I'm hoping I'll be able to fall asleep tonight. I just came from a meeting with colleagues in NYC. I met with Moitri, Soma, Sofia, Bruce, Matt, Sean, Michele, Carrie.
These independent primary care practices want to come together to delivery and demonstrate exemplary primary care. We know we can do it. We talked about how we can use a common data platform to measure the quality of care we deliver based not on the "chase a thousand points of detail" but rather on key indicators of how our practices perform as systems of care for our patients.
We have confidence (based on previously published data as well as personal experience doing this work) that we will be able to demonstrate care delivery that anticipates vastly superior outcomes (avoiding unnecessary hospital admission or emergency room use, helping people improve their lifestyle, work on wellness as well as chronic disease management).
We know that there are self funded employers desperate to offer a better health care experience to their employees and yearning for better outcomes that reduce their costs, and we know how to talk with them.
I'm done playing mother-may-I medicine.
I'm done begging clerks to approve needed treatments for patients.
I'm done playing quality Twister trying to prove my worth against a silly quality paradigm that is so blatantly biased to reward big institutional practices and punish small ones.
I'm done begging for pennies on the dollars I need to fund the full scope of my work.
I'm totally jazzed that this group of solo and small practices is willing to come together around doing the right thing for their patients, willing to hold themselves to the highest standards of care, to measure and report and if need be to work hard to improve.
I'll blog more as we get this thing going.