We should send a thank you note to Jenny McCarthy for helping thin the herd. The final paragraph captures it well.
“As the Wales outbreak demonstrates, though, it takes more than parents. It also takes people–scientists and journalists–willing to use sensationalism to drum up readership and attention and money and to sideline public health in the process. And unfortunately, we have yet to develop a vaccine against simple human venality.”
This is a thoughtful and well measured analysis of the ACA, Patient Engagement, and cost. Adrian Gropper, MD makes the following point which I see as yet another reason to engage patients in their care. It is time to put patient centric first.
The path to health reform in the age of unlimited connectivity and mobility cannot continue to bypass the patient. EHRs are an institutional tool and they are unlikely to be either the doctor’s or the patient’s lightsaber regardless how many federal regulations, certifications and billions of dollars we throw at them.
This is timely, important, and so spot on regarding the fact the office visit is not a drive by but part of a continuum of care. Dr. Lamberts says it well when he writes:
My care is no longer episodic, so why should my records be? I no longer need “visits” as units of commerce, and no longer need “problems” as the goods for which I am paid. This took me quite a while to figure out, and has me making some radical (crazy?) changes to how I think about care.
Read this if you want to where healthcare should be moving and why. It takes the EMR and makes it the narrative in the care. So well written and on point.