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

  • What AI can never replace in medicine

    Jessica Wu, MD
  • My experiences as an Air Force pediatrician

    Ronald L. Lindsay, MD
  • How diverse nations tackle health care equity

    Olumuyiwa Bamgbade, MD
  • What is practical wisdom in medicine?

    Sami Sinada, MD
  • A pediatrician’s role in national research

    Ronald L. Lindsay, MD
  • The danger of calling medicine a “calling”

    Santoshi Billakota, MD
  • Most Popular

  • Past Week

    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • A surgeon’s view on RVUs and moral injury

      Rene Loyola, MD | Physician
    • Why what you do in midlife matters most

      Michael Pessman | Conditions
    • Why your health is a portfolio to manage

      Larry Kaskel, MD | Conditions
    • Protecting physicians when private equity buys in [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rethinking the JUPITER trial and statin safety

      Larry Kaskel, MD | Conditions
    • How one physician redesigned her practice to find joy in primary care again [PODCAST]

      The Podcast by KevinMD | Podcast
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The measure of a doctor, the misery of a patient

      Anonymous | Physician
    • A doctor’s struggle with burnout and boundaries

      Humeira Badsha, MD | Physician
    • The stoic cure for modern anxiety

      Osmund Agbo, MD | Physician
  • Recent Posts

    • Protecting physicians when private equity buys in [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why faith and academia must work together

      Adrian Reynolds, PhD | Education
    • Pancreatic cancer racial disparities

      Earl Stewart, Jr., MD | Conditions
    • What AI can never replace in medicine

      Jessica Wu, MD | Physician
    • Why the MAHA plan is the wrong cure

      Emily Doucette, MPH and Wayne Altman, MD | Policy
    • Why burnout prevention starts with leadership

      Kim Downey, PT & Shari Morin-Degel, LPC | Conditions

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

    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • A surgeon’s view on RVUs and moral injury

      Rene Loyola, MD | Physician
    • Why what you do in midlife matters most

      Michael Pessman | Conditions
    • Why your health is a portfolio to manage

      Larry Kaskel, MD | Conditions
    • Protecting physicians when private equity buys in [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rethinking the JUPITER trial and statin safety

      Larry Kaskel, MD | Conditions
    • How one physician redesigned her practice to find joy in primary care again [PODCAST]

      The Podcast by KevinMD | Podcast
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The measure of a doctor, the misery of a patient

      Anonymous | Physician
    • A doctor’s struggle with burnout and boundaries

      Humeira Badsha, MD | Physician
    • The stoic cure for modern anxiety

      Osmund Agbo, MD | Physician
  • Recent Posts

    • Protecting physicians when private equity buys in [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why faith and academia must work together

      Adrian Reynolds, PhD | Education
    • Pancreatic cancer racial disparities

      Earl Stewart, Jr., MD | Conditions
    • What AI can never replace in medicine

      Jessica Wu, MD | Physician
    • Why the MAHA plan is the wrong cure

      Emily Doucette, MPH and Wayne Altman, MD | Policy
    • Why burnout prevention starts with leadership

      Kim Downey, PT & Shari Morin-Degel, LPC | Conditions

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...