Direct Primary Care Practice

  direct primary care practice: The Official Guide to Starting Your Own Direct Primary Care Practice Debra Farrago M. Ed, Douglas Farrago, 2016-04-30 Douglas Farrago MD uses the insights he has learned from twenty years of being a family physician, his vast connection to DPC docs from around the country and his own odyssey into Direct Primary Care that he used to create an incredibly successful practice in the central Virginia area. He teaches you the secrets you need to know to fill your practice as well as laying the groundwork into making your office great so patients are clamoring to get in.
  direct primary care practice: Magic, Pixie Dust, and Miracles Shane Purcell, 2020-07-15 Magic, Pixie Dust, and Miracles is a informative guide about employers using direct primary care (DPC) instead of health insurance for routine primary care medical services. The book is written by a practicing DPC physician to help direct primary care physicians, employers and benefits advisors looking to adopt this forward thinking health care model to lower costs and increase access to care. While the primary focus is DPC physicians, the guide has specific sections for employers and advisors and seeks to alleviate confusion and frustration on all sides. It's takes a little pixie dusts and a few miracles to make the DPC magic happen for employers and employees but in the end everybody wins.
  direct primary care practice: Handbook of Concierge Medical Practice Design Maria K. Todd, 2014-12-10 In concierge medicine, physicians develop amenities-rich membership programs and collect a monthly or annual membership fee to pay for the amenities in addition to the medical services rendered. Handbook of Concierge Medical Practice Design examines the many considerations physicians must make prior to transitioning their practices into concierge services. Maria K. Todd, a recognized expert in concierge medicine, branding, consulting, healthcare, marketing, medical tourism, planning, and physician practice administration, explains how to set up a concierge practice. She describes how this new business model affects workflow and outlines financial considerations—including managed care payer relations, the hybrid practice, and predictive modeling—to uncover the hidden factors that affect bottom-line performance. The book supplies readers with models for creating a business plan and a strategy for transforming a practice into a concierge practice. It concludes by covering the legal aspects of creating a concierge practice. It includes patient acquisition and retention strategies as well as detailed plans for adding additional doctors and physician extenders, such as nurse practitioners and physician assistants. The book provides sample employment contracts and advice on how to select and work with consultants. It includes chapters on business process re-engineering, workflow management, financial considerations, competitive analysis, developing a business plan, and how to market the new practice.
  direct primary care practice: The Healthcare Imperative Institute of Medicine, Roundtable on Evidence-Based Medicine, 2011-01-17 The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.
  direct primary care practice: Patients at Risk Niran Al-Agba, Rebekah Bernard, 2020-11-01 Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare exposes a vast conspiracy of political maneuvering and corporate greed that has led to the replacement of qualified medical professionals by lesser trained practitioners. As corporations seek to save money and government agencies aim to increase constituent access, minimum qualifications for the guardians of our nation’s healthcare continue to decline—with deadly consequences. This is a story that has not yet been told, and one that has dangerous repercussions for all Americans. With the rate of nurse practitioner and physician assistant graduates exceeding that of physician graduates, if you are not already being treated by a non-physician, chances are, you soon will be. While advocates for these professions insist that research shows that they can provide the same care as physicians, patients do not know the whole truth: that there are no credible scientific studies to support the safety and efficacy of non-physicians practicing without physician supervision. Written by two physicians who have witnessed the decline of medical expertise over the last twenty years, this data-driven book interweaves heart-rending true patient stories with hard data, showing how patients have been sacrificed for profit by the substitution of non-physician practitioners. Adding a dimension neglected by modern healthcare critiques such as An American Sickness, this book provides a roadmap for patients to protect themselves from medical harm. WORDS OF PRAISE and REVIEWS Al-Agba and Bernard tell a frightening story that insiders know all too well. As mega corporations push for efficiency and tout consumer focused retail services, American healthcare is being dumbed down to the point of no return. It's a story that many media outlets are missing and one that puts you and your family's health at real risk. --John Irvine, Deductible Media Laced with actual patient cases, the book’s data and patterns of large corporations replacing physicians with non-physician practitioners, despite the vast difference in training is enlightening and astounding. The authors' extensively researched book methodically lays out the problems of our changing medical care landscape and solutions to ensure quality care. --Marilyn M. Singleton, MD, JD A masterful job of bringing to light a rapidly growing issue of what should be great concern to all of us: the proliferation of non-physician practitioners that work predominantly inside algorithms rather than applying years of training, clinical knowledge, and experience. Instead of a patient-first mentality, we are increasingly met with the sad statement of Profits Over Patients, echoed by hospitals and health insurance companies. --John M. Chamberlain, MHA, LFACHE, Board Chairman, Citizen Health A must read for patients attempting to navigate today’s healthcare marketplace. --Brian Wilhelmi MD, JD, FASA
