negative

> feedback I have

> received in over 1 year in the limelight on this topic!

>

> Any ideas who, where, when to speak or publish on this topic? What

> was your

> best/worst

> audience? Any real recruits who have followed in your footsteps?

>

> I have a feeling that speaking at the residency programs would be a

> great

> way to get the

> message across to an audience that is motivated and receptive. I have

> compiled a list of

> all the FP residency directors in Washington and Oregon state and I

> think

> I'll start

> contacting them to see if they would like me to speak to their

> residents.

>

> I also keep in touch with all the doctors aroung the country who have

> contacted me with

> interest. I send them updated pieces that I have written and encourage

> them

> to ask me

> questions. Some are flying cross country to meet me ans see how I do

> this in

> hopes of

> doing the same. Along the same lines a few of my patients are on the

> FP kick

> and plan o

> go the med school and pursue a career in FM. I continue to nurture

> their

> interest.

>

> Maybe I'll turn my house into a bed and breakfast for exhausted

> doctors who

> want a

> chance to experience an ideal medical prcatice!! That would be a

> kick...

>

> Lets share our ideas on this...... (and nothing is too crazy!)

>

>

>

> Thanks in advance,

>

>

> Pamela

>

> Pamela Wible, MD

> Family & Community Medicine, LLC

> 3575 st. #220

> Eugene, OR 97405

>

> roxywible@...

> www.idealmedicalpractice.org

>

>

>

>

>

>

>

>

>

[Guest guest]

From the old Dr in Drain, I've used volunteers for thirty years. It is one of the ways I help someone get back on their feet after things have fallen apart. There are lots of kinds you could worry about. The worst is the possibility they could catch something there. I knew a vet who ended up with a law suit when a young college student who wanted to "ride with him" (meaning go on his farm rounds) in order to become experienced enough to look good on an application to vet school, then contacted brucillosis when helping handle sick cattle. Lost the law suit, too. The student said "Gee, I never thought something like that could happen!" However, for confidentiality, the HIPPA forms that you sign for confidentiality purposes don't ask if the folks take money for their work, only that they agree to be confidential.

Make them sign them and you should be okey. Don't have volunteers do patient management beyond their expertese: you have the answering service pick up your phone with no special training, so you should be able to have them do that. They should be able to handle book work of various kinds: your accountant does that with no training on medical stuff. The cleaning company comes in to clean the floors with no special training. But you should dispose of the sharps, rather than having someone with no training do it. I'm sorry to hear about your daughter. I hope all comes out okay. I remember when my autistic daughter used to bring her school classmates home after school when I was in Med School. I'd come in exhausted at ten PM to find a schizophrenic 15 year old sleeping on the couch, having run away during some psychotic break

and ending up in my house. Good Luck to you...you are probably stronger than you know. JoanneLeeclan wrote: I'm sorry to attach this to a previous message, but I sent out this note an hour ago and it still hasn't come through. I am trying to send it out this way. LeeIn the past 2 weeks my 14 year old daughter was just diagnosed with a serious medical condition and I have been trying to hold everything together.... get her the appropriate doctors appointments, treatment ect.I am also trying to hold my practice together. I have no employees.I have a lady who is a friend who has volunteered

her time to help me keep up with some of the clerical secretarial needs of my office.Has anyone ever had volunteers work in their office? are their HIPPA things that I have to worry about. Anything special that I have to do for someone to offer to help me out for a short time?Any input, advice would be greatly appreciatedThanks Lee SPREADING THE MESSAGEHi everyone,I know many of you are actively speaking around the country/regionally in an effort toeducate (and help) our colleagues who are in less than ideal sitauations. I continue towrite and publish items on the ideal practice model in newspapers, journals, etc...Can we share our successes and

failures? I think we can learn from each other and thenbe more effective in our presentation of the topic.I have been met with 99% success from speaking and publishing. The public is yearningfor this. Yesterday when my piece was published in the newspaper entitled "Patient-centered practices allow physicians to heal themselves, system" I received emails andphone calls from docs and patients alike who are aligned with this philosophy and eager.One doc and her husband asked for my autograph on the piece (hilarious!) Here is anexercpt that I received from a community member and that was sent in as a FU letter tothe editor:To the Editor:In her guest viewpoint (R-G 5/22/06), Doctor Pamela Wible describes a new model for theold practice of family medicine. It is to simply shed the bloated bureaucracy attendantwith the current practice of medicine, and start

a slim and trim new micro practice. Thenew model heals both doctors and their patients.On the website www.idealmicropractice.org, we are greeted by a cartoon of smilingmedical faces captioned: "I'd like you to meet our health care associates, consultingassociates, accountants, lawyers, insurers, publicists..." This is the bureaucracy that mustbe shed.To increase their bottom-line, doctors can either raise income or lower expenses. Currentpractice emphasizes the former. But Doctor Wible's model emphasizes the latter: reducingthe high overheads that undermine collaborative communications between doctor andpatient.Whether our current health care system is broken really isn't much of a debate anymore.The latest research shows that health care in America costs twice that in Britain, but ourcitizens are only half as well. Politicians and vested interests

do continue to argue about asolution. But with only rhetoric on the table, perhaps it is time for a grassroots effort bythe practicioners. Physician, heal thyself! And your patients in the process.Doctor Wible's enthusiasm for back-to-the-future family medicine is infectious. Let'shope this bug is highly contagious among her peers.Benton ElliotI thought this was a great commentary from the patient's perspective.One doctor in town did email me and felt defensive as if I was implying that he was notpracticing "patient-centered" medicine. I think I was able to allay his fears. We all reallywant the same things, By the way, this one emial was the only negative feedback I havereceived in over 1 year in the limelight on this topic!Any ideas who, where, when to speak or publish on this topic? What was your best/worstaudience?

Any real recruits who have followed in your footsteps?I have a feeling that speaking at the residency programs would be a great way to get themessage across to an audience that is motivated and receptive. I have compiled a list ofall the FP residency directors in Washington and Oregon state and I think I'll startcontacting them to see if they would like me to speak to their residents.I also keep in touch with all the doctors aroung the country who have contacted me withinterest. I send them updated pieces that I have written and encourage them to ask mequestions. Some are flying cross country to meet me ans see how I do this in hopes ofdoing the same. Along the same lines a few of my patients are on the FP kick and plan ogo the med school and pursue a career in FM. I continue to nurture their interest.Maybe I'll turn my house into a bed and breakfast for exhausted doctors who

want achance to experience an ideal medical prcatice!! That would be a kick...Lets share our ideas on this...... (and nothing is too crazy!)Thanks in advance,PamelaPamela Wible, MDFamily & Community Medicine, LLC3575 st. #220Eugene, OR 97405roxywible@...www.idealmedicalpractice.org