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CFHA Webinar

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by

Andrew Valeras

on 4 October 2017

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Transcript of CFHA Webinar

MD/DO
RN
MA
IBHC
Patient Advisory Committee
Results
identify
patients
understand
needs
provide agreed
upon care
negotiate how to
meet those needs
provide agreed
upon solutions
negotiate how to
address problems
understand
problems
identify
problems
"Every system is perfectly designed to get exactly the results it gets"

(Internal Rules)
(Attractors)
(Positive Feedback
Loops)
(Relationships)
(Agents)
(Embeded
Systems)
Stacey Diagram
76 yo
Widowed
Lives w/ daughter
Losing weight
Mod. AS
MMSE 21
Hip fracture x2
Hospitalized 9x in last year
Marsha
Greg
Jan
Biplap
53 yo
Married
176/100 on 3 Rx
DM2 A1c 12.6
Smokes cigars
Hx of ETOH
Security gaurd
Frequent No-Shows
48 yo
Divorced
Lives alone
Fibromyalgia
Anxiety/Depression
Opiod Abuse
19 ED visits in past year for pain
Moved from RI
7 yo (Bobby)
1st grade
Family refugee from Bhutan
beta thal
chronic transfusions
misses school at least once per week
wants to be a doctor
or Tom Brady
Complexity :

When routine care is insufficient to meet the needs of the patient and healthcare team.
Frame
Action
Nothing to Disclose

Expanding the Model of Primary Care to include Complexity
Andrew S. Valeras DO, MPH
CFHA Webinar March 9th 2017
The High Jump
Expanding the Model of Primary Care to include Complexity
Andrew S. Valeras DO, MPH
CFHA Webinar March 9th 2017
Full transcript