A recent study found that diagnostic uncertainty was present in more than two-thirds of primary care visits. Put another way, in 2 out of 3 visits, your PCP doesn’t really know what’s going on. That makes a ton of sense to me, because an office visit is just a 10 minute snapshot in time for an issue that may be days, weeks, months, or a … Continue reading Health issues are stories that last from days to lifetimes.
Because I believe that health problems are just projects to be managed over time, I’ve always thought of doctors as the project lead. Any good project leader needs a team to support the mission and move the project toward completion. When a patient creates an Episode of Care within Sherpaa, the Sherpaa doctor runs point. When they believe they need help, they invite a team … Continue reading Besides a PCP, who else will you work with at Sherpaa to solve your health problems?
Sherpaa is Virtual Primary Care. But in reality, it’s the central hub people use for getting their health problems solved. We’re just problem-solvers. For the past 7 years, we’ve just been primary care problem-solvers. But now we’re adding specialists to the toolset. How it works: when your Sherpaa doc needs a specialist consult that doesn’t require an in-person visit, they summon a specialist and they … Continue reading Sherpaa now offers virtual consults with specialists in 40 specialties.
First, some assumptions about the process. Once the conversation is over, neither party can reconnect for ongoing care. Because there’s no follow-up, no tests can be ordered to confirm suspicions. Because it’s a phone or video conversation, no examination can be done. The diagnosis can only be made based on an oral conversation. Video can show images but quality is dependent on connection speed. When … Continue reading What can be accomplished in a 10 minute phone or video conversation between a random doctor and a random patient?
When you visit google.com, there’s a big free text box encouraging you to use their core feature, search. For one of the world’s largest companies, it’s a refreshingly simple almost blank white page. That’s because they know what role they play in the world. That page is the entry point to organizing the world’s information. Search is a tool to solve a problem, just as … Continue reading Triage for today
I’ve been having lots of conversations lately with brokers, employers & health plans who finally realize that 10 min telehealth visits aren’t living up to the hype. Also, word is Teladoc is pressuring plans & brokers to increase their monthly fees paid by the group on top of the per use fees. Instead of a solution like Teladoc and the clones who can only diagnose … Continue reading Telehealth isn’t living up to any sort of hype.
Forcing doctors and patients to communicate and problem solve within defined time slots forces a series of bad practices. A health issue is like anything in life. They have a beginning, a middle, and, ideally, a resolution. People need support, feedback given, and questions answered in all phases. Sometimes it’s a quick question, comment, or clarification around something weird or how to take their medication … Continue reading The tyranny of the appointment