Patient centric healthcare .....
November 13, 2009 9:23 AM
The heading seems intuitive and a cliche. All healthcare should be. The administrators, infrastructure, payor sources and caregivers should all have a single-minded laser-sharp focus on the patient. However, reality could not be far from it. Payor sources are more concerned with maximizing efficiencies and minimizing payouts, infrastructure is built and managed by REIT's to maximize profits for investors, caregivers, doctors and allied health professionals alike, are burdened by career aspirations and educational debt, and administrators are forced to take a business view of clinical operations.
Nothing wrong with the above picture. Individual self-interest, aligned to solve a common problem! Except, there is no cohesive goal, no binding framework that ties all competing self interests to the one that really matters, treatment-outcome or patient-welfare.
I propose a system that treats the patient as a paying-customer, a novel idea? Hardly.
1. A patient must enter an integrated process to get treatment.
2. Since treatment is no longer the purview of a single physician or specialty, all involved must integrate into a single process, quite like an assembly line.
3. Co-payment must be linked with getting well and the outcome of the entire process. Patients must not be penalized for systemic in-efficiencies. The current system rewards incompetency. The longer the curative process, more the number of visits the higher is the payment to the "healthcare gods".
4. Hospitals are well suited for the above "integrated process" and a system of accountability across many providers. But, what about independent physician practices and clinics?
There is a solution.
Stay tuned for Compleat CycleR