The Future Family Physician

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Presentation transcript:

The Future Family Physician John Saultz, MD Professor and Chairman OHSU Family Medicine January, 2014

GP SW

Mittelstaedt TS, Mori M, Lambert WE, Saultz JW Mittelstaedt TS, Mori M, Lambert WE, Saultz JW. J Am Board Fam Med 2013; 26(4): 356-65.

SW Inpt Svc Readmissions 11/12-10/13 Pts from FM clinic Pts from CHC’s

How did we develop data-driven care? Choose and implement a highly functional EHR- 2 years Build our own data team-1 year Clean the data by changing practice work-flows-1 year Standardize and continuously improve reporting structure- ongoing Change our practices using data- starting

A new model of population health care is emerging Primary care is no longer an appropriate name Includes population health management without losing highly personal relationship-based care Is interdisciplinary with integrated public health, specialty care, and mental health care The new model adheres to well-established principles, enhanced by information and communication technology Access, Continuity, Coordination, Comprehensiveness, Patient-centered and contextual The new model is based on personal and team responsibility The new model is rooted in the patient’s experience, not the medical office, and includes institutional care

Population Care Model: 2014 Institutional care Hospital Care Emergency care Nursing Home Care Home Care Urgent Care Hospice Care Common Acute Problems Common Chronic Problems Common Behavior Problems Coordination of Specialty care Ambulatory care Preventive Care