Over the years, we’ve seen so many attempts to define the intersection between the internet and healthcare. Here are just a few: Digital Health Health 2.0 Health IT Telehealth Definitions are important. They enable us to categorize things to create a better understanding through a shared language. And that got me thinking about what my efforts over the last 11 years should be called. And, … Continue reading Caretech
Sherpaa is Virtual Primary Care, not telehealth. Telehealth (Teladoc and the other video/phone visit companies) is for pink eye and 30 other simple conditions. A doctor’s ability to diagnose and treat more than those 30 things is due to the limitations of a 10 minute phone or video conversation between strangers without the ability to order tests or follow-up with you. Virtual Primary Care/Sherpaa treats … Continue reading How is Sherpaa different from telehealth like Teladoc?
A 10,000 patient primary care practice will have: 7-8 FTE primary care doctors 4 support staff per doctor (nurses, nurse practitioners, receptionist, billers, etc.) This adds up to 30 to 35 staff to support 10,000 patients. Volume and maximizing billing is the game as complexities to interface with insurers + inflation increases costs every year. The PCPs can diagnose and manage ~1,500 typical primary care … Continue reading The anatomy of a primary care practice
When your Sherpaa doctor orders anything via Sherpaa’s platform, this sends a notification to the patient allowing them to confirm or deny the order. Most of the time, they confirm the order. But sometimes they deny the order and, therefore, must provide a reason. Is it too expensive? Do they not believe in the treatment? Have they tried it before and it didn’t work? By … Continue reading “I feel confident and in control of my health care choices…my doctor empowers me.”
If you mash up Slack (for team communication) + Pivotal Tracker (for project management— your pneumonia is a project to be managed over time by a team of health professionals) + Highrise (so your care team can know who to coordinate local care with)…you get Sherpaa’s platform. The messaging component of our platform enables our doctors to communicate with the patient and to communicate with … Continue reading Slack + Pivotal Tracker + Highrise = Sherpaa
Is healthcare overpriced? Hell yes. Is it bankrupting us? Yep. Does everybody hate the painful experience of going to the doctor and getting ridiculously costly and complicated bills? Of course. All of this stems from one main incentive— the more doctors do the more they get paid from a payor beholden to shareholders who wants to pay as little as possible. Over the years, today’s … Continue reading Yep, I’m going there: how do you fix healthcare? Do we need to press reboot?
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?