Jane this is a wonderful discussion of how "corporate" has harmed continuity. I've seen the same things at work in pain/rehab practice.
One of the insidious false assumptions in the corporate model goes something like, "all the important stuff can be quantified and recorded in the chart".
So they assume that a patient can be handed from provider to provider because they assume a patient can be quantified and that "all the important info is in the chart".
But some things that count can't be counted.
Any provider with a clue knows that there is therapeutic potency in the relationship that grows over time. And there are aspects that are nonverbal. Or verbal but nuanced in a way that defies "putting them in the box on the form"
For the patient, all of those touch points of shared conversation give a sense of being seen and known.
And that creates trust.
And trust influences physiology, choices, and behaviors. Especially when things get challenging.
And for the provider, there are things we know about our patients that don't go in the chart. And the importance of those things often reveal themselves on the second or 5th visit. When we have an insight about what they're experiencing, or the best way to word something so that it touches both their heart and their mind.
So...yeah...lets keep it personal. Built therapeutic relationships. Serve our patients as human beings, not just diagnoses.
Yes, I totally agree with you about the false assumption that everything important can be quantified and recorded. It’s so obviously not true!! Thanks for your comment!
Jane this is a wonderful discussion of how "corporate" has harmed continuity. I've seen the same things at work in pain/rehab practice.
One of the insidious false assumptions in the corporate model goes something like, "all the important stuff can be quantified and recorded in the chart".
So they assume that a patient can be handed from provider to provider because they assume a patient can be quantified and that "all the important info is in the chart".
But some things that count can't be counted.
Any provider with a clue knows that there is therapeutic potency in the relationship that grows over time. And there are aspects that are nonverbal. Or verbal but nuanced in a way that defies "putting them in the box on the form"
For the patient, all of those touch points of shared conversation give a sense of being seen and known.
And that creates trust.
And trust influences physiology, choices, and behaviors. Especially when things get challenging.
And for the provider, there are things we know about our patients that don't go in the chart. And the importance of those things often reveal themselves on the second or 5th visit. When we have an insight about what they're experiencing, or the best way to word something so that it touches both their heart and their mind.
So...yeah...lets keep it personal. Built therapeutic relationships. Serve our patients as human beings, not just diagnoses.
Yes, I totally agree with you about the false assumption that everything important can be quantified and recorded. It’s so obviously not true!! Thanks for your comment!