Becker's Hospital Review

September 2015 Issue of Becker's Hospital Review

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69 THOUGHT LEADERSHIP life change and terrifying," he said. "But just mak- ing videos wasn't enough." In partnership with Cambridge, Mass.-based Iora Health, Dr. Dama- nia made Turntable Health ("Primary care, remixed," the website touts) a re- ality in Las Vegas a year and a half ago. e primary care clinic offers a team- based, membership model of capitated care. According to Dr. Damania, the innovation behind it is three-fold. First, the payment model is mem- bership-based, so patients pay a flat fee for care at the clinic. ere are no copays. Turntable Health takes self- pay patients and patients of member employers and unions, such as the culinary workers union and other local businesses like GoldSpike Hotel & Casino. It also teamed up with Ne- vada Health CO-OP to offer coverage for the clinic on the federal health exchange. Second, the care model is driven by team health coaches, who are nonclinicians screened for empathy and trained in motivational interviewing skills. Four health coaches per physician allows providers to prac- tice at the top of their license, according to Dr. Dama- nia. e clinic offers patients 24/7 physician access via text, video chat and email, as well as a host of wellness services, such as yoga classes, which are offered at its downtown location. e clinic has plans to expand to more locations, enough "so that just about anyone [in Las Vegas] can walk or bike to Turntable Health," according to its website. ird, the clinic uses Iora's purpose-built EHR, which focuses on the narrative of patient stories and issues, rather than episodic, billable transactions. It also includes a population health dashboard to pro- actively manage chronic conditions. e platform enables care to be more cohesive, and allows patients to access their records, Dr. Damania said. In addition to bringing these innovations to pri- mary care in Las Vegas, one major perk of Dr. Dama- nia's new gig? He can use Turntable Health's facility as a set for more ZDoggMD videos. He continues to put his voice on YouTube airways. "I hope others in the healthcare space can see the example in our videos and think, 'I am going to do something interesting and creative to help healthcare wake up,' " Dr. Damania said. "If we use our innate passions and creativity, we can do a lot of damage in a good way." n " " I hope others in the healthcare space can see the example in our videos and think, 'I am going to do something interesting and creative and to help healthcare wake up.'

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