  direct primary care practice: Medical Answers Now!: How Direct Primary Care Guarantees Fast Access to Your Doctor Troy A. Burns, 2021-10-13 Imagine a World Where You Can See Your Doctor-Right Away Sore throats, fever, nasty cuts and bruises, migraine pain, severe back spasms-who wants to wait when you need a doctor now? Imagine a world where your doctor will see you-today. The new Direct Primary Care model can fix many of our broken healthcare system's problems and give you and your family quick access to your doctor-to a doctor who knows you and doesn't care what health insurance you have. Troy A. Burns, MD, explains how guaranteed access to your primary care doctor can keep you healthier, help you manage chronic health conditions such as heart disease and diabetes, and circumvent the insurance companies' restrictions and rules. Like most people, you have probably experienced excessive delays in scheduling appointments with your doctor when ill, get frustrated with limited time with the doctor in rushed office visits, hate the long waits in your doctor's office, and really hate how hard it is to reach your doctor. An appointment today? Nearly impossible. If you don't have a doctor who is always available whenever you need them, then you don't really have a doctor! Fortunately, the affordable and highly efficient primary care delivery model known as Direct Primary Care promises high-level access to your personal doctor with same-day appointments and 24/7 remote access. What is this new model of healthcare, and what's the benefit to you? This book explains- A better approach to healthcare for you and your family Why having a personal primary care physician who is always available is essential to your health Why getting what you need from your doctor doesn't have to be so frustrating How to get fast, personal care from a doctor who knows you-even in emergencies How Direct Primary Care can cut costs and improve care for employers and employees If you're a patient (a parent, a senior, a twenty-something or someone who never goes to a doctor) who wants and needs to establish a relationship with a doctor for regular preventive care and for emergencies, Direct Primary Care is your solution (this book tells you how). Direct Primary Care physician practices are located throughout the United States. You can locate a doctor near you (this book tells you how). If you're an employer struggling to offer health insurance to your workforce, you can learn how to build your health benefits on a foundation of Direct Primary Care, give everyone better care and save everyone money-without playing games with insurance carriers who raise your rates every year while cutting back on care (this book tells you how). Troy A. Burns, MD, is a practicing primary care physician and the Founder and Medical Director of ProPartners Healthcare, Kansas City's leading Direct Primary Care medical practice. He is among the country's leaders in Direct Primary Care and advises Senators and Representatives on this revolutionary method to deliver healthcare most efficiently and cost-effectively.
  direct primary care practice: Defining Primary Care Karl D. Yordy, Neal Arthur Vanselow, 1994
  direct primary care practice: Common Pediatric Issues, An Issue of Primary Care: Clinics in Office Practice,E-Book Luz M. Fernandez, Jonathan A. Becker, 2021-07-28 In this issue of Primary Care: Clinics in Office Practice, guest editors Luz M. Fernandez and Jonathan A. Becker bring their considerable expertise to the topic of Common Pediatric Issues. - Provides in-depth, clinical reviews on Common Pediatric Issues, providing actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.
  direct primary care practice: Next in Line Timothy Hoff, 2018 Next in Line is the first book to examine the doctor-patient relationship in the context of its new environs, in particular the impact of efficiency-driven innovation and retail-care models on physician mindsets and the patient experience. The overall picture is one of lowered expectations -- a transactional, impersonal, and institutionally-limited incarnation of the medical bedside that leaves all parties underwhelmed and overstressed.
  direct primary care practice: The Future of Primary Care Jonathan Showstack, Arlyss Anderson Rothman, Susan Hassmiller, 2004-04-26 The Future of Primary Care explores the organization and delivery of primary care to address the needs of our future population. Expert contributors include Barbara Starfield, Dana Gelb Safran, Bernard Lo, and Gordon Moore. They explore topics such as Current dilemmas and threats to primary care from both the clinician’s and patient’s point of view The impact of the self-care and alternative care movements The importance of improved information technologies Individual elements of primary care and the relative value of each element Primary care’s contribution to the overall health of our population Assessing alternative sites and circumstances where primary care may be provided The specialist and nurse as primary care providers The role of primary care in chronic illness management, care for the elderly, long-term and home care Exploring recommendations for the future The Future of Primary Care offers a self-critical and constructive analysis of primary care that is perfect for scholars, faculty, and students who are interested in public health services and policy.
  direct primary care practice: Primary Health Care Trisha Greenhalgh, 2013-03-15 General practitioners and other primary care professionals have a leading role in contemporary health care, which Trisha Greenhalgh explores in this highly praised new text. She provides perceptive and engaging insights into primary health care, focussing on: its intellectual roots its impact on the individual, the family and the community the role of the multidisciplinary team contemporary topics such as homelessness, ethnic health and electronic records. Concise summaries, highlighted boxes, extensive referencing and a dedicated section on effective learning make this essential reading for postgraduate students, tutors and researchers in primary care. Trish Greenhalgh, in her frequent columns in the British Medical Journal...more than any other medical journalist spoke to her fellow GPs in the language of experience, but never without linking this to our expanding knowledge from the whole of human science. When I compare the outlines of primary care so lucidly presented in this wonderful book, obviously derived from rich experience of real teaching and learning, with the grand guignol theatre of London medical schools when I was a student 1947-52, the advance is stunning. —From the foreword by Julian Tudor Hart Trish Greenhalgh is one of the international stars of general practice and a very clever thinker. This new book is a wonderful resource for primary health care and general practice. Every general practice registrar should read this book and so should every general practice teacher and primary care researcher. —Professor Michael Kidd, Head of the Department of General Practice, University of Sydney and Immediate Past President of The Royal Australian College of General Practitioners This important new book by one of primary care's most accomplished authors sets out clearly the academic basis for further developments in primary health care. Health systems will only function effectively if they recognise the importance of high quality primary care so I strongly recommend this book to students, teachers, researchers, practitioners and policy makers. —Professor Martin Marshall, Deputy Chief Medical Officer, Department of Health, UK
  direct primary care practice: Primary Care Institute of Medicine, Committee on the Future of Primary Care, 1996-09-05 Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
