Priorities?

Sometimes news items pop up that remind us why we so desperately need change in healthcare. Many of you may have seen the New York Times article: “Debt collector is faulted for tough tactics in hospital.”

If you have not read this article, please do. Here is an excerpt:

“The tactics, like embedding debt collectors as employees in emergency rooms and demanding that patients pay before receiving treatment, were outlined in hundreds of company documents released by the attorney general. And they cast a spotlight on the increasingly desperate strategies among hospitals to recoup payments as their unpaid debts mount.”

What does it say about our healthcare system when we are willing to place our priorities on getting paid above providing care? No doubt, hospitals are not the only ones who have a business that they need to run and paying for their services is always a high priority; however, what happens when the importance of business trumps the service? What happens when the money or the bottom line takes precedent over making sure the patient receives high quality and effective healthcare?

We have discussed before the need for hospitals and other entities in healthcare to modify their business model. In fact, some go far as to say that unless we change the entire structure of the healthcare system we will continue to hear stories like this.

We must disrupt the healthcare business model in order to better meet the needs of our communities.

Let us all work towards moving away from a “sickcare” system that is rewarded for sickness, and move towards a truly “health” care system that is about health and wellness.

If you are not fired up by what we see going on daily in healthcare, please take a moment and read the New York Times article.

Where are the healthcare systems priorities?

Where are your priorities in changing that broken system?

Occupy Healthcare.

Dr. Miller has his doctorate in clinical psychology and is an Assistant Professor in the Department of Family Medicine at the University of Colorado Denver School of Medicine where he is the Director of the Office of Integrated Healthcare Research and Policy. His core task is to integrate mental health across all three of the department’s core mission areas: clinical, education, and research. Opinions expressed here are his own and not those of his employer.

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  • http://www.planetree.org/ JoelHigh

    Ben, great post this morning and such an important topic to raise. For me there are two separate yet interrealated issues here. First is the issue of the cost of care and how hospitals and healthcare orgs collect on bills to consumers. We have been told for years that the primary reason that folks declare bankruptcy is a result of medical bills. Certainly our healthcare organizations need to take a more compassionate approach to debt collection. While you can repossess someone’s car you can not repossess their health. But this isn’t the transformation we need.

    However you raise an even more important question that moves us towards true transformation. How do we move the model from one of sick care to one of health care. The VA through it’s Office of Patient Centered Care and Cultural Transformation is moving the model from what it call the current “Disease-based Care” to Patient Centered Care that helps patient improve their health and well-being. The transformation is in its infancy but it could prove to be a model for the country as a whole.

    • http://flavors.me/collaborativecare Ben Miller

      Thanks, Joel. I think you are spot on – if the system we are all working towards becomes more patient-centered and the decisions we make are in the best interest of the patient, family and their community, we will naturally start to shift our priorities and realign our incentives.

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