The Anti-ACO / Hospital Medical Practice Consolidation

A physician, Charles Beauchamp, recently left the following comment (shown below) on my ACO and Hospital Consolidation post on EMR and EHR. This might be another example of the EHR Physician Revolt. I wonder how many other doctors will go “against the grain” like Dr. Beauchamp.
As a physician who is going “against the grain” (ie “hospital owned” to private practice” rather than in the opposite direction) I have the following model of action to become part of a patient centered rather than exploitative ACO:
1) Establish my rural practice in my house at a very low cost, including asking some of my patients who volunteered to help with construction.
2) Employ myself, a front desk person and a Medical Assistant with backups
3) Establish Telemedicine links to needed specialties (rheumatology, pulmonary, cardiology) AND use physician social networks (eg, Sermo, MedLink Neurology Forum) for informal networking
4) Use LabCorp as a reference lab with negotiated discounts on high yield labs for one of the practice’s centerpieces: preventing stokes, heart attacks, renal insufficiency, onset of diabetes and diabetes complications. Likewise have a systematic literature scan process using EMBASE rather than PubMed for enhancing the testing and intervention effectiveness of the practice’s goals
5) Embed in the practice’s patient education, instruction and self-care facilitation expertise in efficiently discussing and following up on patient-centered discussions...

Source: EMR and HIPAA - February 11, 2013 Category: Technology Consultants Authors: John Lynn Tags: Healthcare HealthCare IT HIE LabCorp Rural Healthcare Telemedicine Source Type: blogs