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MEDCLUB BARTLESVILLE · One on One With a Professional

• 0:00
  Speaker 1: Good morning, good morning, good morning, and welcome, welcome, welcome.
• 0:02
  Speaker 1: It's time for ask the Doctor, and we have doctor
• 0:05
  Speaker 1: Carrie Williams and she is with med Club Bartlesville. Carrie,
• 0:10
  Speaker 1: how you doing.
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  Speaker 2: I'm good this morning. Thanks.
• 0:12
  Speaker 1: You know, I call you Carrie, I should have called
• 0:14
  Speaker 1: you a doctor by name. But the thing is, when
• 0:17
  Speaker 1: we get together as a patient and doctor, we're on
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  Speaker 1: a one to one basis like no other doctor I've
• 0:25
  Speaker 1: been around. It's really something kind of neat, kind of
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  Speaker 1: something unique to med Club Bartlesville.
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  Speaker 2: I hope it is, and I hope the amount of
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  Speaker 2: time and the effort that I put into each patient
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  Speaker 2: shows and that patient knows it.
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  Speaker 1: Now, when you got started at med Club Bartlesville right here,
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  Speaker 1: fall twenty seventeen, what was going on, what was the situation,
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  Speaker 1: what was the landscape?
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  Speaker 2: Landscape was very different than it is now.
• 0:50
  Speaker 1: I bet it was.
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  Speaker 2: When I started a direct primary care practice in Bartlesville.
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  Speaker 2: It was a new concept there, and it was a
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  Speaker 2: new concept for medical practices across the United States. At
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  Speaker 2: that time, there was less than five hundred of those
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  Speaker 2: types of practices. Now there's over twenty five hundred, and
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  Speaker 2: a direct primary care practice is an arrangement between a
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  Speaker 2: patient and a provider that is an alternative to traditional insurance.
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  Speaker 2: Most direct primary care practices have a monthly payment that
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  Speaker 2: covers a defined set of primary medical services. It's not
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  Speaker 2: a medical insurance, and we don't accept medical insurance and
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  Speaker 2: we don't build your insurance company. And what that does
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  Speaker 2: is cuts the overhead cost because the overhead of a
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  Speaker 2: doctor having to build your insurance company with the coding,
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  Speaker 2: building and then ultimately collections is a huge part of
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  Speaker 2: the overhead for every medical practice.
• 2:02
  Speaker 1: I can see that. And when you're doing this on
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  Speaker 1: a one relationship, everything is one to one, including the
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  Speaker 1: building portion of it at the end the services that
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  Speaker 1: you get too. Yes, so it works both ways very.
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  Speaker 2: Well knowing that patient and have studied them before they
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  Speaker 2: get there, because in a traditional practice, for that doctor
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  Speaker 2: to be reimbursed for studying, they have to do it
• 2:27
  Speaker 2: in front of the patient. They do and what they
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  Speaker 2: do on their off times or their documentation or their
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  Speaker 2: studies of those past medical records they're not reimbursed for.
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  Speaker 2: And so that's the reason that doctor's thumbing through the
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  Speaker 2: chart when it's setting in front of you in the room,
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  Speaker 2: because he go for the amount of time that he's
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  Speaker 2: spending with you face to face.
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  Speaker 1: I understand that with everything that goes on here, in
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  Speaker 1: the way that you do, things that you do, you
• 2:56
  Speaker 1: are able to spend more time as we talk time
• 3:01
  Speaker 1: with the patient. Then you're any doctor you're going to
• 3:03
  Speaker 1: find anywhere around usually about a half hour to forty
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  Speaker 1: five minutes, maybe even lower.
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  Speaker 2: Yes to anyway what you need, what that patient needs,
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  Speaker 2: and doing that it allows that patient to give me
• 3:14
  Speaker 2: better histories. Most patients take a little while to warm
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  Speaker 2: up to you when they walk in. You have to
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  Speaker 2: allow them to warm up. And in a regular practice
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  Speaker 2: where you have less than ten minutes face to face
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  Speaker 2: with that patient, some patients don't even get past the hello.
