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Building the Patient-Centered Medical Home

Fred Pelzman, MD, on improving patient care

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

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

Home monitoring can offer a great way to extend our services

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Paging Dr. Sinclair

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

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

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

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Having a Retreat Helped Us Move Forward

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

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Knowing When to Start, Knowing When to Stop

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

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Small Wins

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

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Take Your Supplements With a Big Grain of Salt

We must guide patients who get lost managing their own care

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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

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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.

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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

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Fix the Foundation

We need to improve the way our primary care offices function

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Getting Back the Time We Lost

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

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Making Sure Everything Works

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

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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

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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?

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

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

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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

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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

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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

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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

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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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Please, Higher-Ups, We Know What to Do. Let Us Do It.

We can improve our practice workflow, if only you'll let us

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Stuck in the Sticking Place

If you want primary care doctors to fix what's ailing our patients, give us the resources we need

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Overcoming Inertia

What's the best way to start making changes, large and small, to our healthcare system?

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The Dreaded Cocktail Party Conversation

Telling fellow party-goers you're a doctor comes with its own set of hazards

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No-Shows Have Got to Go!

We need to improve no-show rates, but overbooking is not the answer

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Dealing With a 24/7/365 World

We need to find better ways to address patients' after-hours concerns

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Artificial Intelligence Could Improve Medical Practice -- But Only If Done Right

Yes, AI can help, if clinicians are consulted during its creation

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Washing Our Hands of the Current System

We need solutions that actually work, not processes that just get in the way of patient care

A photo of a mature female physician sitting in her kitchen during a telehealth visit.

Should Doctors Work From Home?

It certainly won't fix everything, but working from home deserves a place in the schedule

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It Ain't Worth a Thing If You Don't Got That (Follow-up) Swing

We must do better at making sure patients connect with their care managers

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Getting the Data Correct, Every Time

A lab collection report showed us that fixing problems requires getting the right information

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Are We Losing the Personal Touch Because of the Way We Staff?

Changing who answers the phones or fills in for the doc may mean fewer personal connections

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