I am an Internist however, my main focus of practice is Hospice, Palliative care as well as Visiting Home physician. I have three great and trusted mid level providers and have a great understanding of this very special patient population. Technology has made it possible to bring the office to the patient. NJR Healthcare used state of the art technology for patient diagnosis and treatment and has been successful in containing cost and preventing hospitalization. I also have a great interest in Health Information Technology and founded an EMR company that achieved CCHIT-ONC 2012 Certification. This is clinically driven and doctor friendly EMR that is easy to use and actually enhances the overall experience. Most physicians believe that hose call providers are nothing more than caring a black bag and refilling a script for a little lady with anxiety. I can personally test that this is opposite, and i will argue that on any given day, we are seeing patient that are far more complex than the typical office based primary care physician. Im a believer that changing our health starts at home and most of us would prefer to be their at the end of our life as well. Lets give patients what they need. Changing medicine and putting us back on top of the developed countries with ranking starts with innovation and thinking outside the box. Modern medicine is innovative and technology driven, physician need to be more open to new ways of practicing medicine as well as embrace technology and lead the way.