Make sure the patient is part of your multidisciplinary team

 

A smaller, yet successful program was implemented in Ventura County, California, led by Chris Landon, MD, FFAP, FCCP, CMD, Director of Pediatrics at Ventura County Medical, Pediatric Diagnostics Center, and CEO of the Landon Pediatric Foundation.

 

The program, called The COPD Access to Community Health, employs a multidisciplinary team of behavioral specialists, dieticians and home healthcare nurses. A COPD specialty clinic was also established as part of the initiative.

It’s important to understand where patients are in their lives and on their journeys. If you pay attention, they will contribute valuable information.” 

Chris Landon, MD, FFAP, FCCP, CMD

Director of Pediatrics, Ventura County Medical

Director of Pediatric Diagnostics Center and CEO, Landon Pediatric Foundation

Patients are experts in their own lives, and when given the opportunity, they will tell you what works, what didn’t work in the past and what they believe should be the next step.”

Roberto Benzo, MD, MSc

Motivational Based Health Coaching

While Dr. Landon agrees that collaborating with case managers across disease states is key to better care, he believes that the patient is a critical part of the team. He explains, “It’s important to understand where patients are in their lives and on their journeys. If you pay attention, they will contribute valuable information.”

 

Dr. Landon recalls a time when he discovered his homeless patients had consistently better pulmonary function than those who lived at home or in a care facility. He says, “Turns out that these patients had to bicycle and walk everywhere. Needless to say, this revelation helped us gain support for our pulmonary rehabilitation unit.”