@Atul_Gawande @jsgoldmd20 @drnickusa ER doc with @DrJenGunter at Kaiser. I email pts for fu and they email for my advice #realmedicalsystem
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@grahamwalker proving it at kaiser: In a flat fee for care model, online communication really can work.#realmedicalsystem -
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@Atul_Gawande It's practice-changing. You can discharge home many more pts with close fu; I can get a pt into ENT, urology, derm same day. - 1 more reply
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@Atul_Gawande@jsgoldmd20@drnickusa bottom line: if ur office model is fee4service, it's reasonable to be paid for e-work -
@spartoviMD@atul_gawande@jsgoldmd20@drnickusa why is it that its okay for a lawyer 2 charge by the millisecond but bad 4a doc? -
@DocPhx@spartoviMD@Atul_Gawande@drnickUSA it’s bad priya bc in my opinion people don’t value their docs as much as they do their lawyers -
@jsgoldmd20@spartoviMD@Atul_Gawande @drnickUSAso true we're stuck btw idealism & realism in the e-era - how we shape it Will define us -
@DocPhx I’m not sure any of us know how to shape it. Is it a right or a business? -
@jsgoldmd20 agree but#innovation plus market value plus outcomes it a great start -
@DocPhx I hope so.
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@Atul_Gawande ??? Toll booths (and rest stops) on the medical#InformationHighway. Hmmmm, that could work ; )Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande Also CMS rules are ridiculous for eMD and terribly undervalue our time & knowledge. No surprise there. It wii e-volve.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande Lawyer$ do indeed. Has never been my style. Established pts would balk and I get tons of daily Q's from folks I don't know.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@jsgoldmd20@drnickusa CMS offers Care Plan Oversight Billing which includes documenting emails and communications 4 patient.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@drnickUSA exactly. People value that. Our time is their time. PG is helpful until you get the novel of ?s. make an appt.Thanks. Twitter will use this to make your timeline better. UndoUndo
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Imagine if docs demanded the same. RT
@Atul_Gawande: My attorney bills per 20min for emailThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@jsgoldmd20@drnickusa I e-mail with patients all the time, preferred method of contact for at least 50% of my patients -
@DrJenGunter so you do a lot of online work for free then? Do you document in record? -
@jsgoldmd20 every e-mail goes through secure server and immediately is part of the electronic medical record, even attachments. Can't delete
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