The URAC Report

By James (Larry) Holly, M.D., CEO, Southeast Texas Medical Associates

Southeast Texas Medical Associates’ (SETMA’s) pilgrimage toward Patient-Centered Medical Home (PCMH) began in 1999 as a result of our study of Peter Senge’s The Fifth Discipline. In that study, we identified ten principles which would guide our development in both our practice and in the electronic medical record (EMR) tool which we would design.  (see SETMA: May, 1999 - Four Seminal Events)  Ten years into our development, we realized that those ten principles were also the principles of PCMH.

By James (Larry) Holly, M.D., CEO, Southeast Texas Medical Associates

To be successful, the implementation of new policies and initiatives that will produce the future we imagine must be transformative – which comes from within. 

Transformation results in change that is not simply reflected in shape, structure, dimension or appearance, but is also part of the nature of the organization being transformed. The process itself creates a dynamic which is generative. It not only changes that which is being transformed but it also creates within the object of transformation the energy, the will and the necessity to sustain and expand that change and improvement. Transformation is not dependent upon external pressure (rules, regulations, requirements) but is sustained by an internal drive which is energized by the evolving nature of the organization.