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  Speaker 2: So and then I also am unusual in that I
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  Speaker 2: want my patients to study. I want them to understand
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  Speaker 2: the vocabulary because I don't want to spend time explaining
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  Speaker 2: vocabulary when they can go and look it up and
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  Speaker 2: know it before they come and speak with me, and
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  Speaker 2: then we can speak the same language.
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  Speaker 1: This helps because one you are the patient, You're getting
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  Speaker 1: all the information that you probably can't get anywhere else.
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  Speaker 1: And do you know what's going on? You know you're
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  Speaker 1: understanding the process as the doctor explains it to you,
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  Speaker 1: and you can do your part on helping yourself get better.
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  Speaker 1: It's a partnership.
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  Speaker 2: Absolutely, And maybe you'll teach me something I don't know,
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  Speaker 2: and I think that's great. So large words like adlecticis
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  Speaker 2: had that this week, that patient's not going to know
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  Speaker 2: automatically what that is, no, no, no note, or what
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  Speaker 2: it needs, what is needed to fix it?
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  Speaker 1: So we share the knowledge.
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  Speaker 2: Yes, absolutely, And I think the more knowledge patients have,
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  Speaker 2: the more control they have over their own healthcare.
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  Speaker 1: Well, I agree, I totally agree. Now because you're able
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  Speaker 1: to spend so much time with patients. You don't have
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  Speaker 1: one hundred thousand patients, No, you limit that practice.
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  Speaker 2: To less than seven hundred. And I spend a lot
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  Speaker 2: of time up front getting to know that patient, understanding
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  Speaker 2: their their past illnesses because very few people come in
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  Speaker 2: with clear slights as far as medical and those past
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  Speaker 2: medical records are very important to me, and some people
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  Speaker 2: will have reams of information. My thought is if that
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  Speaker 2: information is important enough to make it to my office,
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  Speaker 2: it's important enough for me to read.
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  Speaker 1: Now when we talk about being a patient there at
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  Speaker 1: med Club Bartlesville, people wonder Okay, I'm not using insurance.
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  Speaker 1: I'm not using any of these middle people. How do
• 5:30
  Speaker 1: we do this? How do we do that? How do
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  Speaker 1: I become a member of med Club?
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  Speaker 2: Well, it is a membership that is paid on a
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  Speaker 2: monthly basis. Patients have access to me for my knowledge
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  Speaker 2: and access to care. And this particular practice just covers
• 5:48
  Speaker 2: primary care applications. It doesn't cover your prescription, doesn't cover
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  Speaker 2: in patient. So we recommend that patient's a healthcare insurance policy,
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  Speaker 2: usually a high deductor, to cover those things that are unexpected,
• 6:04
  Speaker 2: like accidents or surgeries, things like that.
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  Speaker 1: Now, one thing that happened here recently. It's something called
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  Speaker 1: the One Big Beautiful Bill, and it reminds a few
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  Speaker 1: things with the government health savings accounts and a few
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  Speaker 1: other things. Can you kind of let us sit on
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  Speaker 1: what this change is doing and how it's affecting people, and.
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  Speaker 2: You, well, what it allows is people to contribute to
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  Speaker 2: their health care savings account and use that money that's
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  Speaker 2: been contributed to either by themselves or by their employers,
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  Speaker 2: and use that to pay their monthly memberships. Wow, and
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  Speaker 2: so that really loosens up because they're going to use
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  Speaker 2: that money someplace, whether it's for copay or deductible. And
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  Speaker 2: a lot of people go, well, I already have health care,
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  Speaker 2: Why would I have you? Will? Why not have me?
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  Speaker 2: Why not have access? Because if you go to the
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  Speaker 2: er or an urgent care because your physician's not accessible,
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  Speaker 2: you're going to spend that money anyway, Oh and will
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  Speaker 2: and probably a lot more.
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  Speaker 1: Indeed. Indeed, now this new law becomes January fourth, east
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  Speaker 1: of twenty six so on New Year's since this is going.