  direct primary care practice: Pet Goats and Pap Smears Pamela Wible, 2012-07-04 Experience the life of doctors and patients. Discover remedies for various conditions; how to lower your medical bills, and secure quality health care.
  direct primary care practice: Start Your Own Medical Practice Marlene M. Coleman, Judge William Huss, 2006-12-01 After years of school and maybe even after some years of practice, you are ready to do it on your own. Running a profitable business takes more than just being a great doctor. Start Your Own Medical Practice provides you with the knowledge to be both a great doctor and a successful business owner. Whether you are looking to open a single practice office or wanting to go into partnership with other colleagues, picking the right location, hiring the right support staff and taking care of all the finances are not easy tasks. With help from Start Your Own Medical Practice, you can be sure you are making the best decisions for success. Don't let a wrong choice slow down your progress. Find advice to: --Create a Business Plan --Manage the Office --Raise Capital --Bill Your Patients --Market Your Practice --Build a Patient Base --Prevent Malpractice Suits --Keep an Eye on the Goal With checklists, sample letters and doctor's office forms, Start Your Own Medical Practice teaches you all the things they didn't in medical school and gives you the confidence to go out and do it on your own.
  direct primary care practice: Electronic Medical Records Neil S. Skolnik, 2010-10-20 Physician adoption of electronic medical records (EMRs) has become a national priority. It is said that EMRs have the potential to greatly improve patient care, to provide the data needed for more effective population management and quality assurance of both an individual practice’s patients and well as patients of large health care systems, and the potential to create efficiencies that allow physicians to provide this improved care at a far lower cost than at present. There is currently a strong U.S. government push for physicians to adopt EMR technology, with the Obama administration emphasizing the use of EMRs as an important part of the future of health care and urging widespread adoption of this technology by 2014. This timely book for the primary care community offers a concise and easy to read guide for implementing an EMR system. Organized in six sections, this invaluable title details the general state of the EMR landscape, covering the government’s incentive program, promises and pitfalls of EMR technology, issues related to standardization and the range of EMR vendors from which a provider can choose. Importantly, chapter two provides a detailed and highly instructional account of the experiences that a range of primary care providers have had in implementing EMR systems. Chapter three discusses how to effectively choose an EMR system, while chapters four and five cover all of the vital pre-implementation and implementation issues in establishing an EMR system in the primary care environment. Finally, chapter six discusses how to optimize and maintain a new EMR system to achieve the full cost savings desired. Concise, direct, but above all honest in recognizing the challenges in choosing and implementing an electronic health record in primary care, Electronic Medical Records: A Practical Guide for Primary Care has been written with the busy primary care physician in mind.
  direct primary care practice: The Future of Nursing Institute of Medicine, Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, 2011-02-08 The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
  direct primary care practice: Evaluating Challenges and Opportunities for Healthcare Reform Selladurai, Raj, Hobson, Charlie, Selladurai, Roshini Isabell, Greer, Adam, 2020-02-07 Healthcare reform in the United States is a significant, strongly debated issue that has been argued since the early 1900s. Though this issue has been in circulation for decades, by integrating various new models and approaches, a more sustainable national healthcare system can perhaps be realized. Evaluating Challenges and Opportunities for Healthcare Reform presents comprehensive coverage of the development of new models of healthcare systems that seek to create sustainable and optimal healthcare by improving quality and decreasing cost. While highlighting topics including high-value care, patient interaction, and sustainable healthcare, this book is ideally designed for government officials, policymakers, lawmakers, scholars, physicians, healthcare leaders, academicians, practitioners, and students and can be used to help all interested stakeholders to make well-informed decisions related to healthcare reform and policy development for the United States and beyond, as well as to help all individuals and families in their decisions related to choices of optimal healthcare plans.
  direct primary care practice: Physician-Led Healthcare Reform Ken Terry, 2020-07-10 Today, employed physicians and independent physicians alike feel powerless. Hospital-employed doctors feel like cogs in a machine, and community doctors are increasingly threatened by forces beyond their control. Physician-led healthcare reform would give them back a large measure of control and pride in their work. The Medicare for All debate has mostly focused on how the U.S. should finance healthcare. This book, directed to physicians, healthcare administrators, health policy experts, politicians, and consumers, explains why the U.S. healthcare delivery system must be restructured to lower costs--and how to do it. Unless we can get doctors to change how they practice, Medicare for All will struggle with the same cost pressures that have made our system the most expensive in the world. The biggest problems of physicians--both employed and independent--are a loss of professional autonomy, overwhelming administrative requirements, and the conflict between business and patient care imperatives. From the Foreword With this manual, leaders of health systems and medical groups can achieve these goals and align their physicians, management, care teams, payers, and patients to deliver exceptional care that will improve quality while lowering costs, resulting in better care, better patient experience, and more affordable health care. This book, at this critical time, offers a comprehensive argument in favor of physician-led reform. Table of Contents Chapter 1 - Medicare for All Lives Chapter 2 - Obamacare: A Work in Progress Chapter 3 - Industry Consolidation on Steriods Chapter 4 - Primary Care on The Ropes Chapter 5 - Waste Not, Want Not Chapter 6 - Population Health Management Chapter 7 - Addressing Social Determinants of Health Chapter 8 - Physician-led Healthcare Reform Chapter 9 - Building the New Delivery System Chapter 10 - Taking Advantage of Health IT Chapter 11 - The Payoff Chapter 12 - Drugs and the Technology Challenge Final Thoughts
