BLFM Retreat

posted Jan 21, 2014, 1:32 PM by Blh Webber   [ updated Jan 21, 2014, 1:36 PM ]

Maestro’s Caterers was host to the 2011 Fall Retreat for the Department of Family Medicine.  On October 12, 2011, all clinic teams, faculty and staff converged to extensively discuss possible avenues and angles to improve patient care as they drew inspiration from special guest lecturer Jeffery Brenner, M.D.

Family Medicine Chairman, Doug Reich, M.D. invited Dr. Brenner to inspire his department after learning of his achievements in the January 2011 feature in The New Yorker by journalist and physician Dr. Atul Gawande.  The Medical Report, The Hot Spotters asks “Can we lower medical costs by giving the neediest patients better care?”

Pursuant to Dr. Brenner’s approach of combating the fragmented, uncoordinated care received by the sickest patients, Family Medicine broke into 15 teams consisting of Registrars, Patient Care Technicians, LPNs, Attendings, Residents, Administrative Staff, and Community Health Workers (CHWs) to discuss hand-picked cases of actual high-utilizer patients seen in the clinic.  Each team, equipped with a Presenter and Facilitator, introduced the patient through their demographics and history, and challenged to devise ways to reduce barriers to care and increase compliance by staging interventions.  Solutions ranged from assigning a CHW and conducting home visits to using Skype as a method of increased communication and understanding.  Other suggestions include offering Vocational Services, networking with Volunteer Companions, and getting patients enrolled in Fitness programs.  The highlight of the break-out session was a proposal that out of all the comorbidities listed, the symptom most troubling to the patient—and not the provider, be addressed first.

Overall, it was a very productive and exciting day starting with Maestro’s appetizing banquet.  In the end, the six clinics under the Department of Family Medicine began to feel and believe, as a team, they can and will make a difference in the lives of our most vulnerable patients living in the South Bronx.


For additional information on Dr. Brenner and the Hot Spotters, please see the links below;

Watch the PBS/Frontline Video:

http://www.pbs.org/wgbh/pages/frontline/doctor-hotspot/#ixzz1WWmfYXcn

Read the January 2011 feature in The New Yorker:

http://www.newyorker.com/reporting/2011/01/24/110124fa_fact_gawande?printable=true&currentPage=all