Consumer-Driven Changes for the ABC Health Options Clinic 1. What are the key pr

Question

Consumer-Driven Changes for the ABC Health Options Clinic
1. What are the key problems?
2. How will these consumer-driven changes affect the clinic overall? Per physician group?
3. Are the tethered medical records a good idea?
4. What ethical concerns have been expressed by the physicians that could impact the success (or failure) of these new changes?
5. Are the satellite clinics such a good idea and what will their impact be on the clinic financially? Will one group bear the majority of the financial obligation and liabilities for this population?
CASE: Consumer-Driven Changes for the ABC Health Options Clinic bert has been made the new director of the ABC Health Care Options Clinic in Phoenix. Arizona. The clinic is a large freestanding, multi-specialty clinic providing general and specialty health services to the southeastern Phoenix ar freestanding. It has been in existence since 1963, with 53 physicians and 10 multi-physician groups. The Internal Medicine (IMP) Family Practice (FMP) and 08-GYN (OGP) groups are the largest and have a history of exerting the most control in the clinic's affairs Before he took early retirement, the previous director began a plan to make the clinic more "consumer incorporating new additions -friendly such as mandatory electronic medical records based on a tethered system, Saturday office ding satellite minor emergency and primary care clinics in southeastern Phoenix to assist with the uninsured and underinsured population groups. In the last meeting, the chiefs of staff for each of the three primary physician groups expressed their opinions regarding some of the new changes, particularly the satellite clinics for the uninsured and under-insured populations. Dr. Smee, chief of staff for IMP, was concerned that this would bring in "an unfavorable sort into our clinic," decrease their fiscal solvency, and increase the liability. Whereas Dr. Loo, chief of staff felt that this was a good way that the clinic can impact the issue of lack of access to care and would increase their ability to provide quality health care to all, but was wary of how the clinics would be staffed particularly over the and two freestan for FMP, weekends Dr. Rodriguez, an endocrinologist specializing in diabetes care, stated concern about the tethered electronic medical record system, which is proposed to be linked with Google Health and HealthVault. Her primary concern was the safety of the information and presumed privacy of health information in personal health records that would be linked to the clinics records Drs. Blue and Green from rheumatology and orthopedics felt that this push to increase the clinic's public image and consumer appeal is a good strategy, and one which could increase the clinic's ability to remain competitive. Mary Johnson, the lead nurse access to care for all was a good move and stated that she and six other NPs were willing to staff the satellite clinics on Saturdays on For the last two weeks, Robert has been reviewing all the meeting notes and interviewing representatives from the physicians practitioner from the family practice group, felt that the move toward a more consumer-friendly system and incre a rotating basi in each clinic. While the majority of the physicians and groups were in favor of the changes, the Internal Medicine group (IMP) Robert has called an all-clinic meeting on Friday to discuss these changes and how they will impact the routine of the clinic as opposed to the changes and felt threatened by any new change to their accustomed routines or if they should be done at all. As he ponders his situation, he has to decide what the best choices are

Explanation / Answer

1) After reading the case, the key problems that needs to be addressed are -

2) These consumer-driven changes would bring a positive change in the clinic. Most of the physicians welcomed the change. These changes in the clinic increase the clinic's public image and its ability to remain competitive. Consumer appeal is a very good strategy that has been implemented in the clinic. Physician's felt that a more consumer-friendly system and increasing access to the care for all was a very good move.

3) Tethered medical records are a good idea. The personal health records are tethered to the patient's electronic health record, and all the details of the patient is found there. This way, patient's can access their relevant medical documents any time. This is advantageous because, patients need not keep a physical copy of their health documents. Everything can be found in the patient's electronic health record.

4) The ethical concerns physicians have expressed bring both success ad failure to the clinic.

Success - With the kind of consumer driven care and consumer friendly system, clinic would get a very good publicity and word-of-mouth. This way clinic would be able to remain competitive.

Failure - There are the chances of data misuse or hacking of the patient's data from the electronic medical health record.

5) Satellite clinics are a good idea. But the cost associated with these clinics is high. So, bearing the cost factor in mind, satellite clinics should be made available on weekends to cater the additional demand in the clinic.

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