  direct primary care practice: Chronic Illness Care Timothy P. Daaleman, Margaret R. Helton, 2018-02-24 This book offers a comprehensive overview to chronic illness care, which is the coordinated, comprehensive, and sustained response to chronic diseases and conditions by a range of health care providers, formal and informal caregivers, healthcare systems, and community-based resources. Using an ecological framework, which looks at the interdependent influences between individuals and their larger environment, this unique text examines chronic illness care at multiple levels and includes sections on the individual influences on chronic illness, the role of family and social networks, and how chronic care is provided across the spectrum of health care settings; from home to clinic to the emergency department to hospital and residential care facilities. The book describes the organizational frameworks and strategies that are needed to provide quality care for chronically ill patients, including behavioral health, care management, transitions of care, and health information technology. The book also addresses the changing workforce needs in health care, and the fiscal models and policies that will be required to meet the needs of this population, with a focus on sustaining the ongoing transformation in health care. This book acts as a major reference for practitioners and students in medicine, nursing, social work, allied health, and behavioral medicine, as well as stakeholders in public health, health policy, and population health.
  direct primary care practice: The Ultimate Guide To Choosing a Medical Specialty Brian Freeman, 2004-01-09 The first medical specialty selection guide written by residents for students! Provides an inside look at the issues surrounding medical specialty selection, blending first-hand knowledge with useful facts and statistics, such as salary information, employment data, and match statistics. Focuses on all the major specialties and features firsthand portrayals of each by current residents. Also includes a guide to personality characteristics that are predominate with practitioners of each specialty. “A terrific mixture of objective information as well as factual data make this book an easy, informative, and interesting read.” --Review from a 4th year Medical Student
  direct primary care practice: Setting Priorities for Clinical Practice Guidelines Institute of Medicine, Committee on Methods for Setting Priorities for Guidelines Development, 1995-03-02 This book examines methods for selecting topics and setting priorities for clinical practice guideline development and implementation. Clinical practice guidelines are systematically defined statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. In its assessment of processes for setting priorities, the committee considers the principles of consistency with the organization's mission, implementation feasibility, efficiency, utility of the results to the organization, and openness and defensibilityâ€a principle that is especially important to public agencies. The volume also examines the implications of health care restructuring for priority setting and topic selection, including the link between national and local approaches to guidelines development.
  direct primary care practice: Building Primary Care in a Changing Europe Dionne S. Kringos, W. G. W. Boerma, Allen Hutchinson, Richard B. Saltman, 2015 For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.
  direct primary care practice: Health-Wealth for You Josh Luke, 2019-02-19 Written by two time Amazon #1 best-selling author, futurist and faculty member at the University of Southern California, Dr. Josh Luke's Health-Wealth for You: 11 Steps to Save Big & Live Healthy teaches individuals and families a series of measurable money saving tactics that will reduce spending on healthcare. Dr. Luke, a long-time hospital CEO, simplifies eleven proven steps that Americans can take to reduce healthcare spending and improve access to doctors and other providers. Best known as an engaging and humorous keynote speaker at events for all industries, Dr. Luke has become America's Healthcare Affordability Authority. In part one of Health-Wealth for You, Dr. Luke exposes the underbelly of the American healthcare delivery system to explain why the system is broken beyond repair. As a result, readers come to learn that there is no end in sight to skyrocketing healthcare costs in America as families will continue to be priced out of the health insurance market. Part two of the book explains the basic concepts of consumer driven healthcare and details how high deductible plans can save individuals and families significant dollars without compromising quality care. Part three of the book identifies eleven simple concepts that individuals and families can implement that will lead to improved health and immediate, significant savings.
  direct primary care practice: The Quadruple Aim in Nursing and Healthcare Sue Johnson, 2020-05-28 In times of ever-changing healthcare policy, many organizations have developed methods for reforming and optimizing healthcare systems. One prevailing healthcare approach is the Quadruple Aim, which incorporates four different goals: improving population health; improving experience of care; lowering healthcare costs; and improving provider work life (team vitality). Created by the Institute for Healthcare Improvement, the Quadruple Aim method is not nursing-specific, but its framework for optimizing health system performance is coherent with the nursing profession today. This book argues that the widespread adoption of the Quadruple Aim could help create a sustainable healthcare system. Using the work and legacy of nursing pioneer Florence Nightingale, this book provides an early example of successful, holistic healthcare that balances cost-effectiveness with quality of care for both patients and nurses.
  direct primary care practice: Building a Successful Ambulatory Care Practice Mary Ann Kliethermes, Tim R. Brown, 2011-12-21 Let ASHP’s new book be your blueprint to a thriving ambulatory care practice, whether it’s health-system, physician, or community based. Get comprehensive, practical guidance on all your questions. Topics include: • How do I write a business plan? • What do I need to do to manage risk and liability? • Why do we need a marketing strategy? • Who handles reimbursements? • What credentials do we need? Plus: A companion web toolkit gives you all the help and templates you need to get going.
  direct primary care practice: Crossing the Quality Chasm Institute of Medicine, Committee on Quality of Health Care in America, 2001-07-19 Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
  direct primary care practice: Assessing Progress on the Institute of Medicine Report The Future of Nursing National Academies of Sciences, Engineering, and Medicine, Institute of Medicine, Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health, 2016-03-22 Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals.
