Mon. Apr 29th, 2024

Direct Primary Care (DPC) is a model of healthcare gaining traction for its patient-centered focus and emphasis on building lasting doctor-patient relationships. In a recent episode of “My DPC Story Podcast,” Dr. Maryal Concepcion and DPC physicians, Dr. Shary Vang, Dr. Anita MacDonald, and Dr. Leslie Surbeck shared valuable insights into their journey of establishing a successful DPC practice, Evergreen Primary Care.

The Autonomy of Partnership Model

Evergreen Primary Care operates under a partnership model, where each partner’s compensation is based on the revenue generated from their own patient base. This setup fosters a sense of autonomy and flexibility in their work, allowing each physician to have greater control over their practice and patient care. Dr. Surbeck emphasized the need for meticulous research and the involvement of a lawyer well-versed in DPC when considering a partnership. This underscores the importance of due diligence and legal counsel when embarking on a joint venture in the DPC space.


Selecting Compatible Partners for Long-Term Success

Dr. Vang stressed the significance of selecting partners with compatible personalities and aligned values to avoid conflicts and ensure a harmonious working relationship. This insight sheds light on the critical role of interpersonal dynamics in the success of a DPC practice. By creating a supportive and cohesive team, physicians can effectively navigate the challenges of running a DPC practice while delivering exceptional patient care.

Operational Strategies for Sustainability

Dr. MacDonald highlighted the necessity of regular business meetings, transparent communication regarding expenses and responsibilities, and a support system for vacations to ensure fairness and sustainability within the partnership. This emphasis on clear communication and operational transparency underscores the vital role of efficient teamwork in the sustained success of a DPC practice.

Community Building and Collaborative Care

The Evergreen Primary Care team has actively contributed to the growth of the DPC movement in Minnesota by creating a community of DPC doctors through meetings, a Facebook group, and an email list. This proactive approach to community building exemplifies the spirit of collaboration and knowledge sharing within the DPC community. Additionally, Dr. Surbeck’s discussion of their partnership with a pediatrician demonstrates the value of collaborative care models where different specialties come together to provide comprehensive medical services to their community.

Marketing and Public Engagement

Dr. MacDonald emphasized the importance of marketing their practice by selling preventive care in everyday practice and reaching out to employers, patients, and the public. The focus on offering comprehensive, high-quality primary care without flashy advertising highlights the emphasis on patient care and service quality. Moreover, their initiative to offer free vaccines to the community, garnering media attention and coverage, showcases the power of community engagement and positive publicity for a DPC practice.

Adopting Technology for Enhanced Efficiency

The physicians at Evergreen Primary Care leverage technology such as Electronic Health Records (EHRs), phone trees, and communication platforms like Spruce and Hint to efficiently manage their practice. Dr. MacDonald’s insights about considering hiring a Virtual Assistant (VA) for administrative tasks like paperwork and referrals underscore the importance of leveraging technology and support personnel to streamline practice operations and enhance patient care delivery.

A Commitment to Inclusive Patient Care

The doctors discussed their commitment to providing inclusive care to a diverse mix of patients, including those with high deductible insurance, Medicare and supplement plans, health shares, and uninsured individuals. This dedication to serving a wide range of patients reflects the core ethos of DPC – delivering accessible and comprehensive care to individuals from diverse backgrounds and socioeconomic statuses.

Conclusion

The insights shared by Dr. Vang, Dr. MacDonald, and Dr. Surbeck provide a rich tapestry of experiences, strategies, and values that have contributed to the success of Evergreen Primary Care. Their dedication to patient-centered care, collaborative approaches, and strategic operational planning exemplify the power of the DPC model in transforming healthcare delivery. As the DPC movement continues to expand, the lessons from Evergreen Primary Care serve as a guiding light for physicians and aspiring DPC practices, fostering a culture of innovation and excellence in the realm of primary care.

The episode expressed gratitude to the listeners and encouraged them to share the podcast’s efforts in promoting DPC, reinforcing the podcast’s commitment to championing the DPC movement and sharing valuable insights from the frontlines of primary care.

LISTEN HERE

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By Maryal Concepcion, MD

A Sacramento native, Dr. Maryal Concepcion is a Filipinx creator and connector. She attended the University of California at Davis where she graduated in 2005 with a double major in Anthropology (BS) and Evolution & Ecology (BA). She had an unforgettable time as a California transplant when she got her MD at Creighton University in Omaha, NE. It was there she discovered hayrack rides, found her Husband, Dr. Jeremiah Fillo, and discovered her love of rural family medicine. Her residency training was in the unopposed family medicine program at Doctors Medical Center, Modesto, a training extension through the UC Davis Medical School. During her time in training, she returned to rural Superior Nebraska to complete proficiency training in performing colonoscopies as part of her rural family medicine concentration. After residency, she moved to Arnold, CA where she worked under the fee for service model with her Husband doing full-scope care for over five years. Though grateful for her experience in this role, she was driven to seek a better way of life and a desire to practice insurance-free medicine and that was when she discovered DPC. She is the founder and host of the podcast My DPC Story, a weekly podcast that educates and inspires by featuring DPC and direct care physicians. Find it at mydpcstory.com and on all major podcasting platforms. Most recently, she became the CEO and wearer-of-all-the-other-hats at Big Trees MD, the first Direct Primary Care in Arnold, a rural town of 4,000 in the Stanislaus National Forest located in Northern California. Her clinic was created as a telemedicine and home visit model without a brick and mortar space. But, the title she is most proud of is being a Mama to Asher & Nolan, her two ridiculously awesome and cuddly boys!

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