Thursday, February 4, 2016

Vanguards of health system change

Dear DPC community members,

http://www.nytimes.com/2016/01/17/opinion/sunday/how-measurement-fails-doctors-and-teachers.html?_r=0

I read this article and thought of your boldness. You were the first in the physician community to say “No mas!”; I will not be dominated by all the administrivia and foolishness. I want to serve my patients and community. You launched your Direct Primary Care practice. You are a beacon of hope for those who would follow your lead

I encourage you to read the article and to pause to celebrate your achievement. Where others say….”Something must be done”… your actions showed that it is more than possible. Where others say….”I hope someone will come up with an answer, I am too busy with my day to day to change”… your actions speak louder than words.

As we start a new year, take a moment to celebrate what you have done.

The article concludes with a quote from Avedis Donabedian (a leader of the quality measurement movement) who, at the end of his life (possibly because he experienced the problems with the end of life care delivery process – my speculation) said “The secret of quality is love”.

I think you know that secret as do your patients and colleagues.

Keep up the great work… you are the vanguard of change


Larry Bauer