Reprise – David Buck, Caring for High-Need, High-Cost Patients




RoS: Review of Systems show

Summary: This week, Thomas Kim hosts the show and interviews Dr. David Buck, a family physician and professor of family and community medicine at the Baylor College of Medicine.  He is the founder and president of <a href="http://www.pcictx.org/" target="_blank" rel="noopener noreferrer">Patient Care Intervention Center</a> (PCIC), an organization that uses advanced population health methods to target super-utilization of the health care system and intervenes through intensive care coordination and case management. It’s based in Houston, Texas and recently opened a branch in Dallas, and they were recently featured on <a href="http://www.pbs.org/newshour/bb/way-save-money-half-health-costs-spent-fraction-patients/" target="_blank" rel="noopener noreferrer">PBS NewsHour</a>. Prior to Dr. Buck’s work at PCIC, he founded <a href="http://www.homeless-healthcare.org/" target="_blank" rel="noopener noreferrer">Healthcare for the Homeless – Houston</a> (HHH), now a federally qualified health center for over 7,000 homeless in Harris County, as well as the associated <a href="http://www.homes-clinic.org/" target="_blank" rel="noopener noreferrer">Houston Outreach Medicine Education and Social Services</a> (HOMES) clinic, a student-managed clinic at HHH in conjunction with BCM and the University of Texas Health Science Center. He is a co-founder of the Houston-based physician advocacy group <a href="http://www.doctorsforchange.org/hope/" target="_blank" rel="noopener noreferrer">Doctors for Change</a>, and founded the <a href="http://asfhg.org/">Houston-Galveston Albert Schweitzer Fellowship</a>. He helped found the international street medicine institute, and was appointed to the 15-member Consumer Operated and Oriented Plan Program advisory board created as part of the Patient Protection and Affordable Care Act in 2012.<br> <br> You can find some CDC resources about <a href="https://www.cdc.gov/violenceprevention/acestudy/" target="_blank" rel="noopener noreferrer">Adverse Childhood Experiences</a>, or ACEs <a href="https://web.archive.org/web/20160404140139/http://www.cdc.gov/violenceprevention/acestudy/prevalence.html" target="_blank" rel="noopener noreferrer">here</a>, and a New Yorker article about the effects of ACEs on health <a href="http://www.newyorker.com/magazine/2011/03/21/the-poverty-clinic" target="_blank" rel="noopener noreferrer">here</a>.<br> <br> Dr. Buck is a graduate of the Baylor College of Medicine and the University of Texas School of Public Health, as well as family medicine residency at the University of Rochester.<br>