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  Speaker 2: To be the deal here. But Oklahoma and what's ahead
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  Speaker 2: of their time on this particular subject. In twenty fifteen,
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  Speaker 2: they had a Healthcare Empowerment Act that directly addressed direct
• 7:48
  Speaker 2: primary care, but we needed the federal law to clear
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  Speaker 2: up the healthcare savings accounts use to pay the membership fees.
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  Speaker 2: Now there are are some restrictions, but we've gained miles.
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  Speaker 1: Wow, that's that's a good thing to know, my goodness sakes.
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  Speaker 1: So when we talk about your hours per week in
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  Speaker 1: your traditional primary care providers, how many hours you spend
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  Speaker 1: just doing papers? I mean, I know that you're going
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  Speaker 1: to spend a lot of time with me as a patient,
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  Speaker 1: but you got to do the documentation. You got to
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  Speaker 1: do the follow up you got to do that. You
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  Speaker 1: got to do things I can't even imagine.
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  Speaker 2: Well, on average, eight hours in front of the patient
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  Speaker 2: is what the doctor usually has booked. Well, there's seven
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  Speaker 2: point three hours worth of documentation afterwards, okay, and so
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  Speaker 2: the day is not that long, So that doctor is
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  Speaker 2: spending a lot of times after hours on weekends doing
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  Speaker 2: their documentation. You've got to remember, every prescription that comes
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  Speaker 2: through has to be signed, every order has to be signed,
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  Speaker 2: every document must be read and looked at, let alone
• 9:01
  Speaker 2: the documentation of your appointment.
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  Speaker 1: So there's a lot of follow up that you do
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  Speaker 1: after you get done and putting up with me or
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  Speaker 1: visiting with a very nice patient.
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  Speaker 2: Yes, And in twenty fourteen, the federal government mandated to
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  Speaker 2: be reimbursed by Medicare or Medicaid, which is their insurance,
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  Speaker 2: it had to be submitted by electronic medical records, and
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  Speaker 2: the healthcare insurances followed suit after that. So this was
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  Speaker 2: a big deterrent for doctors. Upfront cost of at least
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  Speaker 2: twenty five to thirty five thousand dollars plus the monthly
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  Speaker 2: cost for each physician and every ancillary staff, and the
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  Speaker 2: amount of time that it takes to follow that electronic
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  Speaker 2: medical records because to do government mandated stuff which I
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  Speaker 2: do not do. A friend of mine said that it
• 10:01
  Speaker 2: to keep order a flu shot. It was forty three
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  Speaker 2: clicks to get to that.
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  Speaker 1: On a computer. Forty three clicks on a computer to
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  Speaker 1: get a flu shot.
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  Speaker 2: Yes, for him to order, not alone administering it. And
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  Speaker 2: what the nurse has to do on her documentation on
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  Speaker 2: her end or the billing, the coding and collections.
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  Speaker 1: So when we check into maybe becoming a member here
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  Speaker 1: at bed Club Martlesville, where you are a member of
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  Speaker 1: this club where you get a lot of time with
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  Speaker 1: the doctor, a lot less overhead, a lot less red tape. Yes,
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  Speaker 1: it's this foot we're getting it.
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  Speaker 2: That's a lot less red tape exactly. And so my
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  Speaker 2: head's in your game when you walk in, not trying
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  Speaker 2: to figure out what my billing code is going to
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  Speaker 2: be or how do I up charge this and make
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  Speaker 2: more money on it. No, it's a flat fee every month.
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  Speaker 1: So you're focused on the patient. You're focused on wellness,
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  Speaker 1: You're focused on maybe finding exactly the right treatment someone
• 11:00
  Speaker 1: who really needs treatment.
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  Speaker 2: Yes, and in the long run, one of my professors said,
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  Speaker 2: don't make your friends your patients. But make your patients
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  Speaker 2: your friends, and they they my patients. End that there's
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  Speaker 2: a long term relationship with many of my patients and
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  Speaker 2: knowing them, knowing what's their normal, I can recognize abnormals
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  Speaker 2: a lot easier.
