RE: Team Care for 21st Century Family Med icine

[Guest guest]

Hey Cory welcome!

Where are you? ( I always ask that Apparently I cannot talk to anyone

without knowing where they are:) )

You said in part:

"

However, to assume that only physicians, or any one type of health care

provider, can have relationships that benefit patients and can meet all

the needs of their patients around health information, navigating the

health care world, and dealing with the many issues of their lives that

affect health does not match with my experience, nor make sense from a

broader perspective. "

I am a former physician's assistant. (I was actually formerly a

candystriper too - what about THEIR relationship with the patient eh??)

-- The article that prompted this I think does not even say WHY the outcome

was acheived- and the outcome was that more hgb a1 c tests( more diabetes

process measures)- were done Process measures are not care nor patietn

outcome.They are not money or decreased liklihood of complications or time

or efficency or continutiy.It looks like they were just measuring whether

tests were ordered.

-- I dunno --who was saying that only physicians can have relationships

that benefit patients...

who said that?

There are a few things this all makes me thing about

1 do teams work ?

my answer sure but you have to be very very careful Teams are largely made

up of people(humor) and people are all different and differnt people

communicate differently ( have a spouse anyone??)and the ability to keep

solid communicate parallel goals and consistncy in actions ,AND not be

borrowed by the team in the other end of the building is s difficult

2 MId levels were " invented " to extend physcnas becasue much of physicnas

work is repetive or routine( the words can vary) AS the last 30 yrs have

gone by physciian extenders have become used to replace physicnas This may

or may not resulst in better or worse care but as the population ages and

has more and more complex disease it warrents caution that each kind of

provider in healthcare from an xray tech explaining that we only see bones

not ligaments to the billing person reviewing copays to the nurse giving

immunizations etc be clear about their role

One thing I greatly fear thus took the time to respond with my painfully

agonizingly bad typing is that provider start to split to go at it with

each other to shift to turf wars.

Oh please no!

I am not accusing you of this but i wonder if your post comes from being

put off or offended by others.

if nurse practitioners can talk more normal than I can, and get across to a

patietn what dm means then ok fine good then use that np in a reasonable

way

But in this article all they did was ordere more " process measures'

Eyes on the prize guys

and the prize is better care more effcicinelty more cost effectivley with

better outcomes and even,p erhaps better typing. ANy way you can do it

teams or not

Jean