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"Expanding the Model of Primary Care to Include Complexity"

By Andrew Valeras, DO, MPH


Wednesday, March 8, 2017 at 1:00 PM EST




Primary care is fraught with fragmentation and complexity. Providers and team members are faced with integrating and balancing multiple dynamics within systems of care, the patient's psychosocial context, along with core physical health and medical needs. Working with complexity to meet the needs of patients and stimulate team learning requires population-based and person-centered interventions. There is no rulebook or best practices for how to go beyond medical diagnoses and chronic disease management strategies to address issues embedded in a complex adaptive system. However, the need to develop systems of care that can attend to these complex aspects of health-care is critical. This interactive lecture will review approaches to systematically identify patient complexity and specific organizational strategies to provide direct complexity care. 


1. Understand the Learning Pathways model for achieving results in a complex system.


2. Differentiate the Medical Model from the Complex Adaptive System Model


3. Identify tools that can be used in addressing complexity, such as the Patient Centered Care Plan and Urgent Plans of Care.



Andrew Valeras, DO, MPH



Andrew S. Valeras, DO, MPH is a Family Medicine physician at NH Dartmouth Family Medicine Residency at Concord Hospital.  He is also a coach for the Leadership Preventive Medicine Residency program.  He received his undergraduate degrees in Biology and Philosophy from Boston College, his Doctor of Osteopathy from Midwestern University, and his Masters of Public Health from The Dartmouth Institute.  Dr. Valeras completed the NH Dartmouth Family Medicine Residency at Concord Hospital and the Leadership Preventive Medicine Residency at Dartmouth-Hitchcock Lebanon.   Dr. Valeras currently seeks to integrate quality improvement and systems based thinking with the clinical practice and education of family medicine providers in integrated teams.  Dr. Valeras is an appointed Board Member to the Collaborative Family Healthcare Association.




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