In this episode, George welcomes back Dr. Brian Birch, who has undertaken a remarkable journey from being part of a large health system to opening his own successful independent pediatric practice, Treasure Valley Children's Clinic. The discussion covers the clinic's mission to help children live fulfilling lives, the significance of KPIs in tracking pediatric growth, and the evolving landscape of pediatric diagnoses. Dr. Bursch shares critical insights on managing chronic illnesses within his practice and the importance of mental health. He delves into his clinic's core values, the role of relationships over efficiency, and measures to ensure access and exceptional care. The episode also highlights Dr. Birch's advocacy work and the importance of having a supportive community and mentorship in achieving success in independent practice.

00:00 Introduction and Guest Welcome
00:29 Brian's Journey to Independent Practice
01:56 Mission and Key Performance Indicators
03:40 Chronic Illness and Behavioral Health
09:39 Clinic Culture and Values
12:08 Challenges and Lessons Learned
21:13 Focus on Relationships and Efficiency
32:11 Depression Screening and Adolescent Care
34:33 Verbal Assessments and Safety Planning
35:05 Paperless Forms and Patient Interaction
35:53 Importance of Measuring Suicide Risk
36:16 Incremental and Substantial Improvements
39:55 Access to Care and Quick Sick Visits
48:09 Balancing Work and Personal Life
50:45 Advocacy and Community Involvement
54:29 Building a Supportive Network
57:26 Encouraging Independent Practice
01:01:18 Future Growth and Efficiency
01:05:00 Concluding Thoughts and Next Steps

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SOCIAL Media Pages ===============================
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

Examining the Collapse of Traditional Healthcare Models and the Rise of Direct Primary Care

In this episode, Dr. Michelle Cook discusses her journey from a traditional insurance-based family medicine practice to adopting the Direct Primary Care (DPC) model. She explains how the collapse of her healthcare system in Atlanta, Georgia, led her to pursue DPC for better patient relationships and autonomy. The conversation covers the inefficiencies and challenges of the traditional fee-for-service model, the unsustainable business practices in retail and insurance-based primary care, and the benefits of DPC in providing longitudinal, quality care. Highlighting the Medicaid low payment issue, the discussion delves into how it denies access to maternity wards and primary care for those in need.

00:00 Introduction and Guest Introduction
00:25 Journey into Family Medicine and DPC
01:08 Challenges in Traditional Healthcare Systems
01:27 Healthcare System Collapse in Atlanta
01:42 Transition to Direct Primary Care
02:24 Impact of Healthcare System Collapse
04:37 Medicaid and Financial Challenges
07:38 Retail-Based Healthcare Clinics
18:11 Comparing Healthcare Models
19:01 Direct Primary Care Explained
26:35 Efficiency and Documentation in Healthcare
28:48 EHR System Challenges and Physician Efficiency
30:12 Impact of Appointment Scheduling on Workflow
31:13 Pediatric Care and Efficiency Issues
32:39 Administrative Burdens in Modern Healthcare
39:15 Retail Clinics and Medicare Advantage
44:25 Direct Primary Care Model Benefits
50:14 Healthcare Costs and Insurance Issues
58:21 Conclusion and Final Thoughts

Support the Show.

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
Read more on the TPL Website

SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
🐦 - TWITTER
📸 - Instagram
➡️ - Linkedin

The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

In this episode, Dr. Shannon Fox Levine shares her unique path to becoming a pediatrician, starting from a criminology major to her final realization during her third-year clinical rotation. She discusses her practice in Palm Beach, which has a strong focus on mental health and chronic care management. Dr. Levine highlights the collaborative efforts with a local nonprofit for mental health care and the challenges faced, especially regarding payment structures and care coordination codes like G2211. The conversation covers the need for fair payment, advocacy for primary care, and the evolving landscape of pediatric care with an emphasis on chronic disease management.

00:00 Introduction and Guest Welcome
01:13 Dr. Foxx's Journey to Pediatrics
04:24 Residency and Early Career
05:34 Building a Comprehensive Pediatric Practice
07:29 Mental Health Integration in Pediatrics
11:33 Challenges and Innovations in Pediatric Care
19:19 Patient Experience and Practice Management
28:26 The Future of Pediatrics
36:28 The Demands of Pediatric Practice
36:45 Challenges in Pediatric Infectious Disease
37:25 Shift to Chronic Disease Management
39:01 Mental Health Crisis in Pediatrics
39:25 Insurance and Access to Care Issues
40:55 Obesity and Metabolic Syndrome
43:22 Vaccination and Disease Prevention
44:44 Advocacy for Fair Payment
49:18 National Pediatric Advocacy Efforts
52:10 Value-Based Care and Chronic Disease
01:07:34 Future of Pediatric Care

Support the Show.

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
Read more on the TPL Website

SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
🐦 - TWITTER
📸 - Instagram
➡️ - Linkedin

The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.