Your Doctor Program, L.P. Services for Physicians

Why is our service important?  People expect their primary care physician to be their point of health care access and an assurer that their care in the system is evidence-based, cost-effective, coordinated, and safe.  Since primary care physicians or specialists who serve as the patient’s primary care do not have the systems in place nor are paid for these services, we provide a system and payment to provide these services..  

What is our service? The Your Doctor Program Medical Home Service (YDP-MHS) has developed a one day implementation program for a practice to become a Medical Home.  Once a practice has completed the enrollment process, we then refer their practice to payers and patients seeking a medical home.   

We support the practice in an ongoing quality improvement program as part of a practice-based CME program.   To accomplish this we use a tool called the Quality Health Record (QHR), a communication tool for patients and doctors.  Key elements of the QHR are:

• Protocol customization by physician
• On-demand “curbside consultation” to specialists for disease management (pharmacy, radiology, pathology, psychiatry, cardiology, endocrinology and others based on need)
• Live interactive telemedicine to specialists
• Specific patient goals based on both national guidelines and physician preferences
• Secure messaging among physicians for outcomes collection and future peer review
• Patient risk factor data recorded at the time of care delivery by disease state for adjusting patient outcomes
• Reconciliation of treatment plans and medications
• Outcomes follow-up information from patients on status of meeting goals, understanding of treatment plan and adherence to treatment plan

How do we overcome the physician barriers to engagement in quality improvement?  We have established a practice-based continuing education program focused on quality improvement using Pay for Performance and Peer Review.