This page contains a Flash digital edition of a book.
Ad Directory


Athenahealth ...............................................17 Baylor Healthcare System......................28 Brown McCarroll .........................................16 Capital Farm Credit ..................................35 Centers for Medicare & Medicaid .......... 5 Covenant Medical Group ........................38 DSHS HIV/STD Program, MC 1873 .......16 Humana .......................................................IBC Kindred ..........................................................29 Leichter Law................................................37 LifeLock Benefit Solutions .....................36 NAI REOC.....................................................53 O’Hanlan, McCollom & Demerath........27 REC - West Texas ......................................47 Shannon’s Hope Foundation ............... 46 Texas Health Steps...............................6, 30 Texas Medical Association Bank of America ....................................54 Classified .................................................. 44 DocbookMD .............................................55 Membership ............................................... 3 POEP .........................................................40 Practice Consulting ...............................39 Tech Tuesdays Webinar ......................53 TEXPAC .....................................................26


Texas Medical Association Insurance Trust ...........................................................BC


Texas Medical Liability Trust ........IFC, 48 TransFirst ..................................................... 46 West, Webb, Allbritton and Gentry, PC ................................................45 Westat .......................................................... 44


herbs and vitamins, for instance, “which can interfere with certain medications, and patients don’t always think about those being important to mention.” The tool also can help prepare physi- cian practices for a health care system moving toward population-based health care, which requires not only increased care coordination and patient involve- ment, but also physician engagement, Dr. Fullerton says. HealthTexas physicians used a simi-


lar paper-based form before adopting an EMR system and before becoming a rec- ognized medical home.


“One idea behind the medical home


and ACOs is [patient] self-management, and [medication reconciliation] is a step along the way,” he said. In addition, “care coordination is a lot of things, but part of it is knowing more about your patients when they walk in that door, and this [tool] provides that additional information.” Whereas traditional medical training


largely taught physicians to diagnose a problem, give patients a recommenda-


tion, and send them on their way, Dr. Fullerton says physicians now have a greater role in helping patients engage in their own care.


A study published in May in the Jour- nal of the American Medical Association (http://jama.jamanetwork.com/article .aspx?articleid=1690707) highlights a number of patient behaviors and barri- ers that contribute to medication non- compliance. For example, patients may not understand the relevance of medica- tion adherence to their continued health and well-being; they conclude the ben- efits of taking medications do not out- weigh the costs; the complexity of medi- cation management can be challenging or patients are not vigilant enough; or patients do not perceive medications to be effective. “We’re now beginning to understand


there are a multitude of reasons why patients are not following through [on their care], whether they forgot or didn’t understand,” Dr. Fullerton said. “Physi- cians do care about patients and this is another tool to help them.”


Advertise for as little as $25! TMA’s website experiences nearly 320,000 visitor sessions each month. With this kind of activity, can you afford not to advertise in TMA’s online classifieds? Place and purchase your classified ad now at http://classifieds.texmed.org.


Tyler family physician Jonathan MacClements, MD, explains to fellow physicians how UT Health Northeast (formerly University of Texas Health Science Center at Tyler) improved quality and access and reduced costs by triaging non-emergent patients who show up in the emergency department to a more appropriate care setting. Dr. MacClements won first place in TMA’s Quality Poster Session at TexMed 2013.


52 TEXAS MEDICINE July 2013


JIM LINCOLN


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60