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Primary Care: Are You Busy Or Effective (or Both)?

May of 2018 we turned on dashboards on the Value of Care for a group of 400 providers. On the dashboard the scale of 0 – 100, a 70 was considered “good value,” below this there were significant opportunity for higher value care. The average score for our providers was 35.

Within hours the phones began to ring – “my care is better than this,” “my dashboard is wrong,” “your data is incomplete” – the general sentiment was “I am making a bigger difference that you are saying I am.”

Let’s look at the facts – they were busy – usually filling their schedule to 80+%, moving through the day giving 100% to each person sitting before them. At the end of the day going home feeling tired but sure of their contribution to their patients. They must be high quality, effective, and their patients are benefiting based on days, months, and years of committed work.

So why the relatively low scores? We set up teams to investigate. The ability to click down to a member level allowed the providers to see what was going on with their patients. Were the patient really theirs or not? An examination revealed YES! Then why weren’t their blood pressure, cholesterol, asthma, blood sugars, immunizations, and screenings not at goal?

Barbara was supposed to come back in but never did, Bob travels all the time, Suzie stopped taking her meds, but never communicated it, John’s son got ill and he missed his appointment and never came back in…. The list of reasons went on and on. But the reality did not change – we were confusing being busy with meeting the needs of our patients. Often, we were not seeing the patients that needed us the most.

This lead to new systems, new ways of proactive (and automated) outreach. Soon the right patients were in the right practice at the right time. Quality took a jump up. Providers knew they were doing the best thing for all of their patients, not just the ones in front of them.

Busy was now productive and we were adding years to the lives and life to the years of those we served!

Is your practice busy, effective, or both?

Exciting Update from GOH Medical-New Clinic Merge!

Important Update from GOH Medical Practice
Dear patients and friends:My dream has been to provide timely, state of the art, proactive, convenient primary care to add years to your life and life to your years by empowering you to take control of your health.  To accomplish this takes significant resources. GOH (Game of Health) Medical has tried to do this as a solo physician practice for the past 4 years with mixed results – and so it is time to evolve.The question was which group do I associate with to bring you outstanding care?  Fortunately, I had access to a huge database to research and find the best medical group.  Working with the team at Compass PHS, we created a Value formula to identify the best primary care doctors in North Texas.  We looked at quality, safety, service and cost – 21 variables in all, to identify The Premier Providers.

A group of practices use team based, outcome-oriented, evidence-based medicine to care for patients.  Some have received the NCQA Patient Centered Medical Home designation.  After this analysis, it was my job to get to know these practices. In doing so, Dr. Chrisette Dharma and Southwest Family Medicine Associates (SFMA) were discovered as the #1 doctors in this analysis. Her new, state of the art office is located halfway between my current office in Dallas and Irving. SFMA has the ability to do online appointments, extended office hours and Saturday appointment availability, all major insurances accepted, and provides extensive imaging, lab, travel medicine and other services.

It is with great excitement to tell you that effective January 1st 2015, I will be moving GOH Medical’s practice to SFMA to join their team and see patients.  Our team includes Nurse Practitioner Angela Kemp, Dr. Asa Hadwell to make sure you get great musculoskeletal care, and our new lifestyle coaching team who will offer you support on weight loss, smoking cessation, and staying with your 2015 health goals.  We will be working with Dr. Dharma and her excellent team of physicians at SFMA to make sure you get the best care possible.

The Park Cities MedSpa, Concierge, Women’s Health & BioTE bio-identical hormone practice will remain at the current GOH Medical location in the Preston Tower. The providing team here includes Celia Dolinta (DNP-Women’s Health), Jill Ethridge, Brandi Padilla (Medical Esthetician) and Cheryl Reinhart (NP). All other medical patients will be seen at SFMA.  To make an appointment at the SWFMA location, please call the direct number below, or you may use our current number and press option #3.

If you have any questions, please contact Lauren Kirschner before Jan 1st atLauren@gohmedical.com.

I look forward to seeing you soon!

Scott Conard, MD

Southwest Family Medicine Associates
8877 Harry Hines Blvd
Dallas, TX 75235
214-393-2940