![]() Uncle Jim made it to 76 with two CABGs and an early version implanted defibrillator. My uncle and my mother both got genes from Papa Childs. I got on the train in the late sixties and my first thought was how much further Papa Childs might have been able to ride if he had been offered the same options that I was offering to my patients. The “medical train” my grandfather rode in 1953 was not very fancy compared to the ride we offer cardiac patients now. My guess is that the pipe, his love of steak and eggs, and his genes were too much of a counter balance. He did at least 10,000 steps each day walking to the station in the morning, home for lunch, and then back to the station and home again in the evening. Unfortunately, my grandfather’s constant pipe smoking and his genes felled him with a huge myocardial infarction at the age of 64. He even rode the train to see me in Oklahoma. He could ride the train anywhere he wanted to go for free and take anyone he wanted along for free also. I always thought that my grandfather was a very important man. He would then announce with great pomp and circumstance just how much weight I had gained since my last visit. I would climb up on the scale and “Papa Childs” would exchange the circular heavy weights on the arm until just the right balance was found. The big event of the trip was to climb the big wooden stairs to the loading dock where there was a huge scale with a long arm where various counterweights dangled. He never owned a car so it meant that we would walk. Some of my earliest memories are of going down to the train station with him when we would visit the little town in North Carolina where I have had family for over 200 hundred years. Perhaps it is because my maternal grandfather worked all of his life for the Seaboard Railroad. To learn more about Atrius Health and the Atrius Health Academic Institute which supports innovative training programs, please visit their website here.I like trains. Population health: Atrius serves a diverse patient population both across and within clinic sites and has well-established systems to facilitate population management. In 2015, Atrius created an innovation center to incubate new approaches to primary care delivery. That legacy has continued on as part of the Atrius culture. Primary care innovation: HVMA was the first ambulatory group in the country to receive the US government’s highest designation for electronic health record adoption. ![]() Primary care delivery: With an organizational focus on efficiency, Atrius sites offer comprehensive care, with co-located services including imaging, specialty consultation, and pharmacy, allowing residents to focus on delivering care rather than overcoming administrative hurdles. In 2017, it ranked first in overall quality among all ACOs participating in the Pioneer ACO program. Primary care quality: It was one of the first practices in the country to participate in Medicare’s Pioneer Accountable Care Organization (ACO) program. Our residency has roots in the HVMA practice (many former alumni will refer to it as the “HVMA residency”), but we are now fortunate to be part of the larger Atrius Health family. The largest medical practice within Atrius Health is Harvard Vanguard Medical Associates (HVMA), which originated as part of the Harvard Community Health Plan, an integrated delivery system established by the dean of Harvard Medical School in the 1960s. It is the largest primary care provider in the state of Massachusetts. Atrius Health is a nonprofit multidisciplinary group medical practice that provides both primary and specialty care across 34 locations to 740,000 people. ![]()
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