The Institute of Medicine's Crossing the Quality Chasm report described new, more beneficial approaches in providing care to patients. This new approach consists of the following:
1. Care is based on continuous healing relationships.
2. Care is customized according to patient needs and values.
3. The patient is the source of control.
4. Knowledge is shared and information flows freely.
5. Decision-making is evidence-based.
6. Safety is a system priority.
7. Transparency is necessary.
8. Needs are anticipated.
9. Waste is continuously decreased.
10. Cooperation among clinicians is a priority.
It is no longer acceptable for the health professional to control care. Doctors can no longer fly by the seat of their pants when treating patients. Secrecy can no longer be tolerated. The health system can no longer react to needs. Cost reduction over patient care is unacceptable. Is this really happening today?
There is so much going on in Washington, D.C. and all of the states' capitols regarding healthcare reform that you almost need a scorecard to keep track of all the players. What is missing from most of the conversation is this new approach to patient care. Ask yourself whether you can see this new approach being implemented the next time you make a visit to the doctor or hospital.
If you visit our health center in Williston, I can guarantee that this new approach is being adopted in our practice. We are also having an impact on health care delivery in our town.
For example, we have always had same day appointments for our patients. Just the other day, Jim mentioned to me that the doctor's practice across the street had a new sign. "What did it say?", I asked. Same day appointments. Who says you cannot lead by example. Needs of patients are being anticipated.
Dr. Dale
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