your life your health

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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The team leaves for home March 25 after a very successful meeting. The team incl

An announcement of and introduction to the seventh Medical Home Summit was published in this column Jan. 22.

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For the past several years, SETMA has been involved in a research project with the Robert Wood Johnson Foundation conducted by the MacColl Institute in Seattle, Washington. In the fall of 2014, a SETMA team attended a face-to-face meeting with all 30 practices that are part of the “Learning from Exemplar Ambulatory Practices” study (see www.setma.com/letters/Robert-Wood-Johnson-Foundation-PCT-LEAP).

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HEDIS@ is the most commonly used quality metric set. The only successful way to use quality metrics consistently is to have data aggregated automatically and to allow providers to see their performance at the time they are seeing each patients. This has been the key to SETMA’s success in improving care with the help of metrics.

SETMA’s Quality Metrics Philosophy

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Due to the Ebola outbreak, the critical role of the Centers for Disease Control in the health of the United States has come to the forefront of news and reporting. No one who has taken the time to listen to the public statements by the Director of the CDC Tom Frieden, MD, cannot be impressed with the mission, passion and expertise of the CDC. This dramatic and critical function of the CDC is newsworthy.

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In June 2013, the American Medical News published an article titled, “Serious work put into making primary care fun again.” With an anticipated serious shortage of primary care physicians over the next 20 years, the article addressed how to improve the lot of primary care providers, stating in part:

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