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Fixing the “Not My Problem” Culture in Healthcare – #KareoChat

Posted on August 17, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

It was pretty shocking to hear the news of the passing of Jess Jacobs, patient advocate and Aetna innovator. Life is certainly fragile and Jess’ passing was a reminder of that to me. While I certainly didn’t know her well, I’d had a chance to meet her a few times at HIMSS and Wen was nice enough to share a great picture of Jess having fun at the New Media Meetup which I organize. That made me smile.

As all the tributes to Jess Jacobs poured in, I admit that I didn’t know a good way that I could honor her memory until I was asked to host this week’s #KareoChat. Queued off of Ted Eytan, MD’s tribute to Jess, I thought it would be valuable to talk about what he calls the “Not My Problem” culture in healthcare and how we can change it in this week’s #KareoChat Twitter chat. My only regret is that we didn’t have this conversation while Jess was alive. I’m sure that she would have really added some depth (and likely a bit of snark) to the conversation. Instead, I’ll have to hope she’s smiling down on us trying to make the lives better for patients that are suffering in our health system like she did.

KareoChat - Not My Problem Culture in Healthcare - UnicornJess

You can follow along and participate in the #KareoChat on Thursday, August 18th at 9 AM PT (Noon ET). We’ll be discussing the following 6 questions:

  1. Have you seen the “Not My Problem” culture in healthcare?  Where and what impact did it have?
  2. How can small practices avoid the “Not My Problem” culture that sometimes exists?
  3. What can a small practice do to become more patient focused?
  4. Will becoming more patient focused be good or bad for a small practice’s business? Why or why not?
  5. What can we do to better help chronic patients who are suffering like #UnicornJess suffered?
  6. Do we see the “Not My Problem” issue in health IT towards doctors?  How?

As Dr. Eytan said in his post, I don’t think the people in healthcare are the problem. Most of the healthcare providers I know care deeply about the patient and want to be more patient focused. However, our system pushes a culture that often destroys the patient experience. Hopefully, in this chat we can talk about ways we can overcome or change that culture for the better of patients so that future patients don’t have to endure the painful patient experiences that Jess Jacobs had to endure.

If you want to learn more about Jess Jacobs, many people who knew her did this #UnicornJess Twitter chat where they told a lot of stories and memories about her. Also, the family has asked that donations be made in Jess’s honor to the Walking Gallery, a cause that was important to Jess.

Full Disclosure: Kareo is an advertiser on this blog.

A New Look at Plan of Care and Patient Instructions

Posted on October 30, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

If you don’t know Jess Jacobs, she’s a passionate patient advocate that use to work for the federal government. Although, she might be best known for her tweets from the hospital. If you scroll back through her Twitter feed, I’m sure you’ll find them.

Today Jess offered up this tweet to reframe our discussion on plans of care and patient instructions:

I’m sure that most doctors will mock these instructions, but it definitely illustrates a very different relationship between doctor and patient. How many doctors go to this extent to make sure that their patients are well? I’m sure many of them are asking “I’d love to go that deep with patients, but how do I get paid for it?”

I’ve regularly argued that we need deeper interactions with a healthcare professional if we want to be truly healthy and not just continue to treat the sicknesses we have. However, I don’t think these interactions will happen with a doctor. This type of relationship needs someone that’s more social worker than doctor.

Where will all this go? I’m not sure, but seeing these patient instructions sure caused me to rethink the doctor-patient relationship.