Comments on: News 2/3/09 http://www.histalkpractice.com/2009/02/02/news-2309/ Physician practice and systems news and opinion Sat, 04 Feb 2012 20:34:20 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: The Alchemist http://www.histalkpractice.com/2009/02/02/news-2309/comment-page-1/#comment-51 The Alchemist Sat, 07 Feb 2009 14:29:54 +0000 http://www.histalkpractice.com/?p=201#comment-51 RE: Wash U Direct Access Model. In 1985 in St. Louis Missouri, a private clinical assessment research company launched the first "Direct Access Testing" laboratory for private self-payer patient referred by their attending physician. Some of those patients were referred by Washington University trained physicians. Private self payer system works well but demands a consuming amount of attention by the provider. House calls to patients were provided at no extra charge to increase access and the laboratory health assessment profile was deeply discounted from the National Medicare Laboratory fee schedule. Stat results and critical values were immediately communicated to the referring physician and everyone was satisfied. The patient received a fifty page spiral bound booklet as their interpretative laboratory report that augmented the referring physician's consultation. The referring physician enjoyed the rapid response elective health assessment less than 24 hours and the patients were delighted with the personalized service. (The laboratory pathologist did all the patient phlebotomy work as well as the patient demographic survey.) The health assessment services were discontinued in St. Louis in 1998 and the company has been trying to migrate this novel service to the Internet as a Personal Health Repository portal. RE: Wash U Direct Access Model. In 1985 in St. Louis Missouri, a private clinical assessment research company launched the first “Direct Access Testing” laboratory for private self-payer patient referred by their attending physician. Some of those patients were referred by Washington University trained physicians.

Private self payer system works well but demands a consuming amount of attention by the provider. House calls to patients were provided at no extra charge to increase access and the laboratory health assessment profile was deeply discounted from the National Medicare Laboratory fee schedule.

Stat results and critical values were immediately communicated to the referring physician and everyone was satisfied. The patient received a fifty page spiral bound booklet as their interpretative laboratory report that augmented the referring physician’s consultation. The referring physician enjoyed the rapid response elective health assessment less than 24 hours and the patients were delighted with the personalized service. (The laboratory pathologist did all the patient phlebotomy work as well as the patient demographic survey.)

The health assessment services were discontinued in St. Louis in 1998 and the company has been trying to migrate this novel service to the Internet as a Personal Health Repository portal.

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