Jonathan O'Donnell @jonodoc
MD MBA // can you identify the location of my background photo? linkedin.com/in/jonodoc Durham, North Carolina, USA Joined August 2011-
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@chrissyfarr Honest question: why is this still a dichotomy? The solution is an LLM-augmented clinician. Either alone will be inferior to both together. It already is, based on GPT-4 drafting responses that reviewing clinicians can efficiently approve or tweak.
@DrCharleneWong Thanks for sharing your wisdom with those talented tornadoes!
My moment atop a Soapbox! Note that the key ideas throughout involve driving innovation in healthcare delivery. We need to develop alternatives to hospital-based care. politico.com/news/magazine/…
What’s the Specialty whose in-person primary care referral demand will be impacted first AND materially by AI / Chat GPT usage by a PCP? #ai #chatgpt #primarycare #valuebasedcare
@heathermirj @ShelbyJLiv @tjparker @KelseyMellard @TrustSitka FWIW: I’m a huge fan of Kelsey and her business ; however, e-consultation businesses seek to AVOID referrals to independent (or any local) specialists (which was the stem of this Thread), and few focus on the actual local referral workflow and decision-making.
@B_Madden4 Social transformation of American healthcare - Starr. Healing of America - Reid.
@jfschneidr Independent PCPs and PCP-led ACOs have a role to play to counteract the network and financial pressures cascading on independent specialists. Plus, the quasi-brand of “Independence” is powerful to emphasize in the medical community against these common pressures.
@nikillinit Read for the thorough evolutionary reason: Social Transformation of American Medicine by Paul Starr amazon.com/gp/aw/d/B01LL8…
@JamesClear thank you for your diligent and deliberate positive contributions to a Good life. You have helped me greatly. Two topics I wonder what your thoughts are is Marriage and Parenting. So much entropy and emotion in each. How would / do you approach these?
@AMychkovsky Stockdale Paradox captures that sentiment to good effect: jimcollins.com/concepts/Stock…
@BryonyWinn Clinician - more inclusively captures the concept of cognitive skill and decision-making, including *not* to “provide”. In an era when *generally* the provision of services ought to become less or more efficient or more appropriate, “provider” sounds to legitimize any provision.
If doctors can’t or won’t solve the problems of healthcare, should we react w outrage or self-pity when outsiders try to do it for us? My op-ed in @nytimes. nytimes.com/2019/09/11/opi…
Dear healthcare providers, You don't need a certification to... 1. Make eye contact 2. Listen to an entire story 3. Say thank you 4. Admit what you don't know 5. Share what you do know 6. Ask more 7. Lecture less 8. Accept everyone 9. Reflect on practice 10. Forgive yourself
@CMSinnovates @CMSGov @BlueCrossNC @PatrickConwayMD @RahulRajkumar11 @BryonyWinn @dukemargolis @DukeOrtho @KevinBozic @DellMedSchool @AAOS1 @AANSNeuro It is encouraging + exciting to see the seriousness key stakeholders (esp specialists) are embracing VBC. It takes everyone.
@CMSGov & @CMSinnovates want to thank another group of surgeons for meeting w/us last Friday to discuss new Advanced Alternative Payment Models. Their input ensures that new models prioritize what’s most important for clinicians & beneficiaries while pursuing value-based care.
New @DukeForge: "#PhysicianBurnout, Practice Reform, and the Path to Value in Healthcare" by Forge Associate Director @DrLolaFayanju: bit.ly/2JmkoKZ @DukeMedSchool @DukeSurgery @DCRINews @califf001 @DukeOrtho #ValueBasedHealthCare
The commitment and thoughtfulness of @CMSGov @CMSinnovates @AANSNeuro @AAOS1 and colleagues toward specialized care and payment reform is inspiring and bodes well for advancing new pathways for value-based impact in our health system cc @dukemargolis @DukeOrtho @DellMedSchool
.@CMSGov & @CMSinnovates can’t thank these surgeons & champions of specialty care enough for their valuable input as we consider new Advanced Alternative Payment Models! Engagement from stakeholders, beneficiaries & the public is step 1 on the path to successful value-based care!
Impressive leadership and model example by @KevinBozic and @DellMedSchool team to demonstrate care and payment transformation that pursues Appropriate person-centered utilization, and enables clinicians to practice with greater Mission and Skill alignment. 👏👏
A Musculoskeletal Institute and bundled payment program that focuses on the condition or person level of care, rather than the procedure level, finds early success @DellMedSchool: buff.ly/2GNuIKO via @KevinBozic @UTHealthAustin
Blake Madden 🏥 @B_Madden4
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Duke Health @DukeHealth
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David Johnson @davidjohnson83
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Meril Pothen @MerilAnn
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Duke Student Collabor... @DukeSCOHP
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Benjamin Schwartz, MD... @BenSchwartz_MD
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