In 2017, the flagship multispecialty practice of Oregon Medical Group, moved into its new digs—a 46,000 square foot redesigned medical office building. Practice leaders and the 30-odd clinicians in six different specialties were committed to a coordinated patient experience. They wanted to ensure that patients could move smoothly between sequential visits with different care providers—on the same day. To this end, the group invested in a centralized check-in process. However, the spacious physical plant was a significant obstacle to a smooth, efficient patient flow, even with centralized check-in.
I spoke with two leaders of the group, Chief Executive Officer Karen Weiner, MD, MMM, and Chief Operating Officer Eve Riley, MSN, MHA, about the innovative solution the practice is using to address this challenge: self-rooming using real-time location system (RTLS) technology.
Research has demonstrated the benefits of integrating the humanities into medicine. What about bringing medicine to the arts? There are countless examples of physicians in literature: John Keats, Williams Carlos Williams, Anton Chekhov, Abraham Verghese. These poets and authors help us understand humanity through the unique perspective they developed as healers. But what about the performing arts? Is there a role for the physician’s perspective on Broadway?
“So you want to know how I died.” These lyrics begin the first song Michael Ehrenreich, MD, wrote for Medicine: The Musical. It encapsulates that common first-year experience of dissecting a cadaver—wondering about the person whose body you’re using to learn, so intimately, about structure and function, yet not dwelling so much on the individual that the work before you becomes impossible.
At a recent conference I attended, Christine Sinsky, MD, Vice President of Professional Satisfaction at the American Medical Association, presented data on various time savers that physician practices have tested to streamline clinical processes.
One example she described was pre-visit lab testing. She asserted that the strategy saves time and money. It sounded intriguing. I’ve seen how cluttered processes and time-consuming workarounds can really make you frazzled and sap the joy out of patient care.
As I listened to her presentation, I found myself wondering, “How does it actually work? Does it involve additional needle sticks? How do they get labs done fast enough for the results to be ready at exam time? Do they hold tubes of blood for add-on orders?”