  direct primary care practice: The Slippery Slope of Healthcare Steven Z. Kussin, 2020-03-24 Dr. Steven Kussin, physician and a pioneer in the Shared Decision movement, takes readers through the steps of how to avoid the many pitfalls of unnecessary and sometimes even dangerous medical care. The American healthcare system is subsidized by its services to healthy people. The goal as it is for any business is to encourage people to become consumers by creating an emotionally-fueled demand for things that are suddenly and urgently needed. It’s hard to make healthy people well; it’s easy to make them sick. Under the goal to make you even healthier, the medical industry identifies and encourages investigations and preventive technologies for ‘problems’ unlikely to occur, unlikely to harm, unlikely to benefit from testing, and, once diagnosed, unlikely to benefit from treatment. Profitable services go on indefinitely for those who are young and well. For the health care industry being in good health is not just the best way to live; good health is also the slowest way to die. Many people find themselves on what the author calls the Slippery Slope, experiencing a cascade of escalating misfortunes produced by more tests with incrementally greater risk, expense, and fewer benefits. Many people, who, in the attempt to improve what is already just fine, unquestioningly pay an immediate and visible price for what are distant, invisible, and uncertain benefits. The central starting point for initiating a Slippery Slope adventure can be the first blood test, the first screening test, the first x-ray, the first pill, or the first diagnosis that’s accepted by unwitting and trusting consumers. The bottom of the Slippery Slope is occupied by those previously well but who now are damaged, and by others who suffered needless unscheduled deaths. America’s famed consumer skepticism when judging retail products is curiously and dangerously absent in their interactions within the healthcare system. Here, Steven Kussin offers strategies that give readers knowledge and power by offering unique perspectives, information, and resources. He confronts the mighty forces arrayed against health care consumers and helps readers learn to identify them themselves. The power of money, the authority of science, the stature of physicians, the lure of elective health ‘improvements’, the promise of technology, and the pitch perfect, perfect pitches of televised ads all conspire to push people in directions that are often at odds with their stated priorities and interests. This book is dedicated to one lesson: The view from atop the Slope, before making a health care decision, is better than the view from the bottom, after having made a bad one. For more information visit https://theslipperyslopebook.com/
  direct primary care practice: Clinical Pharmacy Education, Practice and Research Dixon Thomas, 2018-11-23 Clinical Pharmacy Education, Practice and Research offers readers a solid foundation in clinical pharmacy and related sciences through contributions by 83 leading experts in the field from 25 countries. This book stresses educational approaches that empower pharmacists with patient care and research competencies. The learning objectives and writing style of the book focus on clarifying the concepts comprehensively for a pharmacist, from regular patient counseling to pharmacogenomics practice. It covers all interesting topics a pharmacist should know. This book serves as a basis to standardize and coordinate learning to practice, explaining basics and using self-learning strategies through online resources or other advanced texts. With an educational approach, it guides pharmacy students and pharmacists to learn quickly and apply. Clinical Pharmacy Education, Practice and Research provides an essential foundation for pharmacy students and pharmacists globally. - Covers the core information needed for pharmacy practice courses - Includes multiple case studies and practical situations with 70% focused on practical clinical pharmacology knowledge - Designed for educational settings, but also useful as a refresher for advanced students and researchers
  direct primary care practice: Conflict of Interest in Medical Research, Education, and Practice Institute of Medicine, Board on Health Sciences Policy, Committee on Conflict of Interest in Medical Research, Education, and Practice, 2009-09-16 Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.
  direct primary care practice: Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) Douglas Farrago, MD, 2019-07-26 This book is about churn or patient turnover. This is for those DPC doctors, not only those in mature practices, but also for those newbies who are just starting out. Everyone needs to worry about losing patients. It's not only a blow to your ego when people are going out the door seemingly as fast as they are coming in but also a blow to your bottom line. And it could put you out of business.This books shows you how to do those things that slow patients from leaving. The reason this is important is that once they leave they are probably gone forever. In fact, this book will show you to never argue with anyone going out the door. It will show you the right way to ask why they left. This book will talk about value, subscription fatigue, building trust, and doing the little things and the extra touches that may save you a lot of money and heartache in the long run. Some of the things you will learn by reading Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity): -How and why to analyze why patients are churning through your practice -Why some patients are not for you-Why hedonistic adaptation is affecting your practice -The traps of email and texting-How to create a community around your practice -The four agreements of DPC -You are not an imposter
  direct primary care practice: Direct Pay Divya Srinivasan Sridhar, 2017-07-27 Direct Pay: A Simpler Way to Practice Medicine examines the direct pay business model as a policy alternative and potential policy solution to the economic, technological, and sociocultural problems that have emerged for practicing physicians as a result of the Affordable Care Act. Based on a research study conducted by the author, the book address
