By MICHAEL PAINTER
An elderly family member recently received a devastating cancer diagnosis. She gets her care in California from a team of health professionals in a large integrated delivery system. We’re supposed to be reassured that her care team is working together in seamless accountability–dedicated solely to the best possible outcomes for her, right? Unfortunately, that’s not entirely the case. She, of course, has a primary physician and a surgeon. She had a hospitalist who managed her inpatient post-operative complications. She has a number of oncologists. Guess what? None of these five or six physicians were communicating with each other about her care until family members prompted them to do so. She didn’t really have much, if any, choice in selecting her specialists. She had minimal, if any, information about the performance of the various professionals she suddenly needed.
