"What needs to happen is a model like this that is more of a specialty place where you filter patients so that everyone who has a questionable issue or multiple issues would come through here and be medically, psychologically and socially evaluated and stabilized."
When that's done, Waller says, the patients can be transferred to a traditional primary care environment. "All they have to do is maintain it," he says, "because it becomes so expensive if every doctor's office has to have a psychologist or a social worker or five RN case managers."
Waller says he wants to show other health systems how to replicate Spectrum's success.
"We are retooling efficiencies right now," he says. "The reality is you have to have appropriate through-put without marginalizing the information we are getting. In two weeks we will have that on paper so we can have the billing codes and the ways it has to be documented set up."
"Within two to three weeks we are going to be able to tell somebody how to replicate this if they would like to."