November 29, 2021

1 thought on “Technology TREND: “Patients Will Increasingly Control Their Medical Charts — 80 percent of patients want greater control over their own healthcare, but only 19 percent have access to a personal health record.”

  1. Hi Michael …

    Another great publication on concierge practices.

    Even though I thoroughly enjoyed reading the 4 predictions for the future, the one that really caught my eye was the patient and doctor charting together.

    I’m with an MDVIP doctor and after our yearly physical he “recaps” my visit and sends a 3 to 4 page letter. I think it’s great, but he tends to use “medical terminology” and I have no idea what he is talking about. SO, after last year’s visit and trying to figure out what he is telling me, I recreated his letter to me. He had it in a somewhat “template type form”. I looked up every abbreviation he mentioned in the letter and typed it out and then retyped his comments next to it. I made it easier for me to read and understand instead of “paragraph” form. I listed and bolded the “titles” of the areas of the physical from Head, Ears, Eyes, Nose, Throat to Lungs, Heart, etc. I also updated my meds (even though it should be done all the time and it is, it’s never updated on paper). I also filled in the blanks that didn’t make sense to me from what he wrote during our discussions. A perfect example was prior history. He indicated I had several surgeries – D&C’s (but did not give a reason).. then noted that I coded the next day. Reading this (If I didn’t know the reason, I would have said “coded the next day” from what?) … So I filled in the blanks …

    Jan 1991 – D&C due to miscarriage
    May 1993 – D & C (after birth of daughter)
    May 1993 – Code Blue (day after birth of daughter)

    At least indicating the day after I gave birth to my daughter I coded.

    I shortened up a lot of the verbiage he had in his letter to me. He knows I go for my yearly mammogram and I really do not care to have to read all about the “percentage of woman and breast cancer”. I’m on top of it and he knows this. I removed all the info and just indicated “mammogram” – up to date, next due Oct 2014. A one line is all that is needed for some information. “Colonoscopy” – due now, etc.

    He was impressed with what I had done in regards to my recap, but indicated this was medical talk. I responded, “we all know that”, but with the concierge service and this is the first time ever receiving a recap after a physical, it would be nice to actually understand what we are reading. At the bottom of the letter, he indicates “if you have any questions, don’t hesitate to call me”. So after the first three physical and receiving the recaps, after we walk on our normal Tuesday walks, I have him explain what everything means. Last year was the first year I typed everything out. I asked him to please read through and make sure I typed the right definition for the abbreviation, etc. I asked him to place it in my records. I think he could just cut and paste the info with it being a word document. He said ‘he doesn’t have the time to do everyone’s like that”. I even offered to him that I would come in on a Saturday when he is in the office and retype all of the letters in an easier format for his patients. I did the ground work for him, all he needs to do is apply it. My guess, he will not apply it. And My guess would be I will receive the same formatting letter that I will have to look up the abbreviations again.

    What I’m getting at, if the doctor and patient both would chart together, the misunderstandings would be minimal if any. The patient can give more info than what the doctor was going to abbreviate. Plus with the extra info/insight a patient would give, would minimize the misunderstandings when prior authorizations are done by non-medical personnel who don’t know the patients.

    I am all for this patient/doctor charting together. Great idea and I’m going to mention this to my doctor tonight when we walk.

    I also send an email weekly to my doctor with my glucose numbers, weight and BP. I stop to take my BP twice daily and keep a chart, as well as my daily weight and my glucose numbers. On Fridays, I send these numbers to him. Granted, I’m sure these are not entered into my chart. Reason being, the last time I was in his office, he said something about “not having my weight”. I said “yes you do, I send my daily weight weekly to you and I’m not lying about my weight. If I was lying, my weight would be 120 and not 198 .. lol So that told me he does not enter my weight into my chart. Poor charting on his part.

    I was sending text messages after I take my BP showing the BP, but knowing he wanted it on a daily basis and not wanting to blowup his phone, I charted the numbers.

    Waiting rooms – there are no other patients waiting in his waiting room due to the 30 minute (at least) office visit. The one thing I wish more concierge doctors would do is come to the waiting room and personally call their patient back. My doctor will do this on occasion, but not all the time. I like it. More personal service. Feels like you are paying for what you are getting .. that extra special treatment. Also, he has two rooms that are considered his exam rooms. They are personal with his belongings. I feel more comfortable seeing him in those rooms. Lately, the medical assistants will put me in another room (his partner’s room) which is cold and a typical doctor’s exam room. When he walks in I will ask him “can we move to your room”. He will say “sure, let’s go”. Granted, with me being in another room, he can go room to room to see patients, but it really wouldn’t be any longer for him to call a patient back from the waiting room and guide them to the exam room.

    Have a good day

    theresa

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