tag:blogger.com,1999:blog-9181810725696409953.post5033872123006607416..comments2024-03-17T04:20:11.083-04:00Comments on The Population Health Blog: The Busywork Burden of Primary Care Physicians: A Review and What Population-Based Care Management Organizations Already KnowJaan Sidorovhttp://www.blogger.com/profile/05072456803925863874noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-9181810725696409953.post-89705290674941269282010-04-30T16:33:30.795-04:002010-04-30T16:33:30.795-04:00Units of work aren't the problem, reimbursable...Units of work aren't the problem, reimbursable units are.<br /><br />Two broad comments with detail:<br />1)There's enough $$ in the system already. the problem is that hospitals and specialists take large pieces of the pie. PCP's in a different era felt phone calls, Rx refills were just part of practice. Now with less $$ in direct patient visits they struggle with that viewpoint. So the task at hand is to "take" money from hospitals (reducing bed days, reducing admissions) and specialists (more complex management in primary care, less specialty procedures)<br />2)Do physicians need to do the non-direct patient care activities. In an ideal system the "chronic disease management program" would manage the labs for the CHF, DM etc pts and only need physician sign-off. That begs a larger question: In the Medical Home is the physician the "captain of the ship" or just a "highly trained, key team member who is focused on direct patient care"?Phil 314https://www.blogger.com/profile/04133300763922742206noreply@blogger.com