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Nurse Practitioner

Christmas 2018 blog

Merry Christmas & Reflections on 2018

As I prepare for my 56th flight of the year to return home for a Christmas break I reflect on the reasons why 2018 has been one of my favourite years in this 12th year of running my business. For me the reason is the connection to people.

No doubt the  reason I am feeling even more connected to people this year is because we did more consulting, more in-practice and online customised… Continue reading

US ‘person-centred’ study tour part 3: New York

What an incredible experience New York was! Visits included 2 Urgent Care centres, 4 Pharmacies (which have to be seen to be believed), a Physical Therapy centre (Physio) and the famous Mount Sinai hospital. From my 3-state tour I now have 35 pages of notes (and 400 photos) but to summarise, my top 5 learnings were:

  1. Health care roles are evolving  It is common for patients to see at least 3 clinicians in one visit. A patient in the… Continue reading

US ‘person-centred’ study tour part 2: Georgia

I am very privileged to be on this US ‘person-centred’ study tour (see prelude & part 1 of tour here) with a clinician who  has worked half their life in Australia and half in Georgia, USA. They currently work in the US and have joined me on this tour which is both enlightening and also opening many extra doors, enabling detailed insights into US systems and the impact of recent large-scale patient-centred healthcare reforms.

Family and… Continue reading

Ensuring health equality for all

Way back in 1988 I worked in a homeless shelter in Atlanta, USA. I was young, naive and exploring the world. Staying with family living in Georgia, I was not allowed to work legally so I volunteered at a refuge for homeless women and children. It is an understatement to describe this experience as an eye-opening, ideal-shattering experience.

In the 4 months I worked at the shelter I met dozens of women and children who were homeless. Their stories were… Continue reading

‘Health Care Homes’ – alternative Australian models

Health Care Homes – Blog 4 of 4 part series

Most general practices we work in these days are struggling to remain viable whilst continuing to offer a high standard of healthcare. If they are still bulk billing it is not uncommon for doctors to see 50 patients per day and patients to wait over an hour to be seen. I am finding if practices are not already charging patients a gap fee they are talking about introducing one.… Continue reading

Health Care Homes – Success Stories so far

Health Care Homes – Blog 3 of 4 part series

It is really too early in the official Health Care Home trials to expect significant improvements in patient health outcomes. Many sites “took a while to get going” and some are still at the very beginning stage of registering patients. In last week’s blog I outlined technology and other challenges which have slowed progress.  This week however I want to share a few very early ‘success stories’.

Essentially,… Continue reading

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