What Is The Future Of Collaborative Medicine?

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David Edward Marcinko, MBA, CMP, and Professor Hope Rachel Hetico, RN, MHA, CPQH, CMP

   3. Economically guaranteed podiatric care. Primary podiatric medicine is also ideal for the “satisfaction-guaranteed” model. Yet this economic business model may have begun with whole body medicine at the Detroit Medical Center. In 2007, this facility offered patients a credit of up to $100 if they were not satisfied with inpatient services or an overnight visit.7

What The Experts Say About The Changing Healthcare Landscape

In Time magazine, healthcare journalist Bonnie Rochman explored the ramifications of the “empowerment movement” she calls “Patient 2.0.” In her essay, she profiled the newly created Society for Participatory Medicine, which “encourages patients to learn as much as they can about their health and assists doctors to support patients on this data intensive quest.”8

   As Holstein and Lundberg said, “All medical and health care is intensely personal: one patient, one professional, one moment, one decision. The patient is best served by fully participating. With American health care reform imminent, participation for self-preservation becomes even more important.”9

   Finally, in the New England Journal of Medicine, Hartzband and Groopman claim that nothing in the history of medical innovation “has changed clinical practice more fundamentally than the Internet.”10 The increased access to medical information is “redefining the roles of physician and patient.”

   Donald Berwick, MD, who leads the Center For Medicare and Medicaid Services (CMS), defined patient-centered care in a way that sounds much closer to nursing school models than any medical models. Berwick argues that it is all about asking the patient: “What do you want and need?” “What is your way?” “How am I doing at meeting your needs?” or “How can I help you?”11

   Isn’t that what nurses — and doctors — once asked?

   Although one may surmise that the next generation of Internet savvy doctors are most likely to turn up the volume in Health 2.0 participation, no patient of any age is inclined to go back to the Health 1.0 era, if Rochman, Lundberg, Hartzband, Groopman and Berwick are correct. Welcome to the future of lean and participatory podiatric medicine.

   Dr. Marcinko is the co-founder of www.PodiatryPrep.com and CEO of www.MedicalBusinessAdvisors.com, a practice management and advisory firm for physicians. He also publishes the blog www.MedicalExecutivePost.com. Dr. Marcinko is a member of the American Society of Health Economists and the Healthcare Information and Management Systems Society. A former visiting professor of business administration, he is also Editor-in-Chief of the institutional journal www.HealthcareFinancials.com and the author of more than two dozen books in medicine, business, information technology and finance.

   Professor Hetico is a former Certified Professional in Healthcare Quality. An Assistant Professor at several local graduate schools in Atlanta, she is also Managing Editor of www.HealthDictionarySeries.com and the Executive Director for www.ePodiatryConsentForms.com.

   For further reading, see “When Patients Ask About Online Information On Products And Procedures” in the January 2009 issue of Podiatry Today, “What Web Marketing Can Do For Your Practice” in the November 2004 issue, “Essential Insights On Electronic Medical Records” in the February 2010 issue or “How To Evaluate EMR Systems For Your Practice” in the April 2005 issue.

   To access Podiatry Today’s blogs, visit www.podiatrytoday.com/blogs.


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