Meet David Kwon, DO one of our Family Physicians in Urgent Care and OMT [osteopathic manipulation treatment] at GHC-SCW!
What does your typical day look like at GHC?
In urgent care, we are quite busy attending to patients of all ages with a wide variety of symptoms. Our urgent care team strives to provide efficient and excellent care, which can include diagnostic testing done in clinic as well as outside of the clinic, coordinating follow-up care with primary care and specialist providers in both the outpatient and hospital settings when needed, and offering treatment procedures that are appropriate and helpful – such as treatment of cuts, skin infections, removing foreign bodies, splinting sprain and fracture injuries, and providing evaluations for patients who have suffered various kinds of injuries. Our unique scheduling system of having appointments, which is understandably surprising at first to people new to our clinic, allows for much greater efficiency and substantially shorter in-clinic wait times for patients as opposed to having a walk-in process, where wait times could be routinely measured in hours rather than minutes. Once per week I am able to offer osteopathic evaluation and treatment for patients, which involves assessing symptoms and hands-on manipulation treatment as well as discussion about modifying activities for healing and prevention of further injury.
What is your favorite part of your job?
With respect to both areas of practice – that is to say urgent care and the osteopathic manipulation clinic – being present with and listening to patients and offering insight, diagnostic and treatment options and information so that they can choose amongst various treatment options with the goal ultimately achieving the highest state of well-being possible for them. It feels rewarding to understand what patients’ priorities are first and foremost as the foundation to developing the most helpful course of action in a collaborative manner.
What is your favorite thing to do in Madison?
Hard to narrow down to one, so I’ll provide some highlights: Exploring bike routes with my children, picnicking by the lakes, checking out the farmers markets [yes, markets is plural! :)] enjoying local cafes and restaurants, and alongside with my wife and children getting involved in grass roots community activities.
What is your greatest accomplishment?
I would like to think finishing the Boston Marathon, after having healed from knee surgery. What is something interesting about you that most people do not know? I have been to Nepal twice – first for a semester as part of a college student exchange program, and then as a patient advocate helping people from rural villages access medical treatment in the capital city, Kathmandu.
What is your favorite movie of all time and why?
Groundhog Day – in addition to the hilarity, it provides a good reminder to take the opportunity to approach each moment with fullness and to appreciate the richness of life. Also, Groundhog Day happens to be my birthday, so I can imagine what it would be like to experience a birthday repeatedly :).
What is your favorite part about GHC?
I am constantly in awe of the collegiality and teamwork that I observe and experience. It is such a unique organization in so many ways, especially with the openness and curiosity that so many of our leaders display when planning strategically and the shared unified mission to walk the walk of providing excellent care for our patients while understanding that this is intertwined with provider and staff enjoyment and well-being.
Written By: GHC-SCW Chief Medical Officer, Chris Kastman, MD
You may have heard that all GHC-SCW primary care clinics recently earned PCMH Recognition from the National Committee of Quality Assurance (NCQA) but what does that exactly mean and why does it matter?
PCMH Recognition is an award from NCQA that providers and practices can earn when they exhibit evidence-based and patient-centered processes that focus on highly coordinated care and foster ongoing partnerships between patients and their providers. GHC-SCW’s long-standing commitment to improving the quality of care and patient experience while striving to reduce healthcare costs is foundational to PCMH Recognition. Since the organization’s inception, GHC-SCW clinics have employed patient-centered care and initiatives but this award allows us to solidify and celebrate all that we do!
A medical home ensures that the patient is well supported throughout their healthcare journey. This helps diminish fragmentation in care delivery to improve outcomes. GHC-SCW Primary Care Teams which are composed of primary care providers (PCP) and nursing staff who work together to close gaps and coordinate patient care. These teams are further strengthened by Primary Care Behavioral Health experts, Clinical Pharmacists, Nurse Triage, Community Care, Reception and Call Center staff and many others who rally around members who need them. For example, when a patient gets discharged from the hospital, GHC-SCW Care Teams proactively call patients to ensure that they understand the instructions related to their care. They also remind each patient that they are available for ongoing support and are a resource if questions or concerns arise.
Other examples of patient-centered medical home processes at GHC-SCW include:
- A monitoring report was developed to help ensure that high-risk patients who have a consult visit scheduled with a specialist have been seen in an appropriate timeframe. If the patient has not been seen at the time that their consult was scheduled for, Case Managers and Care Teams can conduct follow-up with a patient to assess if there are barriers to care (such as transportation issues) or concerns that can be addressed.
- An Asthma Action Plan is a self-management tool that can help patients with asthma stay well. GHC-SCW’s Asthma Educator works with patients to develop plans which show what kinds of medicine to take and when. An action plan also helps patients understand how to handle worsening symptoms, including what to do if they have an asthma attack.
Because of efforts to help patients better manage their conditions and improved coordination during transitions of care, health outcomes improve while simultaneously reducing costs. In fact, research has shown that patient centered medical homes can help reduce emergency room visits and hospital admissions1. Additional research has shown that patients who experience the PCMH model of care value the increased access to healthcare and ease of communication with their provider2.
1) Harbrecht, M, Latts, L. (2012). Colorado’s Patient-Centered Medical Home Pilot Met Numerous Obstacles, Yet Saw Results Such as Reduced Hospital Admissions. Health Affairs.
2) Lydie A. Lebrun-Harris, Leiyu Shi, Jinsheng Zhu, Matthew T. Burke, Alek Sripipatana, and Quyen Ngo-Metzger. (2013). Effects of Patient-Centered Medical Home Attributes on Patients’ Perceptions of Quality in Federally Supported Health Centers. Annals of Family Medicine. www.annfammed.org/content/11/6/508.full