A Message to My Patients

First of all I want to thank you all for the many calls, texts and emails I am getting; your concern is moving.

In addition, I am sorry for the sudden departure and possible interruption in the continuity of your care.  If you are having issues or problems please feel free to email me at the address below and let me know how I can help.

Let me address the main issue most of you are asking; why I am no longer at TienaHealth.   For the last 4 1/2 years I have been working as the Chief Medical and Strategy Officer (CMSO) for Medical Edge in addition to my patient care responsibilities.  On 1/1/2011 the Texas Health Physicians Group acquired Medical Edge and there was no CMSO position in THPG.  Thus my contract, both for the executive and for my medical practice concluded.  Dr Stoltz, the president of THPG and I are looking at the possibility of me coming back as a doctor only, but this has not been decided, and if I do it will be in the Grapevine/Southlake area, not at TienaHealth – (stay tuned).

But in the mean time, what I am doing is considering my options for the medical practice.  If you could design the perfect situation for your healthcare what would it look like? Here are some key areas;

  1. How do we take healthcare to you, not make you come to the healthcare, making it more convenient and accessible (web, telephone, email, webinars, seminars, group visits, text – be creative),
  2. Who is on the “team” – me alone, or several people working to the top of their license to provide care (other doctor(s), PA/NP, nurse, dietitian, chiropractor, maseuse???), what do you envision?,
  3. How do we build a “community” – see one, do one, teach one – people going through life together, supporting, sharing, and caring for each other (yes, even between patients),
  4. Who are the others, and how many do you envision in the “community” of care?
  5. What physical resources do we want (office, conference room, gym, pool, airplane)?
  6. What shall we call ourselves?
  7. Any ideas on funding – traditional insurance, membership, co-op, nonprofit corp?

This is the time to brainstorm and be creative.  The fundamental foundation of great care is the relationship and continuity with the your healthcare team.  This is what we want to focus on.  We may start off with a small office with a large web presence or no office and all house calls – let’s be open to the functions defining the structure.

As we are re-calibrating and dreaming of what this “Community” looks like I am eager to hear your suggestions.  Please post a comment and/or send an email to me at drscott@scottconard.com.

Committed to your wellness,

Dr Scott

6 Responses to “A Message to My Patients”

  1. Shell Higgins April 29, 2011 at 5:35 pm #

    The team must include a pharmacist. Patients are on so many medications. They are filling the prescriptions at different pharmacies. To be at the top of your game you must have the right patient with the right medication at the right time. A clinical pharmacist has the training and skill to accomplish this.

  2. Pat Tully May 6, 2011 at 1:54 am #

    I like the idea of community. “A Health Community”. Traditional reimbursement for physician services is pathology focused; payment is tied to a DX. I think within a practice it is hard to escape that method of reimbursement with a varied patient base with multiple and varied insurance plans. However, a health community can have membership fees. Activities such as education, group support for health goals, community demonstrations on health cooking and choices possibly a network of supportive business that would want to affiliate with community (Gyms, supplement stores, Health Food stores etc.). I will visit the site to see when you are “back in the saddle”. You are a gifted practitioner and need to practice.

  3. Bonnie Barnett May 6, 2011 at 2:51 am #

    A “care coordinator” is an absolute necessity! You wouldn’t believe the nightmare I’ve been going through at Tiena since you left. Still in pain some 7 weeks later, and all I have is more hydrocodone to help “mask” the pain. Someone in your future practice needs to be responsible for all caregivers to communicate with each other on ANY patient that needs it. When the patient is either ill or injured, they simply may not be capable of coordinating everything, even through one clinic, much less with referrals, prescriptions, tests, and possible equipment and supplies.

  4. Kathy Chapman May 10, 2011 at 8:56 pm #


    Whatever decision you make, I support you whatever decision you make and if you decided to have your own practice in the future I will be happy to see you as my doctor and health coach.

    • Scott May 21, 2011 at 1:14 pm #

      As of Thursday I am free to start looking and figuring out a solution. Stay tuned.

  5. Sue Basey May 25, 2011 at 1:57 am #

    Membership in a Health Community sounds reasonable and can be accomplished. Also a good idea to include “patient to patient” healing. We are all teachers and students at the same time, all the time. Please remember to include the Spiritual aspect of healing. It goes hand and hand with the medical healing and sort of takes the lead in Wellness.