Flip No. 1

Flip your Clinic

Are you ready for change?

By Flip the Clinic

  • 1

    How much do you know about your patients' lives?

    A
    With 2000 patients, not as much as I'd like.
    B
    Time is tight, but I'm able to squeeze in an extra question or two to get to know the patient better.
    C
    Their medical history, level of involvement in their own health, and where they get their health information outside the clinic
    D
    How their life context—whether marital problems or community involvement—is contributing to the choices they make as well as their overall health
  • 2

    How would you describe your waiting room?

    A
    Purgatory
    B
    Tissues, magazines, and tightly-packed chairs with institutional upholstery—but with a living plant or two
    C
    Open, bright, and functional
    D
    A welcoming community meeting space with natural light and wi-fi
  • 3

    What is your response when a patient asks about some condition they found during a Google search?

    A
    You advise patients to avoid getting medical information from the Internet because much of it is unreliable
    B
    You address their immediate concerns without getting into a discussion about the accuracy of the source
    C
    You explain that there’s a lot of valuable medical information online
    D
    You praise the patient for engaging in their own health, and you send them home with a list of trusted online resources
  • 4

    What is Atul Gawande’s, The Checklist Manifesto?

    A
    A fancy name for a to-do list
    B
    An item on your to-do list
    C
    Great bedside reading
    D
    A guide that has improved your practice
  • 5

    How much do you know about the cost of the care you give?

    A
    I know that insurance is important
    B
    Only what Steven Brill’s article in Time Magazine taught me
    C
    Some, but it would be helpful if I knew more
    D
    Enough to openly discuss options with a patient, offering interventions at several different levels of financial involvement
  • 6

    What’s your opinion of the current fee-for-service model?

    A
    It works
    B
    It’s the model we’re stuck with
    C
    I would be interested in shifting the emphasis to communication, but that’s not a viable option at this point
    D
    Billing for procedures rather than communication puts profit before effective care. I’m experimenting with ways to put care first—and getting reimbursed for it
  • 7

    What is a house call?

    A
    It’s when you call someone on their home phone
    B
    An in-home doctor’s visit that’s not really around anymore
    C
    By the 1980s, less than 1% of doctor’s visits were house calls, which is a shame.
    We should bring them back
    D
    Something I have incorporated into my practice
  • 8

    How supported do you feel in your practice?

    A
    The health of my patients falls squarely on my shoulders.
    B
    I have help, but not enough. The distribution of work is such that not everyone is working at the top of their ability.
    C
    Moderately, but I’d like to find ways for everyone in the team to feel more supported.
    D
    We’re a team-based practice that shares the responsibility for delivering good care. We have divided the clinic’s responsibilities so that everyone is working at the top of ability.
  • 9

    How much joy do you feel in your practice?

    A
    Joy? What’s joy?
    B
    Occasional joy...when I’ve succeeded in managing my mountain of paperwork and accompanying stress level.
    C
    An appropriate level, but I’d like to feel more joy on a daily basis
    D
    I’m reminded regularly why I got into medicine.
  • 10

    In general, how engaged are your patients in their health when they’re on their own?

    A
    Disengaged
    B
    They follow through on the basics—check ups and medications—but not much beyond that
    C
    They show interest in their health outside the clinic, but they could use some more support
    D
    They’re active participants in their own health, in and outside the clinic, taking advantage of all the resources available to them
  • Your score is 0.

/

Analysis

Ready for Reinvention

10-24 points

You’ve got a solid foundation but several unmet needs—perhaps too little time with your patients or too little support. The good news: Your clinic is ripe for reinvention. To become a “Flipped” clinic, you don’t need to rip out the cheesy upholstery or suddenly offer house calls (although we wouldn’t talk you out of it). You can start small.

Here’s where your might begin, based on your most immediate needs:

Patient-centered flips
How to Embrace an Empowered Patient
The New Vital Signs
Choosing Wisely
Flip Cards

Provider-centered flips
Mindfulness Tools

Environmental flips
Reclaiming the Physical Environment

Interested Experimenter

15-34 points

You’re already interested in health care innovation, and we like your enthusiasm. Join us in the Flip the Clinic movement, either by sharing your experiences or by trying out a few of our more daring ideas.

Here’s how to dive in:

Interested in sharing your own ideas or commenting on others?
Head over to our community page to advance the Flip the Clinic conversation.

Patient-centered flips
How to Embrace an Empowered Patient
The New Vital Signs
Flip Cards
Choosing Wisely
Knowledge Prescription
Farmers Market Prescription

Provider-centered flips
Mindfulness Tools
Project Check

Environmental flips
Reclaiming the Physical Environment

Experienced Innovator

35-40 points

You’re a strong believer in health care innovation, and you’ve seen how new tools and new ways of thinking have made a difference in your practice. Your experience is valuable, and we’d love for you to share it, either by offering your own Flip the Clinic tools, commenting on others, or by trying out some the big game changers that we’ve observed in other cutting-edge practices.

Here’s how:

Interested in sharing your own ideas or commenting on others?
Head over to our community page to advance the Flip the Clinic conversation.

Patient-centered flips
How to Embrace an Empowered Patient
Flip Cards
The New Vital Signs
Knowledge Prescription
Farmers Market Prescription
Health Leads

Provider-centered flips
Mindfulness Tools
Project Check

Environmental flips
Reclaiming the Physical Environment

Comments