Click here to learn more about updating your profile picture so we can see your smiling face!

Welcome to Delta-Exchange, TransforMED's collaborative network for practice transformation.  I'm here to answer your questions about Delta-Exchange. 

Some of the questions you may have initially may be around "setting up your profile" or how to "change your password."  There's some additional help documents found here that can help you get started with DX. 

I look forward to your questions and enjoy your membership.

Nathan

As the Patient Centered Medical Home (PCMH) and practice transformation world continues to evolve so quickly, it is worth the time to step back and reflect on how much things have changed since the days of the National Demonstration Project (NDP).  I recently came across the original "bubble document" describing the NDP's "new model of care" and was struck by how much it has evolved over the years. 

The NDP was based on a model of care described in the Future of Family Medicine report.  That…

We all know that there is a great deal of conversation happening at the national level around health care reform.  We also know that many consider the current discussions not really about true health care reform, but rather health insurance reform.  There is significant attention being paid to the end result of a fractured health care system that is lacking in coordinated care, inadequate utilization of technology and costs that are out of control.  The end result is higher insurance premiums…

As the first stage criteria of meaningful use have been announced it is important for primary care physicians to understand them. It is also important to realize that the criteria for meaningful use were not developed in a vacuum. The Office of the National Coordinator (OCN) has said all along that for the implementation of Health Information Technology to be successful there needs to be concurrent transformation at the practice level particularly with opportunities specifically related to…

There are so many Holiday sayings, but if there is one wish as we prepare to leave 2009 and enter 2010- it is that primary care practices continue to work on ensuring that all patients in this country have access to a Patient Centered Medical Home (PCMH).  As we know, PCMH implies extensive transformative change throughout the entire culture of a practice.  One of the most critical pieces of transformation and one that is going to require serious attention in the coming months is the…

As the health care debate rages on, it is apparent that many of the stakeholders are talking into the mirror.  They are conferencing with others of like mind and "preaching to the choir" as it were. This is certainly true for the decision makers who are trying to reform health care without a meaningful understanding of how the system really works and what actually occurs in the all-important physician patient relationship. The same is true for those in the trenches of health care who interact…

I have the unique opportunity to speak with many physicians as I travel around the country. A physician recently commented that Primary Care physicians are potentially putting themselves out of business promoting a model of care that relies on non-physicians to varying degrees. This comment solidified the fact that primary care transformation must be total transformation and not partial by implementing only some components of PCMH such as care coordination without a concurrent focus on…

The concept of a patient-centered, high-performing practice discussed in the last CEO report really resonated with physicians and practices across the country. It is clear that many have had difficulty embracing the concept of Patient Centered Medical Home for their practices. Everyone agrees with the PCMH concepts, but describing their practice as such is another issue.  As outlined in the last report, the important issue is that practices embrace the concepts of the TransforMED model of care…