Thread by @MAACPGovernor

@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists Urgent need to provide MORE time for ambulatory visits. Us ambulatory specialists have all felt the time crunch of seeing complex patient w/ 5-10 issues (or more) in 15-20 minutes. NOT good #PatientCare. NOT #PatientSafety. Thread 🧵 1 @ACPinternists #IMProud

@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists We need major payment reform so reimbursements & physician “productivity” is NOT volume-centered based on number of visit encounters. THAT drives ambulatory schedules to have visits that are far too short to maximize numbers of visits. Thread 🧵 2 @ACPinternists #IMProud

@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists Focus on value of care, NOT number of visits. Have flexibility of visit lengths based on appropriateness for care complexity. Get rid of “one size fits all” 15-20 minute visits. Simple 1 issue visit ok for that. Complex multi-problems-NOT ok w/ that. Threads 🧵 3 @ACPinternists

@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists Need #EHR documentation for clinical care NOT for billing. Eliminate burdensome paperwork like #PriorAuthorization & VNA orders for “billing”. Focus on patient & physician relationship & care. Delegate #EHR inbox tasks whenever possible. Thread 🧵 4 @ACPinternists #IMProud

@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists Finally, let’s VALUE our ambulatory #PrimaryCare cognitive #Twitternists & other #IMProud subspecialists. #HealthCareHeroes who are #Comprehensivists and #IMEssential for patients. #Respect #Prestige for “ambulists” (ambulatory specialists). @ACPinternists 🧵 End @ACPMAChapter

@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists @ACPMAChapter @threadreaderapp Unroll