lived near Presbyterian or worked there or who were African nationals, Dr. Carlo says, DCMS sent all member physicians a note reminding them of the science behind the disease. “You are a physician, get to work,” Dr. Carlo said.
And when local school districts
“The county society stressed the scientific truths about Ebola: It is a very deadly disease that is very difficult to catch.”
began spending thousands to “deep clean” their campuses and started talking of school closures, Dr. Carlo says, DCMS jumped in with a strong and positive message. He credits DCMS’ leadership with persuading several area schools districts to keep their campuses open. “If the school districts closed, with no evidence of risk, how would they ever know when to open again?” he asked. Saying “We are not as prepared as
we may think,” Dr. Carlo urged county medical societies to forge strong rela- tionships with the local health depart- ment and elected officials and to have a disaster response planning commit- tee ready to go to work when the next crisis arrives.
Expert to physicians: Rise to the value-based care challenge
DELIVERING ON THE PROMISE of high-quality, low-cost care requires physicians who are innovative, col- laborative, and willing to take charge, Harold D. Miller told a roomful of physicians at the dawnduster at TMA’s 2015 Winter Conference. The nation- ally recognized expert on health care payment and delivery reform is presi- dent and chief executive officer of the national Center for Healthcare Quality and Payment Reform. Medicare hasn’t been able to fun- damentally redesign care delivery and payment, and few accountable care organizations have succeeded profit- ably, he said. That opens up significant opportunity for physicians to take the lead.
20 TEXAS MEDICINE April 2015
“The real issue is, how do you meet
the consumers’ need? The problem with fee-for-service is not that we pay for individual things but that we don’t pay for what we need,” Mr. Miller said. What payment structure supports
a win-win-win for doctors, hospitals, and payers? Payment based on care coordination that leaves the decisions in the hands of doctors, he says. “The key is determining what each special- ty can be accountable for,” he added, pointing to the Choosing Wisely cam- paign as an example. Physicians have a significant op-
portunity to lead development of such models, Mr. Miller says. Medical so- cieties also play a key part in helping physicians organize to reach those goals, instead of hospitals and health plans doing it for them, he adds, prais- ing TMA’s new PracticeEdge phy- sician services organization (www
.TMAPracticeEdge.com). TMA Board of Trustees member
David C. Fleeger, MD, says with great- er pressure on today’s physicians to adapt to new payment systems, “we want to give doctors the tools they need to break the cycle of increasing work for decreasing payment.”
Harold D. Miller, president and CEO of the Center for Healthcare Quality and Payment Reform
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