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  Speaker 1: Hidden cost of position, administrative burden. Boy, we've been talking
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  Speaker 1: a little bit about that. Charting, coding, insurance PaperWorks and void.
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  Speaker 1: That just cuts in and with you, we don't have
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  Speaker 1: to worry about some of these things because it's not
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  Speaker 1: done by a room full of people, correct, done by you.
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  Speaker 2: Correct doesn't mean that I still don't follow federal laws
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  Speaker 2: like well you hip or for my labs that are
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  Speaker 2: drawn there, there's laws for that, and we have discounted labs.
• 12:01
  Speaker 2: We also carry some discounting basic prescriptions that are dispensed
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  Speaker 2: out of my office for I mean severe discount Yeah, sure, well,
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  Speaker 2: big time and similar with the labs. So that's that's
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  Speaker 2: the benefit of being there.
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  Speaker 1: That's another thing, because you're very one on one. You
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  Speaker 1: are one on one. There's no way around that. Well
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  Speaker 1: with your patients. You might hear from maybe some new
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  Speaker 1: patients that, oh, my doctor just funnels my patients into
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  Speaker 1: more expensive specialists. They just send them on down the
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  Speaker 1: line that it's like a conveyor belt.
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  Speaker 2: That's not necessarily true, not at med club, not at
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  Speaker 2: big club, because at mid club that one on one
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  Speaker 2: time to figure it out and have the time, because
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  Speaker 2: most primary care doctors have a panel between three and
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  Speaker 2: four thousand patients. Having less than seven hundred gives me time.
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  Speaker 2: It does, and being able to spend time to talk
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  Speaker 2: with that patient and have things figured out a lot
• 13:00
  Speaker 2: more than just a basic less than ten minute appointment
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  Speaker 2: where I've got to move on because it's in my
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  Speaker 2: employment contract that I see so many patients a day,
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  Speaker 2: so I'm not hindered by that employment contract that some
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  Speaker 2: executive has sent down to me.
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  Speaker 1: Cutting all the red tape, clearing it all away, making it.
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  Speaker 2: Very one on one and accessible, being able to find
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  Speaker 2: me there. There is an after hours for emergencies only
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  Speaker 2: number to find me. If you're going to the er,
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  Speaker 2: please let your doctor know, please, and maybe I can
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  Speaker 2: help things along, help things along, or maybe we can
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  Speaker 2: avoid going there. And also I do a lot of
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  Speaker 2: telephone calls, emails, text this. You know people with poison ivy,
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  Speaker 2: for instance, they'll send me a picture and if I
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  Speaker 2: know them well, Okay, you had this last year, let's
• 14:00
  Speaker 2: try what did it work like your gifts? Let's try
• 14:02
  Speaker 2: it again, and that avoids them having to come into
• 14:06
  Speaker 2: the office for an appointment, take off a half a
• 14:09
  Speaker 2: day of work, something like that.
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  Speaker 1: Now, let's tell people how we on board to become
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  Speaker 1: a member of med Club. Bartals will We've told them
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  Speaker 1: a lot of benefits. Let's tell them how they can
• 14:20
  Speaker 1: be a part of this very very very new and
• 14:22
  Speaker 1: effective way of directing scare.
• 14:25
  Speaker 2: Med Club has a website then will answer most of
• 14:27
  Speaker 2: your questions. It also has a for moment to fill
• 14:31
  Speaker 2: out and send to me for applications as a new patient.
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  Speaker 2: Once it hits my computer, we'll get back with you.
• 14:38
  Speaker 2: If you have more questions, We'll answer your questions, or
• 14:41
  Speaker 2: you can come in and see the clinic. Now, no
• 14:43
  Speaker 2: medical advice will be given at that first appointment, but
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  Speaker 2: that's of no charge. And we're located on Highway seventy
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  Speaker 2: five across from Jimmy's Egg at twenty three or one
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  Speaker 2: Southeast Washington Boulevard, where you can give us a call
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  Speaker 2: at nine one eight two one four eight two zero
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  Speaker 2: zero h