  direct primary care practice: The Medical Entrepreneur Steven M. Hacker, 2010 A comprehensive primer on the business skills essential for physicians.- Kirkus ReviewsA doctors' guide to entrepreneurship...- Kirkus ReviewsThis is the new third edition (2015-2016) of the most popular business and practice management book for physicians, medical students and medical residents. Thousands of doctors and entrepreneurs have bought this book before joining a group or starting their own practice or entrepreneurial venture. The brand new third edition contains NEW FORMATTING AND NEW MATERIAL for the same low price as past editions. This third edition includes a bonus section to help entrepreneurs and doctors source out specific vendors' and their products and services to get a jumpstart on your business or medical practice. WARNING AND ADVICE for Doctors & Medical students and entrepreneurs: BEFORE JOINING A GROUP PRACTICE OR STARTING A NEW BUSINESS, DO NOT SIGN ANY CONTRACTS UNTIL YOU HAVE FINISHED READING THIS BOOK.This book is written to help doctors, medical residents, medical students, and physicians in private practice and academia avoid costly business mistakes in their post medical school career. It is uniquely written from the perspective of a successful physician entrepreneur. Busy doctors with little time can quickly access critical cost saving information when joining or starting a private practice. Topics include everything from how to set up a practice, sign a contract with another group, hire another doctor, contract with insurance companies, understand health regulations including the HITECH stimulus act, how to qualify to receive stimulus funds, billing in the office, hiring and firing personnel, picking a location, obtaining hospital privileges, applying for the required licenses, electronic health records, practice management software, health technology in the office, how to protect your estate, liability issues, marketing and public relations, design of the medical office and more. Also written for the physician entrepreneur, the book explains how to raise capital, term sheets, understanding venture capital, board of directors, incorporation election issues, how to understand financials, balance sheets, negotiations, hiring the management team, how to take an idea and turn it into an operating business, how to protect your intellectual property, copyrights, trademarks, patents, customer acquisition and how to deal with a business when things go wrong. The book covers much more and includes expert stat consults or opinions from corporate attorneys, intellectual property attorneys, board certified health care attorneys and estate attorneys.
  direct primary care practice: Medical and Dental Space Planning Jain Malkin, 2014-07-15 THE UPDATED DEFINITIVE REFERENCE ON MEDICAL AND DENTAL OFFICE DESIGN Medical and Dental Space Planning is an indispensable guide to the myriad of details that make a medical or dental practice efficient and productive. The unique needs of more than thirty specialties, as well as primary care, are explained in the context of new technology and the many regulatory and compliance issues influencing design. Concepts are also presented for ambulatory surgical centers, diagnostic imaging, clinical laboratories, breast care clinics, endoscopy centers, community health centers, radiation oncology, and single-specialty and multispecialty group practices and clinics. A thorough review of the latest dental technology and many creative space plans and design ideas for each dental specialty will be of interest to both dentists and design professionals. Important topics like infection control are top of mind, influencing every aspect of dental office design. An inside look at what goes on in each specialist's office will familiarize readers with medical and dental procedures, how they are executed, and the types of equipment used. Technology has radically impacted medical and dental practice: digital radiography, electronic health records, mobile health devices, point-of-care diagnostic testing, digital diagnostic instrumentation, CAD/CAM systems for digital dental impressions and milling of restorations in the dentist's office, portable handheld X-ray, and 3D cone beam computed tomography for dentists all have major implications for facility design. The influence of the Affordable Care Act is transforming primary care from volume-based to value-based, which has an impact on the design of facilities, resulting in team collaboration spaces, larger consultative examination/assessment rooms, and accommodation for multidisciplinary practitioners who proactively manage patient care, often in a patient-centered medical home context. The wealth of information in this book is organized to make it easy to use and practical. Program tables accompany each medical and dental specialty to help the designer compute the number and sizes of required rooms and total square footage for each practice. This handy reference can be used during interviews for a reality check on a client's program or during space planning. Other features, for example, help untangle the web of compliance and code issues governing office-based surgery. Illustrated with more than 600 photographs and drawings, Medical and Dental Space Planning is an essential tool for interior designers and architects as well as dentists, physicians, and practice management consultants.
  direct primary care practice: Direct Practice Skills for Evidence-Based Social Work Elizabeth C. Pomeroy, PhD, LCSW, Renée Bradford Garcia, MSW, LCSW, 2017-12-28 Featuring an evidence- and strengths-based approach to practice methods, this new text teaches students how to apply social work skills in a variety of settings. Designed to enhance self-awareness, professionalism, ethical reasoning, cultural sensitivity, and an appreciation for social justice issues, this text introduces readers to social work’s core values and practice methods to help them assimilate the skills needed for working in the field. Cases and skills-based exercises demonstrate how to make accurate assessments and design effective intervention plans. After laying the groundwork in theory, values, and ethics, the authors review methods for working with individuals, children, and families from an individual and environmental strengths-based perspective. Client engagement, assessment, intervention, evaluation and termination, and documentation are then reviewed. Readers are introduced to the foundational concepts of social work practice and through application learn to successfully work with clients. Key Features Integrates the Council on Social Work Education’s EPAS standards and core competencies throughout, including engagement, assessment, intervention, evaluation, social justice, ethics, critical thinking, professional conduct and decision making, and cultural competency and diversity. Case scenarios in client interview format that closely resemble actual interactions, followed by questions, test readers’ understanding of the practice skills needed to work in the field. Skill-building exercises including individual and group activities, role plays, simulations, and discussion questions that provide an opportunity to apply one’s knowledge and skill sets. Personal reflections that encourage students to examine their own beliefs to help them assimilate social work ethics and values into their professional demeanor. Icons throughout the text that draw attention to useful tips for developing direct practice skills. A strengths-based approach that heightens understanding and results in a higher level of proficiency in the change process. Introduces challenging situations often encountered in practice to help readers acquire the more advanced practice skills necessary for assessment and intervention. Resources including PowerPoints, test questions, sample syllabi, and suggested answers to text exercises and discussion questions.
