Flips Unfiltered: The Other Ideas from Austin

By Flip the Clinic

Austin was Flip the Clinic’s largest Lab yet. Participants mined their own experiences, dug out new ideas, and combined them with existing knowledge to generate a wealth of Flips. But to push Flips further—to send them through a peer review process and into a second iteration within the time we had for the Lab—meant that participants had to pair up and pare down the number of Flips they would work on as a group. All-in-all, eleven Flips—just a fraction of the total generated—were presented at the Lab’s conclusion. What happened to all the other ideas? Here’s a peek at what else participants expressed interest in pursuing collaboratively.

  • Patients vote for employee of the month with stickers: Which person was nicest to you today? The staff member with the most stickers wins.
  • An X-Prize-like campaign for the interoperability of all electronic medical records.
  • Educate patients within clinic walls. Digital resources introduced inside the clinic can be used outside the clinic, extending health learning between visits.
  • Increase the time for appointments—especially with new patients. New patients prepare by filling out a history form when they enroll.
  • Make a designated cultural liaison trained in cultural competency available for appointments. With a focus on the immigrant population, the cultural liaison would support both clinicians and patients.
  • To improve the continuity of care, we suggest a discharge summary that lives in a secure Dropbox. Updating the sheet would alert primary care physicians to updates in their patients health.
  • Start talking to bankers, people in finance, and others about health care’s financial situation. In other words, stop talking to stakeholders about the future of payment and reimbursement.
  • Bring health into the community and out of the clinic.
  • Deliver health care in the work place.
  • Patients should answer quality of life screening questions before they see a provider.
  • Flip gathering the critical information from a patient from inside the clinic to outside of it. Leverage the pre-appointment time.
  • What forms can we standardize across the Austin health care community? Identify those forms and enact a standard.
  • TigerText—a HIPAA compliant text messaging service—is available now but being under utilized. Including patients in the system would improve its uptake and impact.
  • Push for instantaneous patient feedback. A patient would take a survey in the exam room and the data gathered would be outwardly displayed.
  • While waiting for the medical team, cancer patients would be given access to YouTube videos about their diagnosis, and perhaps even from the voices of other patients.
  • Promote positive clinical culture. Reward positive behavior.

Which ideas do think are ready for further development? Let us know in the comments.

  • Karim Sandid

    As a primary care provider ( I’m family doctor in Paris, France) , I think between all this very interesting ideas, 2 are ready to “flip the clinic” !

    1) Educate patients within clinic walls. Digital resources introduced inside the clinic can be used outside the clinic, extending health learning between visits.

    2) Increase the time for appointments—especially with new patients. New patients prepare by filling out a history form when they enroll.

    These ideas would let more time during the first encountering for patient and physician to know each other instead of asking some technical informations.

    More humanism, less technicity !

    • Whitney Bowman-Zatzkin

      Karim, we would love to have you lead or engage with a team working on these Flips, would you be up for testing Flip the Clinic in France for us?