Ambulatory Practice of the Future
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Ambulatory Practice of the Future David Judge, MD – APF Medical Director Nicola Majchrzak, MPH, MSW – APF Project Manager Collaborators: MGPO, CIMIT, MGH Lab of Computer Science Stoeckle Center for Primary Care Innovation, SimsLab Boston, February 2010
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Ambulatory Practice of the Future. David Judge, MD – APF Medical Director Nicola Majchrzak, MPH, MSW – APF Project Manager Collaborators: MGPO, CIMIT, MGH Lab of Computer Science Stoeckle Center for Primary Care Innovation, SimsLab Boston, February 2010. Agenda. Background and charge - PowerPoint PPT Presentation
Transcript of Ambulatory Practice of the Future
Ambulatory Practice of the Future
David Judge, MD – APF Medical DirectorNicola Majchrzak, MPH, MSW – APF Project Manager
Collaborators: MGPO, CIMIT, MGH Lab of Computer ScienceStoeckle Center for Primary Care Innovation, SimsLab
Boston, February 2010
Agenda
Background and charge
Our Vision
Shifting Paradigms for Care
The APF Care Model
Discussion
Background and Charge
Multidisciplinary team assembled in 2004, charged with designing a new care model to radically improve the care experience for patients and providers and anticipate the challenges of the future.
“We will design the ambulatory care practice that delivers ideal care
in the ideal environment to optimize outcomes for all.“
The Ambulatory Practice of the Future
Shifting Paradigms for Care
Focus on sickness Focus on health & wellness
Directive communication Culture of collaboration
One size fits all Mass customization
Individual experiences Team-based experiences
Event-based care Continuous care
Patient goes to treatment Treatment goes to patient
Obscurity Transparency
Static model Evolving care model
Patient
The APF Care Model
• Health & Life Balance Plan-Compact-Orientation & guide- Customized care plan
• Advisory role in ongoing APF
development
Patient
Care Team
The APF Care Model
• Members - MD, RN, NP, MA, Care coordinator, Greeter, Medical Secretary
• Acute / chronic care
• Proactive pop. mgmt.
• Shared responsibility of ongoing practice redesign
• ‘Productivity’ redefined (Compensation supports longer visits and non- traditional care activity)
Patient
Care Team
Physical Practice
The APF Care Model
• Patient-centered design
• Critical components:
– Check-in Kiosk
– Living room/library
– Central team area
– APF Exam Room
– Large meeting space (group visits)
– Urgent care + Procedures
– Communication tech
– Prototyping Lab
Patient
Care Team
Physical Practice
Virtual Practice
The APF Care Model
• APF Portal (LCS)
• Chart review, visit prep, ongoing care plan work
• Synchronous and asynchronous e-visits
• Remote physiologic monitoring (CCH, CIMIT)
• New services (online scheduling)
• Population management
• Peer–to–peer care
Evaluation
Patient experience Provider and staff experience Clinical outcomes Utilization of services & cost
Discussion
