If you as a practitioner take the time to read The Directed Eye Exam, the downloadable eBook The Roadmap to Inclusion and the downloadable eBook Medicare Pay-for Performance & Value Driven Health Care you should start being concerned about your ability to participate in the new healthcare game. Herein, we have developed a roadmap or checklist to facilitate your thought process on developing a strategy and facilitating this strategy. Links have been included for your convenience to enable you to develop a sense of what this is all about. Use this checklist to move forward on what needs to be done to enable you to move through this bureaucratic forest to retool your practice.
The Checklist …
Get into the Electronic Health Records mode!
Get off …
- the sandbar.. read about it http://eyelessons.com/philosophy-editorials/item/eye-doctors-are-stranded-on-a-sandbar-dictated-by-our-examination-paradigm
- the island (Eye Care Island).. read more at http://eyelessons.com/books-downloadable-pdfs/item/the-roadmap-to-inclusion
- your complacency/ apathy…get your head out of the sand!
Take a lesson from a dark time in history
‘The Stockdale Paradox’
From Good to Great
By Jim Collins
Harper Business 2001 pp 83-87
Accept the brutal facts of reality but maintain an unwavering faith in the endgame, and a commitment to prevail as a great company despite the brutal facts. This duality is referred to as the Stockdale Paradox.
Admiral Jim Stockdale was the highest-ranking United States military officer in the “Hanoi Hilton” prisoner-of-war camp during the Viet Nam war. He was tortured over twenty times during his eight-year imprisonment from 1965 to 1973. At one point, he beat himself with a stool and cut himself with a razor, deliberately disfiguring himself, so that he could not be put on videotape as an example of a “well-treated prisoner.”
During an interview he said to Jim Collins “I never lost faith in the end of the story. I never doubted not only that I would get out, but also that I would prevail in the end and turn the experience into the defining event of my life, which, in retrospect, I would not trade.”
Mr. Collins queried, “Who didn’t make it out?”
Stockdale replied “Oh that’s easy, the optimists. The optimists. Oh they were the ones who said, ‘We’re going to be out by Christmas.’ And Christmas would come, and Christmas would go. Then they’d say. ‘We’re going to be out by Easter.’ And Easter would come and Easter would go. And then Thanksgiving, and then it would be Christmas again. And they died of a broken heart.”
Stockdale continued, “This is a very important lesson. You must never confuse faith that you will prevail in the end—which you can never afford to lose—with the discipline to confront the most brutal facts of your current reality, whatever they might be.”
THE STOCKDALE PARADOX
Retain faith that you will prevail in the end, regardless of the difficulties.
And at the same time
Confront the most brutal facts of your current reality, whatever they might be.
Look outside (beyond Eye Care Island)
- accountable care … watch video http://www.aetna.com/health-reform-connection/reform-explained/exchanges.html
- connected care
- team-based care
- coordinated care … read more at http://innovation.cms.gov/initiatives/comprehensive-primary-care-initiative/index.html
- registries … watch video http://www.youtube.com/watch?v=_3ZPZ0EKVCE
- patient engagement … read about it at http://wiki.siframework.org/Automate+Blue+Button+Initiative
- clinical quality measures
- clinical decision support
- Direct-enabled … watch video, slides or read more http://directproject.org/content.php?key=overview
- Tags: Health Care Reform
Related ArticlesMedicare Pay-for-Performance & Value-Driven Health Care
The Roadmap to Inclusion
About the Author(s)
Dr. Alexander (1948-2016) was a 1971 graduate of Indiana University School of Optometry. He served in the US Navy then served as a Professor at the University of Alabama Birmingham School of Optometry. Larry contributed to a number of chapters in textbooks and has published three editions of Primary Care of the Posterior Segment, as well as contributed to the professional literature. He also lectured extensively in the area of ocular and systemic disease. His areas of special interest included dysfunctional tear syndrome, glaucoma and macular degeneration. His lessons are the basis for this site and he will be dearly missed.
Alistair Jackson, M.Ed. enjoyed a first career as teacher and school administrator then served for 12 years in a sales, marketing and business development capacity for an eye care software company. There, he specialized in understanding the transformational role of certified EHR technology. Alistair understands the learning process and organizational change, both of which are required for eye care practices seeking to adapt to the ever-changing environment we call health care reform.