December 2009 E-Letter

2010 rings in a new year that is full of uncertainties. Yet, I am sure that the health care debate is here to
stay. While Washington grapples with the expansion and financing of health care, I am thankful that the
actual delivery of health care service remains in the hands of the patient and his/her physician.

Completing our first year of a patient centered medical home practice, I am encouraged by our patient
support for the OLD/NEW way of practicing family medicine.

The "old way" is a recommitment to the physician-patient relationship. "Is my doctor available when I
need him? Can I get an appointment in a timely manner? Does my doctor spend time with me - does
he listen? Does the office and staff appear unhurried and not rushed?

The "new way" incorporates technology tools that facilitate communication and information sharing
between the patient and the physician. Reaching the physician after hours without being "triaged" by
an answer service, making appointments on line, coordination of consultations, and receiving same day
test results, are some of the applications that seem to be effective. Certainly not cutting edge - but
functional!

Our first year is a beginning. Although I am confident that this new practice model can be successful and
sustainable, I also realize that significant challenges lie ahead. Powerful entities are poised to reshape
health care to save their self interests. Yet a major advantage of our practice model is the adaptability
to change - especially to changes that impact our local Peoria market. I do believe that being small,
independent and nimble, Junction Medical can adapt to changes with minimal disruption to the
established physician - patient relationship.

When I decided to leave a large group practice and retire from my administrative role, I was motivated
to return to clinical practice if I could do it "my way". But would "my way" be a better way? Most
importantly, would patients experience better service and quality of care?

It is still too early to answer these questions in a definitive manner, but I remain optimistic that our
"micro" attempt at grass roots health care reform will be successful and sustainable.

Marilyn and I hope you have had a safe and healthy Holiday season. We look forward to seeing you in
this New Year.

Mike Jongerius