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Building the Patient-Centered Medical Home

Fred Pelzman, MD, on improving patient care

A sunset photo of a gazebo at the edge of a lake in New Hampshire.

A Brief Missive From the Lake

Rest, relaxation, and a chance to reflect on what our office could improve

A photo of an anatomical heart model on the desk of a female cardiologist.

What's the Best Way to Help Specialists Succeed? Beef Up Primary Care

Let us handle the garden-variety hypertension and diabetes, and give them the complex cases

A computer rendering of a portable ultrasound device sitting on a red carpeted stage with spotlights on it.

The Next Big Shiny Thing

These new devices never live up to their promises, but I keep hoping anyway

An overhead shot of a blank patient progress notes form on a clipboard next to a cup of coffee and stethoscope.

Yearning for the Old-Fashioned Progress Note

In these days of templates and hashtags, figuring out a patient's status isn't always easy

A photo of a laptop displaying a blue error screen.

When the CrowdStrike Global Outage Struck

We depend heavily on technology, but let's not forget about the humanity in healthcare

A photo of a female physician talking to her female patient over a desk cluttered with paper.

Let's Make Primary Care a Primary Focus

We must ease paperwork burdens on our specialty and make it more attractive to future physicians

A photo of the site of the Aspen Ideas Festival in Aspen, Colorado.

Rocky Mountain High

What did I find at the Aspen Ideas Festival? A lot of inspiration and hope

A close up photo of a smartphone showing missed calls and unread text messages.

Two Tries and We're Done? I Don't Think So.

We need to work harder to ensure that patient referrals actually go through

A photo of a mature male physician at his desk looking at his computer.

Sorry, Wrong Provider

There's such a thing as too much information, especially if the patient isn't yours

A photo of a female physician using a computer.

When It Comes to the EMR, Little Things Matter a Lot

Cutting one click from a routine process can make a big difference

A photo of people seated during a presentation at a symposium.

The Heart of Healthcare Innovation Keeps Beating

Our annual innovation symposium inspired us to make our health system work better

A photo of a male physician at his desk shaning hands with his senior male patient.

A Rare Chance to Really Connect

An unexpected hole in my schedule gave me the chance to do something invaluable

A photo of a male physician holding a piece of paper and looking at a laptop in his office.

Getting Everything in One Place

Electronic health records aren't delivering on their promise of fewer paper forms

A photo of a female physician talking to a male physician during a video conference.

Getting in Touch, Figuring It All Out

It's great to have more than one way to ask for help on a difficult case

A photo of a woman sitting on her couch during a telehealth visit with her male physician.

Taking Care of Patients Beyond the Confines of the Traditional Office Visit

Home monitoring can offer a great way to extend our services

A computer rendering of several information boxes floating between a male physician and a laptop

Paging Dr. Sinclair

When it comes to artificial intelligence in healthcare, there are still a few bugs in the system

A photo of a female physician listening to a medical interpreter

Using an Interpreter Is Great, but It Also Needs to Be Documented

Here's yet another example of how automation can help us

A photo of the Cornell Tech campus on Roosevelt Island, New York City.

Having a Retreat Helped Us Move Forward

A day away from it all gave our staff a chance to generate ideas big and small

A photo of a young male physician in his office talking to his senior male patient

Knowing When to Start, Knowing When to Stop

Discussions about screening recommendations can be difficult, but they're worth having

A photo of a male physician shaking hands with a robot over a stethoscope

Small Wins

Artificial intelligence has the potential to assist with our day-to-day tasks

A photo of a man with a pile of various vitamin supplements in his hands.

Take Your Supplements With a Big Grain of Salt

We must guide patients who get lost managing their own care

A photo of Sir William Osler

Artificial Intelligence Versus Sir William Osler

Note-taking in the electronic health record still leaves much to be desired

A photo of an empty examination room in a doctor鈥檚 office.

The Perennial Problem of No-Show Appointments

Instead of overbooking, let's focus on why patients aren't showing up

A photo of a mature male physician sitting at his desk and resting his head on his hand

Care Coordination and Other Opportunities for Improvement

You want me to fill out a paper form even though we're on the same EHR system? I don't think so.

A photo of a mature male physician holding a folder and talking on a phone in front of a fax machine.

Can We Please Stop Pushing the Paperwork Rock Uphill?

Let's develop paperless systems that make our lives easier and allow us to focus on patient care

A photo of workers pouring concrete for a house foundation.

Fix the Foundation

We need to improve the way our primary care offices function

A photo of a young male physician pointing to a clock he鈥檚 holding.

Getting Back the Time We Lost

If you want the paperwork done, at least give us the resources to do it

A photo of a female physician operating a printer/copy machine.

Making Sure Everything Works

Our problem with printing is emblematic of what's wrong with our healthcare system

A photo of hospital medical record archives.

How Do We Hack the Problem of Health Information Hacking?

Going back to using paper and the U.S. mail seems impractical

A photo of an unoccupied examination room in a medical practice.

Missed Opportunities for Care -- And What They Teach Us

Fixing the small things can make a big difference

A photo of a male physician relaxing at his desk.

Thankful for Another Perfect Day

So much to be grateful for at work, and much to strive for too

A photo of a woman walking past a CITYMD urgent care center in Brooklyn, NYC.

Urgent Care Must Be Reexamined ... Urgently

Can't we improve primary care and emergency department visits so more patients go there instead?

A photo of a female physician in her office wearing a headset and looking through a folder.

To Minimize Patient 'Note Bloat,' Cut to the Chase

Repeating data over and over just adds noise that buries the signal

A close up photo of a nurse vaccinating her patient.

Want Your Patients to Be More Independent? The Answer Is Simple: More Simplicity

Let's make it easier for patients to schedule flu shots and do other routine tasks

A photo of a female physician in her office talking to her senior female patient.

It's Never Too Soon to Start End-of-Life Conversations

Patients can make their preferences known away from the pressures of acute illness

A photo of a mature male physician speaking to his female patient in his office.

Forget AI: What Do You Think, Doc?

Patients don't seem satisfied with responses written by artificial intelligence

A photo of an android medical assistant taking a woman鈥檚 blood pressure.

The AI Will See You Now

Envisioning the next generation of medical assistants

Medical technology concept with 3d rendering doctor robot diagnose in hospital.

Need to Answer a Routine Question From a Patient? AI Might Come to Your Rescue

Artificial intelligence could lighten our load, if we can figure out how to use it wisely

A photo of a female physician pushing her female patient鈥檚 wheelchair down a hospital hallway.

Want to Improve the Patient Experience? Let's Start With Discharge Planning.

Endless paper summaries don't cut it, it's time to try something new

A photo of a female physician watching her female patient point to her jaw on a computer monitor.

When a Video Visit Leads to Real Connection

Getting a peek into the homes of our patients is an added privilege

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