Balancing work as a medical consultant and practicing doctor, this triple Hoya keeps cura personalis at the center of it all. She is an emergency physician at Mount Sinai Beth Israel Hospital in Manhattan, regional medical director for CVS MinuteClinic, and medical director for health systems alliances at CVS Health.
My path may not be the typical beaten path. But every day I get up and see my patients and do the best I can for them. It’s something I’m passionate about. You read a lot about physician burnout. I don’t have that.
I was drawn to emergency medicine because it fits with the way I think and function. I like the variety: seeing a 90-year-old patient with congestive heart failure in one room, checking a pregnant patient with a complication in room two, reducing a shoulder for a kid who fell playing football in room three. I’m a hands-on doc. I like to do my own procedures, my own central lines. And I like communicating with subspecialties.
The emergency department is the front door of the hospital. A lot of times it’s the only experience a patient has with our medical center.
I started with CVS seven years ago as a collaborating physician for MinuteClinics, located inside the pharmacies. I supported nurse practitioners who work alone there, if they wanted to review a dosage or go over a case. Over time, I got a full swath of the country to manage, which blossomed into NP education.
I work on quality assurance and chart review in different states. I provide guidelines and training for the care of patients that I may never see, but am ultimately responsible for.
MinuteClinics are not urgent care but retail medical care, when your doctor isn’t available. It’s the brave new world of medicine. We’re not delivering babies in there, but why wait a week to see your primary care physician because you have a sore throat? I think we fill a need.
A MinuteClinic is not a medical home. We support the medical community. After we see patients, we always send a visit summary back to the primary care physicians, so they know we’ve taken care of them, and so they can continue to manage their care.
At CVS Health, we’re involved in making sure patients are optimally adherent to their medications, because as a population, patients who take their medications the way they’re supposed to do better.
We have programs like multi-dose packaging for complex regimens. Instead of having to negotiate 15-20 vials on the kitchen table, patients receive prepackaged combined medications in cellophane wrappers for morning, afternoon, and evening.
I work with a new app for home health visits called Pager. You call for a doctor like ordering an Uber. Sometimes we have to meet patients where they are.
I am “Jane Hoya”—Georgetown undergrad, law school, and medical school. I met my husband at Georgetown, and we were married in Dahlgren Chapel.
Georgetown made me the kind of physician that I am. You’re taught that it’s not just about numbers on a screen, tests you’re running, medications you’re prescribing. It’s taking care of the whole patient—a living, breathing person with concerns, beliefs, and questions, in addition to medical problems they may have.
During training, one of my attending physicians at Georgetown told me that with every patient, before you do or say anything, make sure it’s the same sort of care you’d give your own family. To this day, I bring that into every room that I enter.
Interview by Jane Varner Malhotra