early detection screening the benefits, risks, and...
TRANSCRIPT
EARLY DETECTION SCREENINGThe Benefits, Risks, and Debate
J. Jacques Carter, MD, MPHAssistant Professor of Medicine
Harvard Medical School
Beth Israel Deaconess Medical CenterBoston, Massachusetts
Premise:Providing the HIGHEST
possible STANDARD OF CARE to the communities and
patients we serve
Key ---
Being able to offer a BROAD RANGE of Clinical Services to meet the needs of your patients
QUALITY
VALUE
Keep in mind:
Quality and Value
Are NOT mutually
EXCLUSIVE
Avoid
“CHEAP”
“NO FRILLS”
is quite acceptable to most
Honestly assess your
capabilities
….And the scope of services you COULD offer with the right
ALLIANCE
For some, this GAP is a mere crack…..
...For Others, it may be a…..CHASM!!!
Important factors to consider when looking to develop an
alliance
ALLIANCEversus
AFFILIATION
Factors to consider in developing an alliance
• Location
• Cost of Services/Procedures
• Reciprocity
Look for partners with INNOVATIVE programs
• Innovations -- Often HARD to implement
• Even when implemented are often more DIFFICULT to diffuse throughout an organization.
Carter’s Story:• Interest in Public Health and Medicine
• Role as a Primary Care Internist in an Academic Practice
• Care of Patients from Bermuda and the Caribbean (Jamaica, Barbados, Trinidad, Virgin Islands
The HMFP - Family Hospital Corporation Relationship
Affiliation vs. Alliance
Reasons FHC wanted Relationships with Major
Medical Center
• Clinical Expertise
• Cutting edge Technology
• Training opportunities
Examples of Technologies
• Patientsite• Video Conferencing• On-line Continuing Medical Education
(CME)• Minimally Invasive Surgical Center• Joslin Vision Network (JVN)
Successes
• Emergency Medicine Training for Panama
• Liver Transplantation in Boston• Neonatal Cardiac Surgery• Emergency Medicine and ACLS
Training in Honduras• Visiting Professorships
Why Do Academic Medical Center develop Alliances?
• Access to New Markets• Expanding the scope of Clinical
Pathology for it Staff, Trainees• Name Branding• Mission-Driven
These Relationships are :
• NOT a piece of cake!• NOT short-term• Take lots of work and perseverance
if either party hopes to reap any sustained benefits
Lessons Learned
• Program must be Doctor-supported and Doctor-Driven at the local level
• Must Have reliable, efficient Doctor to Doctor Communication
• Educational Opportunities are an important component for the local Physicians
Wrap Up
• Seek a BROAD range of Clinical Services
• Look for QUALITY with VALUE• Aim for INNOVATIVE programs• Recognize the importance of
DOCTOR to DOCTOR Collaborations• REMEMBER: This is a Two-Way
Street