Monday, December 8, 2008

healthcare reform, role of volunteer healtcare professionals

I continue to be amazed that no plan refers to the reservoir of healthcare professionals who have retired from active clinical practice. These doctors, nurses, dentists and other healthcare professionals could be mobilized into a structured organization that could add dramatically and immediately to meet the health care needs of the uninsured and others in our population without ready access. These professionals could be mobilized into existing practices, free clinics or into the rapidly increasing numbers of retail Clinics. In my experience, the state medical boards form the greatest obstacle to the utilization of this vast resource by not facilitating the granting of volunteer licenses. These could be limited in scope until competency was established. Some of the greatest impact could be for the management of patients with chronic medical conditions. For that population, evidence-based protocols are available that could assure best practices.
I am in my 25th year of serving the indigent in a free clinic setting. Along with a superb nurse practitioner, and 3 retired RNs, we hold regular clinics to manage insulin dependent diabetics, patients with resistant hypertension and dyslipidemia. The future benefits of such care have a predicable benefit for the health and costs. In other words, provide care now or pay many $ in the future for the neglect.
I was also the volunteer medical director of a Community effort that realized savings of $34 million in health costs avoided by a multidisciplinary approach, including protocol driven 24/7 nurse telephones consultations, healthwise manuals provided to all in the county and educational programs and industry engagement.
Why do we continue to waste this opportunity and enormous resource for our nation’s patients in need??? I am a board member of the Transylvania Regional Hospital and serve on its quality council. In addition, I am a national consultant to hospital medical staffs. I am an AMA and ACC member, retired from active cardiology practice in the fee-for-service arena.
However, I continue to care about the heath care of our nation’s population!

Frederic G Jones ,Sr. MD, FACP, FACC
Consultative Cardiology
140 The Pinnacle
Sapphire NC 28774


Barbara said...

This is a terrific idea. Almost too good to be true. Where can I find more information about how you and others have managed to do this so successfully? What sort of infrastructure have you required, and would implementation be possible in both urban and rural areas?

Thank you, Barbara

Cliff Figallo said...

You'll be glad to hear that Tap-In ( is pursuing just this mission - to recruit retired health care professionals and match them with placement in free clinics.

I managed the Tap-In Weblog (

Thanks for calling attention to this.

Mike Darrow said...

Hello Dr:

What clinic do you volunteer at? I'm the former ED of the NC Association of Free Clinics, and am now with TAP-IN (which Cliff just posted a response).

thanks for what you do,
Mike Darrow

bhargava said...

Very useful information provided and get more information on health here
Health Reform

Jessey said...

This report was last issued by travel clinic london institute. Thanks for your kind information.

NML said...

While people may have different views still good things should always be appreciated. Yours is a nice blog. Liked it!!!. For more information about medical supplies you can check this website

Allen Wilson said...

nice and interesting one...
I am impressed with this post
Generic Levitra, Generic Cipro, Generic Viagra

Rinkesh said...

Nice concepts on this site. It's rare nowadays to find websites with info you are looking for. I'm pleased I chanced on this website. I will actually bookmark it or perhaps subscribe to your rss feeds just to be updated on your new posts. Sustain the great work and I am positive another individuals searching for valued information will actually stop by and use your web site for resources.
coughing up blood

Rinkesh said...

Pretty Interesting post. Couldnt be written any better. Reading this post reminds me of my old room mate! He always kept talking about this. I will forward this post to him. Pretty sure he will have a good read. Thanks for sharing!
Rush Poppers

Tonal said...

I like the peoples working voluntarily and i have also worked for many organization voluntarily...
Thank you for the post..Medical Transcription Company

Franjo said...

Hi admin! I am Viktor Kotris and I would be glad to exchange links with you,if you are interested,my blog is small and quite new but I think it has a great potential.It is also about health. Here is the adress: My e-mail:
Thank you very much.

james Dean said...

Here you have providing very useful information Thanks for such an incredible site!
chiropractors in albany ny


Wow what a lovely post.I am inspired from it.Can you more share at here.

Thanks for more sharing........

Pure Argan Oil