Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

For the medical home to be successful, listen to the patients

Fred N. Pelzman, MD
Physician
January 12, 2014
Share
Tweet
Share

Standing in the middle of a massive hotel convention center hallway with thousands of people wearing name tags.

Not where I usually spend my days.

I have been asked to join senior management at a national client conference for the company that is providing patient survey data to our institution, those surveys patients get in the mail asking about their “experience” during their visit to our practice.

Everybody here wants the same thing, everybody here wants to make things better. Everyone has a different agenda, and everyone has a different idea how to get things done.

Massive, earth-changing ideas focused around transformational care, thought leaders from the world of health care challenging us with ideas on how to remake the system locally, nationally, globally.

Individuals from small practice administrators to front-line workers, sent to bring a little bit of change back to their home, a small idea hoping to improve the lives of their patients, their staff, their clinicians, and hopefully alleviate some of the suffering created by our system along the way.

A new way to collect patient data, a new way to present patient data, a new way to report, the next big thing. This is going be the thing, it’s going to get us where we want to go, this is the system of information management that will give us what we all really need. Is this, could this be, the wave of the future?

When the national leaders speak, we all listen, at rapt attention. When the rock stars of the health care industry and political superstars and reality television stars talk, we stand and cheer. When the presenters at the smaller booths talk we listen, trying to figure out how this fits into our lives, trying to figure out if this is that one thing that’s going to be the game changer.

Handouts, PowePoint presentations, glossy magazines, kiosks, slick presentations by well-trained presenters, salesmen masquerading as members of our team.

I know we all need this, we need good hard data to lead to change, I know this is trying to do some good. We recognize that it is hard doing our job, and none of us is intentionally ignoring our patients and their needs, leaving unfulfilled their desires for achieving perfect health.

And when we get those “report cards” showing our low numbers, we all think, this is somehow a reflection on me, it’s personal, there must be something wrong with the data, this can’t be what my practice is really like, this cannot be what I am like as a provider.

For our patient-centered medical home to truly be patient centered, we need to hear the voices of our patients, to listen and learn from their experiences moving through our practice. Any change needs data to help us evaluate that change. Did we really make things better? Did we accomplish what we set out to do? We can think that any change is a good change, but hopefully we have learned that this is not always true. And just getting more data is not the answer either.

By engaging the entire patient-centered medical home team with the process, and getting the data right, and helping those collecting the data know what we need, we can hopefully hear the needs of our patients, and this process can really help us fill those needs.

ADVERTISEMENT

Fred N. Pelzman is an associate professor of medicine, New York Presbyterian Hospital and associate director, Weill Cornell Internal Medicine Associates, New York City, NY. He blogs at Building the Patient-Centered Medical Home. 

Prev

MKSAP: 68-year-old man with exertional chest pain

January 12, 2014 Kevin 0
…
Next

Increase patient and provider satisfaction by reducing phone messages

January 12, 2014 Kevin 3
…

Tagged as: Primary Care

Post navigation

< Previous Post
MKSAP: 68-year-old man with exertional chest pain
Next Post >
Increase patient and provider satisfaction by reducing phone messages

ADVERTISEMENT

More by Fred N. Pelzman, MD

  • Why electronic medical records should be standardized

    Fred N. Pelzman, MD
  • Can answers to after hours calls be automated?

    Fred N. Pelzman, MD
  • We have to do better than DNR tattoos

    Fred N. Pelzman, MD

More in Physician

  • Why billionaires dress like college students

    Osmund Agbo, MD
  • Reclaiming physician agency in a broken system

    Christie Mulholland, MD
  • What burnout does to your executive function

    Seleipiri Akobo, MD, MPH, MBA
  • Dealing with physician negative feedback

    Jessie Mahoney, MD
  • Why CPT coding ambiguity harms doctors

    Muhamad Aly Rifai, MD
  • Moral injury, toxic shame, and the new DSM Z code

    Brian Lynch, MD
  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Escaping the trap of false urgency [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • Why clinicians must lead the health care tech revolution [PODCAST]

      The Podcast by KevinMD | Podcast
    • Advance directives not honored: a wife’s story

      Susan Hatch | Conditions
    • Why billionaires dress like college students

      Osmund Agbo, MD | Physician
    • The therapy memory recall crisis

      Ronke Lawal | Conditions
    • A urologist explains premature ejaculation

      Martina Ambardjieva, MD, PhD | Conditions
    • Why medical organizations must end their silence

      Marilyn Uzdavines, JD & Vijay Rajput, MD | Policy

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 20 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • The flaw in the ACA’s physician ownership ban

      Luis Tumialán, MD | Policy
    • Escaping the trap of false urgency [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
    • A neurosurgeon’s fight with the state medical board [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • Why clinicians must lead the health care tech revolution [PODCAST]

      The Podcast by KevinMD | Podcast
    • Advance directives not honored: a wife’s story

      Susan Hatch | Conditions
    • Why billionaires dress like college students

      Osmund Agbo, MD | Physician
    • The therapy memory recall crisis

      Ronke Lawal | Conditions
    • A urologist explains premature ejaculation

      Martina Ambardjieva, MD, PhD | Conditions
    • Why medical organizations must end their silence

      Marilyn Uzdavines, JD & Vijay Rajput, MD | Policy

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

For the medical home to be successful, listen to the patients
20 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...