  direct primary care practice: Prevention Practice in Primary Care Sherri Sheinfeld Gorin, 2014-03-03 Amid the ongoing changes in how health care is administered and financed, prevention-oriented care is a critical and cost-effective method for improving population health through primary care. As the key figure in promoting patients' health and prevention of disease, the primary care provider can play a major role in patient engagement, self-management, and behavior change. Prevention Practice in Primary Care systematically explores state-of-the-art practical approaches to effective prevention in primary care. Guided by theory and evidence, the book reviews approaches to risk factor identification and modification for the major causes of mortality in adulthood, including cancer, stroke, and cardiovascular disease. Topical coverage in this book includes: · the practical applications of genomics and proteomics to personalizing prevention · transformative approaches to practice change, including the patient-centered medical home, academic detailing, and practice facilitation · Engaging self-management and behavior change using counseling tools (goal setting, assessing the stage of change, motivational interviewing, and the five A's) Prevention Practice in Primary Care is a vital, practical guidebook for the implementation of evidence-based prevention to improve patient health. Brief, simple summaries and innovative content make it book a valuable reference for busy practitioners and students alike.
  direct primary care practice: Universal Medical Care from Conception to End of Life Murray Sabrin, PH.D., 2021-08-11 Why has medical care become so complicated--and expensive? Not very long ago, an individual would visit a doctor to be treated for an illness that could not be cured by one of Grandma's recipes. Whether it was a sore throat, earache, or digestive pain, Grandma usually had some homespun medicine to deal with a common health issue. And if Grandma's medicine chest was not able to deal with a family member's illness, a neighborhood doctor was usually available to treat working families at his office, or he would make a house call for a reasonable fee. Fast-forward to today. Is the current system of providing medical care, namely, through employer-based insurance, Medicare, Medicaid, and Obamacare, the optimal methods to provide high-quality, low-cost care to all Americans? The answer is a resounding no. Universal Medical Care from Conception to End of Life: The Case for a Single-Payer System explains why the current system of employer-based insurance and government programs such as Medicare, Medicaid, and Obamacare are financially untenable and yields less than optimal outcomes for patients. Yet there are calls for more top-down approaches to medical care, most notably by Senator Bernie Sanders, who has campaigned for the presidency on a Medicare for All program, essentially putting all Americans under one medical umbrella, where the government would set all the parameters for medical care. Under the individual single-payer system outlined in Sabrin's manifesto, every American adult would be in charge of his or her medical coverage. There would be no more conflicts regarding insurance companies or the government paying for abortion, contraception, and other controversial medical procedures and medications. In a free market, every adult--the single payer--would pay for what he/she needs to achieve optimal health.
  direct primary care practice: Sparks Start Fires Julie Gunther, 2020-04-15 Have you ever wondered what it would be like to design the medical clinic of your dreams?What if you could practice medicine the way you originally envisioned?What if we could simplify...really simplify...the delivery of routine medical care?In this quick, conversational read, family physician, Julie K Gunther, MD, FAAFP explains why she had to leave her job within the healthcare system to do the work she trained to do.In 2014, Dr. Gunther sold her home, her truck, moved her family, learned all about SBA loans, bought a building and opened sparkMD, an independent direct primary care (DPC) practice.Peppered with personal anecdotes, shared leanings, spreadsheets, cautionary tales, resource lists and more, this guide outlines how to start your own direct primary care (DPC) clinic in twenty clear steps.Part memoir, part business tome, this 'how to guide' illustrates how one physician left the system, went out on her own and started taking care of patients in a simplified, back-to-basics health care model.
  direct primary care practice: Psychiatric Care in Primary Care Practice, An Issue of Primary Care: Clinics in Office Practice Janet R. Albers, 2016-07-06 This issue of Primary Care: Clinics in Office Practice, guest edited by Dr. Janet Albers, is devoted to Psychiatric Care in Primary Care Practice. Articles in this issue include: Integrating Behavioral Health in the Medical Home Model – The Role of the Interdisciplinary Team; Behavioral Health in Prevention and Chronic Illness Management – Motivational Interviewing; Childhood Sexual Abuse and Mental Health Screening in Primary Care; Autism Spectrum/Pervasive Developmental Disorders; Pearls in Working with Patients Diagnosed with Personality Disorders; Psychopharmacology in Primary Care Settings; Depression: Screening, Diagnosis, Treatment Across Populations; Anxiety Disorders in Primary Care; Bipolar Disorder; Eating Disorders; Substance Abuse Screening and Treatment; Pain Medication Seeking Behavior; Psychiatric Emergencies; and Physician Wellness Across the Professional Continuum.
  direct primary care practice: Participatory Healthcare Jan Oldenburg, Mary P. Griskewicz, 2016-08-05 This book is written through the lens of patients, caregivers, healthcare representatives and families, highlighting new models of interaction between providers and patients and what people would like in their healthcae experience. It will envision a new kind of healthcare system that recommends on how/why providers must connect to patients and families using HIT, as well as suggestions about new kinds of HIT capabilities and how they would redesign systems of care if they could. The book will emphasize best practices, and case studies, drawing conclusions about new models of care from the stories and input of patients and their families reienforced with clinical research.
2024 Direct Primary Care Data Brief - AAFP
This brief presents the key findings from the 2024 Direct Primary Care (DPC) Study. The primary purpose of this study was to better understand respondents’ satisfaction, practice...

