on line medicine

Free at Last, Free At Last, Thank God I am Free At Last. Time to head home (the Medical Home)

I am overjoyed (and greatly relieved) that I can now report that I am a “free agent.” I met with Dr Stoltz last Thursday and, at this point, I am no longer associated with Medical Edge or Texas Health Physician Group and will not be opening an office with them.

So it is time to get down to brass tacks and figure out what we are going to do.  As all of you who know me well appreciate I am absolutely committed to

“Adding years to the life and life to the years of individuals, corporations, systems and nations to empower intuitive wellness.”

There will be two aspects of this pursuit for me – clinical practice and creating an Accountable Care System that empowers the Accountable (or Activated) Patient.

In the clinical practice I am committed to finding and growing old with a group of patients who too are committed to living a great life – reaching 100 years of age with vitality and joy.

What does not work for me in the practice is running in and out of rooms 15 minutes at a time until I am exhausted.  This model does not work – the American Healthcare System has proven this without a doubt.  So here are some basic to consider;

  1. One on one, face to face visits will be necessary for part of the time.  But guiding, directing, supporting, and coordinating the effort is as or more important to the process of attaining intuitive wellness.
  2. Creating a medical home with opportunities like group visits, on line visits, telephonic care, and having other members of the team like dietitians, exercise specialists, social workers, pharmacists available to us are also vital.
  3. Working with a great physicians assistant and/or nurse practitioner (and at some point additional doctors) as a part of the team will add tremendous value to the practice.
  4. Finally, the freedom to speak with the specialist or go to the visit when it could/would contribute greatly to your health cannot happen when I am running room to room but may be vital at times to your health.

So now we start building a new model.  The first thing is building the team to get the logistics of starting a practice accomplished.  Not glamorous but necessary.  let’s start with one foundational person; an organized, capable, motivated individual with some healthcare background (possibly an MA or nurse) who would like to run with the ball and create this enterprise.   Do you know this person?  If so, asap please send me their contact information to drscott@scottconard.com

Secondly, this individual will need some help.  Would anyone be willing to volunteer to help with basic tasks ranging from filling out forms to running errands?  It will take a village to create the ideal medical practice for our community, but and now we have the green light for go and we can proceed!

I miss you and look forward to seeing you soon in our new facility.

Dr Scott

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