UnChartI’ve just started this a couple months ago. — Jonathan. When thinking home sleep monitors, I wanted to reveiew practice changes I’ve made in the past couple years. Practice Innovation Revenue Cost Fluoride $8600 Under $1000 Continuous Glucose Monitor $3400 ~$1600 Ambulatory Blood Pressure Monitor $4600 $1600 Zio Patch $100 $100 (Delayed for Medicare T-Code) [...]
Posts Tagged ‘patient-centered’
Ideal Panel Size Report
A few years ago the AAFP had an article, How Many Patients Can One Doctor Manage?. This report can be used for dicussions about relative panels in a practice. Which doctors have availability that matches up with their assigned panels? Who is over-paneled? Who is under-paneled? This crystal report for e-MDs has 4 different tables [...]
Consultation Theater
A while back a college friend turned me on to Strengthsfinder. My strengths are Strategic, Ideation, Input, Learner and Self-Assurance. I can identify with other strengths but these fit, too. Ideation is Strengthsfinder terminology for a person who loves coming up with and thinking about ideas. That’s definitely me. Our group is starting to think [...]
Visit Summary 7.2.1
It’s been just over a year since I was appalled at the default Visit Summary. The original visit summary disengages a patient in her care. It sets up barriers like 3/4 of a page of junk before the actual content begins. So that night as a proof of concept, I cleaned up the Visit Summary. [...]
Using e-mail to increase panel size
After doing some practice innovations (group visits are restarting, I’m undiagnosing patients from hypertension treatment with my ABPM) I may have some availability in my practice without affecting my continuity. That means I can potentially increase my panel size a bit and still provide similar care. I’ve just done a little free within-my-practice advertising and [...]
Group Visit Invitation
I’m going to be doing a diabetic group visit — a dinner club. Why would I offer to give free food as part of a doctor visit? By going over dinnertime, I can make it easier for diabetics with a job to stay on top of diabetes. Exemplify some healthy meals Time savings of group [...]
WelchAllyn SpotVitals LXi
I’ve wanted this for several years — I think it’ll improve flow, reduce disparities in vitals and reduce transcription errors on vitals. If we implement this right, we can even use it to improve the human-ness of our rooming. Keith Tom’s practice uses it and loves it. Here’s their quick video. By the way, Keith, [...]
Health Information Exchanges
I’ll be helping min-ns.org to set up our local HIE. As part of that, I’ve been focusing on the message for doctors about Health Information Exchanges (and Meaningful Use and EHRs). I’m especially proud of my video about what a HIE is — I humbly submit this is the best video on the Internet about [...]
Encourage e-MDs to Fix Portal Usability
Update: This appears to be fixed as of today. Interestingly enough the new formatting doesn’t redesign the site but it makes exactly the change that I mention below. This makes it much more usable for patients. — Jonathan Ploudre, 1/25/2012 Portal has a usability bug that affects a lot of patients (anyone using Google Chrome, [...]
Diabetes for MS3, 2011
Here are my slides about Diabetes for Lecture for PNWU. Diabetes for MS3s View more presentations from Jonathan Ploudre
Opioid Treatment Agreement
Treatment Agreement I am being prescribed “controlled medications”. These may relieve pain but could cause overdose or become habit forming. It is my doctor’s duty to make sure these medications are being used as safely as possible and as intended. I will ask for refills only from my primary doctor. I will use only one [...]
Ambulatory Blood Pressure Monitor Patient Handout
Here’s my info handout for patients getting Ambulatory Blood Pressure Monitoring. It’s got some nice specifics: About 90 seconds to read, 8th Grade reading level. But it covers the key points I’ve learned with my first ~15 patients who’ve done ABPM. Your doctor has recommended you get “Ambulatory Blood Pressure Monitoring”. This is a portable [...]
Patient-centered Health IT Manifesto
If we are going to really get Health IT, we need to be patient-centered. It’s generally being ignored now. Modern health is phenomenal: Public Health/Sanitation/Antibiotics. Now 7% of Wealthy vs 36% of Poor die of infection in 2011.– National Geographic With modern medicine, much of main causes of death can be modified/prevented/managed by medications. Heart [...]