A Primer on the Direct Primary Care Model: Past, Present, and …
4 Alexander GC, Kurlander J, Wynia MK, Physicians in retainer (“concierge”) practice. A national survey of physician, patient, and practice characteristics, 20 J. Gen. Internal Med. 1079–1083 …

DIRECT PRIMARY CARE PATIENT AGREEMENT AGREEMENT
We regard the patient-physician relationship with the utmost reverence, and we thank you for entrusting us with your health care. Communication is at the center of our care, and this …

Direct Primary Care FAQ’s - CHI Health
Endorsed by the American Academy of Family Practice, Direct Primary Care affords you enhanced access to your family practice care team for a flat monthly fee. You will have a direct …

Direct Primary Care (DPC): Potential Impact on Cost, Quality, …
Federal law concerning DPC arrangements falls into two main categories: DPC and the private insurance market, and DPC and the Medicaid program.

On Retainer: Direct Primary Care Practices Bypass Insurance
Direct primary care (DPC) is an emerging model for delivering medical care that has gained some attention in California and nationally in recent years.

Direct Primary Care - EXPLORE 2024
Key legal aspects, compliance issues, and regulatory requirements for starting a DPC practice. Initial investments, ongoing expenses, and strategies for achieving financial stability. Methods …

Direct Primary Care: Practice Distribution and Cost Across the …
Patient-Centered Care Direct primary care (DPC) is a growing model used by family physicians and other primary care special-ties aimed at delivering quality care at an affordable price. The …

Growing Your Direct Primary Care Practice
As a direct primary care (DPC) provider, you understand the value that DPC brings to patients, providers and employers. While the innovative healthcare model is quickly gaining traction in …

Direct Primary Care: Frequently Asked Questions - AAFP
Direct primary care (DPC) is a subset model of the retainer-based practice framework for primary care practices. There is not a single DPC practice model; rather the model represents a...

Direct Primary Care - Wisconsin Legislative Documents
Dozens of DPC providers are currently practicing in Wisconsin, and many physi-cians and patients who are using the model are satisfied with it.

Direct Primary Care: Evaluating a New Model of Delivery and …
Primary care is a vital and even foundational component of any health care system. Primary care physicians (PCPs) are the front line of health care and are often the entry point for patients …

Defining the Place of Direct Primary Care in a Value-Based …
Introduction: Direct primary care, one of several retainer-based practice models, is a niche practice type that offers an alternative to the traditional fee-for-service and insurance-based …

Direct Primary Care: Implications for the Health Care Workforce
In the DPC model, patients get more minutes, and are charged less leading to more favorable outcomes. Various leading plans were reviewed including BCBS and UHC, this figure …

Concierge and Direct Primary Care Practices: Pros and Cons
This publication has been carefully prepared but it necessarily contains information in summary form and is therefore not intended to be a substitute for detailed research or the exercise of …

Direct Primary Care: A New Model for Patient-Centered Care
Direct Primary Care (DPC) is a compelling ambulatory practice model that aims to remove patient barriers to access and provide timely and personalized preventive and first-line care for a fixed …

In Defense of Direct Primary Care - AAFP
direct primary care laws by state The map below indicates which states have legislation addressing DPC as well as which states have the best quality legislation, according to DPC …

YOUR GUIDE TO PERSONALIZED HEALTH CARE - Johns …
What can I expect with the Direct Primary Care plan? Direct Primary Care aims to improve how we approach primary care for both the patient and the providers. Our providers care for a …

Direct Primary Care - Society of Actuaries (SOA)
There are many practice models emerging; I will use the term “direct primary care” to refer to those practices that do not take insurance. Hybrid models are also common; these are …

Transitioning to Direct Primary Care - AAFP
Direct primary care (DPC) physicians are paid directly by patients or their employers, usually with a monthly membership fee, and don’t bill third parties (like insurance companies) on a...

2024 Direct Primary Care Data Brief - AAFP
This brief presents the key findings from the 2024 Direct Primary Care (DPC) Study. The primary purpose of this study was to better understand …

A Primer on the Direct Primary Care Model: Past, …
4 Alexander GC, Kurlander J, Wynia MK, Physicians in retainer (“concierge”) practice. A national survey of physician, patient, and practice characteristics, …

DIRECT PRIMARY CARE PATIENT AGREEMENT AGR…
We regard the patient-physician relationship with the utmost reverence, and we thank you for entrusting us with your health care. Communication is …

Direct Primary Care FAQ’s - CHI Health
Endorsed by the American Academy of Family Practice, Direct Primary Care affords you enhanced access to your family practice care team for a flat …

Direct Primary Care (DPC): Potential Impact on Cost, Q…
Federal law concerning DPC arrangements falls into two main categories: DPC and the private insurance market, and DPC and the …