Doctor-Patient Relationship, Physician Experience
Physician quality of life – The doctor is in, but not always present. We believe the doctor should always be interacting with the patient while at peak state., with the intention of always being present and engaged with his patients. The “magic” of healthcare happens within this sacred doctor-patient exchange.
Through the application and optimization of targeted systems and clinic infrastructure, doctors are able to be more engaged and build the best possible rapport with their patient. It is no secret that the most attentive providers will always tend to have better healthcare outcomes.
By redesigning and reimagining a clinic’s flow, EHR usability, and office visit structure, a provider is able to create a more balanced work environment that inevitably reduces their paperwork and administrative burdens – and the likelihood of developing “doctor burnout.” Through the use of highly trained medical assistant scribes and HCC coding specialists, doctors and providers can begin to focus on the immediate health needs of the patient in front of them, rather than the ever-growing and evolving list of health insurance HEDIS and MRA demands.
Employee Satisfaction – the best clinical outcomes and business viability can only be achieved when the entire team is working in a positive state that embraces a spirit of giving. Through the creation of a valued and goal-oriented team, communication becomes more effective and medical errors are reduced.
The culture of the clinic is one that safely encourages active participation by every member of the team to help provide an excellent patient experience, and contributes to enhancing the sacred doctor-patient relationship.
(EXTRA: All roads leads through this point. Thusly, this point must be completely optimized. office visit structure, EHR usability, reduce paperwork burden to near zero. Remove documentation, administrative, and reporting burden from the physician or provider. The entire clinic flow design including personnel roles are considered. Minimize the documentation burden using highly trained medical assistant scribes and HCC coding specialists. Help establish the best possible rapport with the patient. the most attentive providers will always tend to have better outcomes. The effect of the impact of the healthcare system itself cannot be overstated. By using highly trained documentation, coding)
Improving Patient Health and Quality of Life
Improving Patient Health and Quality of Life – This is the core value of Trinity Clinic. Improving a patient’s health and quality of life is the reason we love our work and remains the focus and pride of our company.
Developing a Unique Practice Style – At Trinity Clinic, we believe that it is the responsibility of the provider to develop a unique practice style that allows for them to truly “reach” their patient, and meet them where they are on their journey to better health – not where they want them to be. In order to be an effective doctor or provider, one must be able to improve the overall healthcare literacy of their patients.
As much as 90% of chronic conditions are attributable to lifestyle dysfunction and imbalance. We believe that it should be the goal of every physician and provider to serve as an advisor and teacher, educating patients on how they can begin to eliminate the diseases they have acquired due to the specific lifestyle dysfunctions that they are experiencing. It is far more challenging and rewarding to develop a safe and trusting relationship with a patient that allows for the diagnosis of the true root cause of their illness and identification of specific lifestyle barriers, than it is to match a lab value to a medical diagnosis and it’s associated treatment regimen. Only when we begin to focus on an individual in their entirety, body and mind, are we then able to develop a targeted healthcare plan and partnership with our patient.
Patient Experience – Trinity Clinic aims to provide concierge-level quality service within a traditional healthcare payment model. We believe that true healing can only happen in a safe and empathetic environment. We intentionally designed the interior of our clinic to create a relaxed atmosphere of comfort and familiarity, shifting away from the cold and sterile, traditional medical clinic environment. In our clinic, we do not believe in augmenting any form of hierarchy within the doctor-patient relationship, which means that we leave our white coat at home, along with our ego.
Lifestyle strategy – We believe that primary care providers should also serve as lifestyle experts. At its most fundamental level, the Trinity Clinic serves as the vehicle by which custom lifestyle strategy is taught. We have developed practices and methods that result in permanent change in healthy lifestyle habits, always focused on the improvement of patient health and wellness. Through the development of better rapport with patients, a trusting partnership can be fostered in which the patient feels able to safely communicate their stressors, unmet needs, and any social, financial or emotional barriers that are contributing to lifestyle dysfunction. An effective lifestyle plan must address the emotional needs, limiting beliefs and all perceived barriers, in order to result in the best possible health outcome, where the patient can live without disease or in such a way that the threat of disease is drastically minimized.
