In this episode, Dr. Fields conducts his first podcast interview with a frontline provider – his own PCP, Dr. Margaret Kearns-Stanley. They discuss the challenges and pleasures of being a family physician in New York City given the current healthcare landscape, the business of being a doctor, how being a part of MSHP impacts her practice, and more. Don’t miss our spotlight interview with Dr. Kearns-Stanley, where we dive deeper into her journey as a physician and how that has shaped her practice today.
Dr. Jonathan Ripp, Senior Associate Dean for Well-Being and Resilience at the Icahn School of Medicine at Mount Sinai, joins Dr. Fields to discuss the movement in healthcare systems to promote wellness and combat burnout among providers, graduate fellows, and others. They discuss the sense among physicians of lack of control, advocating for regulations that make sense, a model of population health that doesn't contribute to burnout, and more.
We sat down with Dr. Margaret Kearns-Stanley, a family medicine physician on the Upper East Side to discuss her journey as a physician, her passion for family medicine, and how treating people as individuals with an understanding of their culture is critical for keeping them healthy. As an 8-year old, Dr. Kearns-Stanley’s grandmother was diagnosed with lung cancer and it was that experience that led her to the pre-med track as an undergrad. But she says it was the time she spent in Oakland that really shaped her career and her approach to medicine. Read more.
Care coordination is essential to our CIN in providing better care to our patients. As a reminder when you joined the CIN, you have committed to this effort by signing a MSHP care compact. This is a framework for how primary care and specialty care providers should communicate and work together to improve patient care. Click here to download a summary of this care compact.
Aetna has released a Laboratory Selection Form requesting you to indicate which laboratory you plan to direct your Aetna patients to. Mount Sinai has completed this on your behalf and your action is not required. This form while labeled draft has been confirmed by Aetna representatives as the final form. For questions, please contact Aetna's customer service line at https://www.aetna.com/health-care-professionals/contact-aetna.html.
Population Health in the Literature & Media
Using Pharmacy Claims to Identify Patient Non-Adherence
MSHP uses pharmacy claims to help identify patients who are non-adherent. According to a December 2018 JAMA literature review pharmacy claims data correlates with more precise measures of adherence such as electronic pill bottles. In addition, the use of pharmacy claims data has been associated with improvements in clinical markers (e.g. LDL-C). The review also explores Clinical Pharmacist consultation in co-management of chronic illness, and reports promising evidence of both increased medication adherence and improved clinical markers. Learn more by reading this review.