James Holly's archive

In the past 17 years, this column has often addressed the importance of hope in the healthcare process. Without hope, personal healthcare improvement will not happen. Increasingly, in the context of a patient-centered medical home model of care, we have realized that while technology and science can treat diseases, neither can produce health.

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From May 1999 to May 2009, SETMA built tools and designed a model of care that laid the foundation of a patient-centered medical home. In June 2015, as SETMA adds the crown of Behavioral Health to our medical home model, we have met the standards of excellence of all organizations which recognize and/or accredit PC-MH.

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This spring and summer mark significant milestones for SETMA and for Carolyn Holly and myself. May 8, 2015, Carolyn and I celebrate the 50th anniversary of our graduation from college. Aug. 1, 2015, SETMA celebrates the 20th anniversary of its founding. And Aug. 7, 2015, my wife and I celebrate our 50th wedding anniversary.

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As our medical home grew, SETMA started a patient-centered council from which we could get feedback about how we can improve our services. As our idea of this project grew, we realized that more than “feedback” on what we had decided to do, we wanted our patients and community to give us guidance on what we should do and/or what they wanted us to do.

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Fig. 2

In a September 2012 article titled, “Atypical Antipsychotic Use in Patients With Dementia: Managing Safety Concerns,” the American Journal of Psychiatry stated: “In the elderly population, the largest number of prescriptions for atypical antipsychotics is written for the neuropsychiatric symptoms (NPS) of dementia, e.g., delusions, depression, agitation which affect up to 97 percent of people with dementia.

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