IBJOpinion

Bundle medicine with care

October 31, 2009
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IBJ Letters To The Editor

I would like to thank IBJ for highlighting the role of interdisciplinary (“bundled”) medicine in the Oct. 19 article, “Huddling on Health Care.” I agree that multi-specialty practices are an effective way to provide individualized care and treat complex conditions.

It is important, however, to recognize that not all specialty centers are created equal. Achieving quality patient care requires that multi-specialty practices treat patients as individuals and not within pre-prescribed or packaged treatment plans. The creation of a unique plan of care—which could include any combination of services available within a practice—by an expert physician is the only true determinant of cost-effectiveness and ensuring the highest-quality outcomes in specialty medicine.

The multi-specialty approach to patient care was available back in the 1990s in the areas of mental health, wound care, cardiac rehab and bariatric medicine in Indianapolis. In fact, I’ve had great success in patient outcomes in my own multi-disciplinary practice where physician care, interventional pain procedures, physical therapy and psychology have been offered under one roof for nearly 20 years. These highly specialized practices should not be considered as a last resort after the “failure” of other physicians to treat a condition, but rather as an expert referral source to primary-care physicians to the most expert care for their patients—in the most efficient and timely manner.

Patients should research each practice to ensure that all of the health care providers are qualified, certified and have prior clinical experience in the specialty area. They should also make sure the clinicians are working together to provide holistic assessments, diagnoses and treatments.

__________

Dr. Ed Kowlowitz

Medical director and founder
Center for Pain Management



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  1. A Tilted Kilt at a water park themed hotel? Who planned that one? I guess the Dad's need something to do while the kids are on the water slides.

  2. Don't come down on the fair for offering drinks. This is a craft and certainly one that belongs in agriculture due to ingredients. And for those worrying about how much you can drink. I'm sure it's more to do with liability than anything else. They don't want people suing for being over served. If you want a buzz, do a little pre-drinking before you go.

  3. I don't drink but go into this "controlled area" so my friend can drink. They have their 3 drink limit and then I give my friend my 3 drink limit. How is the fair going to control this very likely situation????

  4. I feel the conditions of the alcohol sales are a bit heavy handed, but you need to realize this is the first year in quite some time that beer & wine will be sold at the fair. They're starting off slowly to get a gauge on how it will perform this year - I would assume if everything goes fine that they relax some of the limits in the next year or couple of years. That said, I think requiring the consumption of alcohol to only occur in the beer tent is a bit much. That is going to be an awkward situation for those with minors - "Honey, I'm getting a beer... Ok, sure go ahead... Alright see you in just a min- half an hour."

  5. This might be an effort on the part of the State Fair Board to manage the risk until they get a better feel for it. However, the blanket notion that alcohol should not be served at "family oriented" events is perhaps an oversimplification. and not too realistic. For 15 years, I was a volunteer at the Indianapolis Air Show, which was as family oriented an event as it gets. We sold beer donated by Monarch Beverage Company and served by licensed and trained employees of United Package Liquors who were unpaid volunteers. And where did that money go? To central Indiana children's charities, including Riley Hospital for Children! It's all about managing the risk.

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