What are You Doing to Flip the Clinic?

September 10, 2013

The Robert Wood Johnson Foundation wants you to flip the clinic.

What does this mean?  Flipping has emerged as a cultural meme associated with disruption.  ’Let’s do things differently.

I got to thinking how I might flip the clinic?  Here are a few ideas that came to mind:

  • Create an introduction video.  I don’t have one.  This is embarrassing.
  • What do I want to know?  Curate a small list of questions for a particular type of problem.  Perhaps I could create a small space around each problem or chief complaint that could be explored before a visit.
  • Create a formal way for whiteboard notes to get to patients.  I create clinical sketch notes for patient plans and parents love love love them.  Patients take pictures now.  This works well.  I need to come up with a way to get these more formally delivered to patients.
  • Record post-visit discussions.  I need to create clean presentations for my top problems.
  • Curate resources.  I had a Delicious system of bookmarked resources that vaporized (I’m dating myself).  I need a current system of prescribed links for particular problems.

RWJF has curated a list of organizations as flipped examples.  The shiny websites are impressive.  But I might suggest that they come up with things that doctors can do with limited resources.  Perhaps this could be part of their website.

The Robert Wood Johnson Foundation has suggested that we should be part of the conversation. What do you say we become part of the execution?

What are you doing to flip the clinic?


Michael Negraeff September 11, 2013 at 12:44 am

Totally, totally, totally, need to do this! I’ve been practicing pain management in Vancouver for just over 10 years and I am basically doing it the same way as then. There’s even still a paper chart here which is ridiculous. I’m working on all this, but thanks for bringing up some ideas to flip my clinic. There is an ethos of stagnation and inertia in a hospital based clinic. I’m drowning in it.

Chris Johnson September 11, 2013 at 9:26 am

My internist uses iPads in the waiting room. I don’t know where he got the software, but you go through all the usual questions — reason you’re there, relevant PMH, FH, ROS, etc., on the iPad while you’re waiting. Then he already has that information when he sees you.

Like many docs are doing, he also uses a lot of email for questions, getting back to you within 24 hours.

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