Healthcare Policy: Our Vision for the Future of Healthcare
Lower Healthcare Costs – The lowest healthcare costs can always be found within the healthiest populations. Therefore, the most fundamental approach to reducing healthcare costs and consumption, is for providers to focus on helping more people improve or maintain their current level of health. This includes educating patients on the importance of early detection screenings, improving access to care, developing nutrition and lifestyle plans, and improving the overall healthcare literacy of the patients that we serve. While we have bold ideas to improve access to healthcare nationally, our current focus is designing and refining scalable micro-systems that can improve access within a primary care setting. The cost of pharmaceuticals accounts for 1/6th of total healthcare expenditures, or over $500 billion per year. Lowering healthcare costs cannot be achieved without providing a blueprint to providers and patients, on how to reduce or eliminate the need for prescription medications. In addition, we can lower unnecessary healthcare expenses by reducing the number of hospitalizations and readmissions of our patients. This can be achieved by developing and employing a close follow-up protocol that is discussed as part of the culture within the practice and clinical relationship with the patient. Trinity Clinic is actively focused on the research and development of medical management practices that best identify and support high-risk patients, as it is a small fraction of people that are responsible for the majority of our national healthcare expenditure.
Better Health Outcomes – The best health outcome is always beating or eliminating the disease. Period. Every solution to achieving the best outcomes runs through this basic tenet. Best outcomes can never be achieved if the primary care provider is not proactive in the coordination of care of their patients. This includes networking and building good relationships with specialist offices, pharmaceutical representatives that can provide samples to patients in need, and insurance company representatives that can assist providers in keeping a current and well-organized database of insurance coverages, formularies, and in-network specialist lists.
Consistency in the Electronic Health Record – The cost savings and efficiency gains would be phenomenal.
(AI, EHR & Data Systems Design – This is future tech, the digital segment of the healthcare frontier. We hope to be working with Google, Apple, Microsoft, IBM one day. The future of healthcare will be heavily data driven, however, these data originate at the point of encounter between the patient and provider. We’re currently open to collaborators in the medical AI, EHR, and medical information systems fields. Data is only as good as it’s input. The value of insight is only as good as the data entered. Completeness of data being entered. And ease and efficiency of entry. AI – While a machine will never make the final medical decision, AI technology has the potential to significantly improve every aspect of the healthcare system. Like and data system, garbage in equals garbage out. Our system focuses on generating the most accurate data input.)
The Business of Medicine: How to Run a Sustainable Independent Primary Care Practice
How to Operate a Sustainable Independent Primary Care Practice – They don’t teach business in medical school. Physicians and other medical providers are not formally trained in business and because the healthcare system has become so complicated, and changes so rapidly, it becomes very difficult for physicians to operate their own practice.
HEDIS – Through rigorous study, CMS and Medicare have identified key medical management targets which are known to reduce healthcare costs. We are researching the practicality, usefulness of the program, which is now being adopted or adapted for use by private insurers. We are working to refine the best administrative practices to maintain a 95% or better compliance across all HEDIS measures. As always, these practices allow for the burden to remain low on the physician, and allow for a simple oversight and approval process.
Benefit-Cost Ratio – One of the more challenging shifts of mindset for physicians in the new healthcare paradigm is to think business-minded. Physicians may find it more natural to assimilate cost reduction but may struggle more with benefit apportion appropriation if they do not have a thorough understanding of HCC coding and proper documentation strategies. Primary Care physicians in the modern healthcare system are rewarded for providing value-based care, but a vast majority don’t understand it, or have no blueprint on how to operate to yield the best results, both clinically and financially. We have developed a program that teaches physicians how a panel’s MBR and MRA can affect the vitality of a practice, and encourages providers to build a care coordination team that is able to assist in data mining during chart preparation, and help to identify HCC diagnoses and codes in advance of the actual office visit. Physicians and key office staff must be actively aware of the status of members that are high risk, high cost, and admission prone, requiring weekly contact and check-ins.
Organization & Infrastructure – Every successful organization excels in administrative execution. We believe the priority of the entire clinic operational structure should center around optimizing the outcomes of the doctor-patient visit. When systems are designed around this point of focus, the best outcomes can be achieved. Infrastructure development includes routine reassessing personnel structure, holding training seminars and regular staff meetings. In addition, clinical protocols must be developed to maximize efficiency throughout the referral and authorization processes.