search instagram arrow-down
Scott Shreeve, MD

Hey there!

I'm the CEO of Crossover Health, a patient-centered, membership-based medical group that is redesigning the practice, delivery, and experience of health care. We offer urgent, primary, and online care to our members who can access our technology platform, practice model, and provider network from anywhere and anytime to optimize their health. Email Me



Recent Posts

Advisory Services Change Agents Conferences Consumerism Crossover Design Direct Practice EHR Entrepreneurship Experience Full Stack Health 2.0 Healthcare Industry Innovation Insurance Interviews Irony Leadership Medical Home Open Source Primary Care Primary Health Quality Rational Choice Transparency Uncategorized Value Virtual Primary Care VistA


Personal Health Advisor: The Perfect Care Coordinator

Coordinator (kō-ôrdn-ā’shən) n.

  1. The act of coordinating
  2. The state of being coordinated; harmonious adjustment or interaction.

I am finishing up some more of my postings related to the Innovators Prescription, but prior to do so I wanted to highlight a key insight mentioned when evaluating the disruptions required to help the Primary Care system to become more effective:

“We have concluded that a personal adviser of some sort truly needs to be available to direct patients who may not know where to go, so they can find the care they need, and receive that care through the appropriate business models. Many of those who write and speak about reforming health care have called this adviser an Accountable Care Organizationone whose perspective enables it to orchestrate the health care that individuals consume.

Dr. Elliott Fisher and his colleagues at Dartmouth College have played a leading role in promoting the concept of the Accountable Care Organization. It is an entity that can guide each patient to the right provider at the right time, given the job he or he needs to get done, linking the more focused and specialized care providers together with the personal electronic health records.  Some have likened this adviser as a medical “On Star” button, referring to the button in General Motors cars that motorist can press whenever they get lost or need help.

Still others have encouraged the notion of a patient-centered medical home, a model of care in which a single individual, – most often a physican – serves as the first point of contact for the patient, coordinates the entire team of providers, and integrates care across all institutions to ensure quality and safety.

We have concluded, however, that assigning this role to an independent primary care physician’s practice is a bad choice. It forces those practices into comingling business models, with the result that they are integrated inadequately for the jobs pateints need to do, and imposes accountability for areas of care that are often beyond the coordinator’s control. Furthermore, the information, skills, and perspective required to play the role of an effective advisor are not uniquely instilled in physicians.  With this burden placed on others, primary care doctors can practice medicine, which for most is the career they thought they had chosen in the first place.

I find this so insightful because this line of thinking was the exact job that  Crossover Health was designed to perform for individual consumers. The service concept behind Crossover (aggregate, analyze, and advise) appeals to individuals and sponsoring organizations  who value their health as an asset and want a trusted advisor to help personalize and assist in managing it as such. The technology that Crossover is developing/evaluating will also help make this mass personalization scalable to address what I perceive will be a large and growing need among consumers as the health care system continues to fragment in the coming years.

Stay tuned for some announcements from Crossover in the coming weeks.

One comment on “Personal Health Advisor: The Perfect Care Coordinator

  1. JOHN says:

    My granddaughter has Interstitial Lung Desease which was probably caused by Chemo treatment she received 7 yrs ago starting at age of 8 months. Her treatment was administered over approx a six month period. The ILD situation was recently diagnosed and confirmed by biopsy.
    We were advised her situation is very serious and very rare. Arresting the progression of the ILD is her only hope.
    Is it possible to hire a professional who can serve as our advisor to deal with research organizations and medical professionals who are responsible for her current care. Our aim is to augment the care being provided and to maximize our knowledge base to insure we make the most appropriate decisions for her care. Ideally the advisor will focus on our situation almost exclusively for a 6-9 month period

Leave a Reply
Your email address will not be published. Required fields are marked *

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: