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Posts Tagged ‘ healthcare quality ’

The Cost of Health Information Technology

2
September 11, 2016

From the mid- to late-2000s, lots of pundits got into the business of shoving electronic medial records (EMRs)down doctors’ throats. There were a few incentives from the Feds to help with the upfront costs, but it was a pittance of what it really costed hospitals and physician practices. And there was...
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Problems with Hospital Mortality Data

0
January 10, 2016

Another recent study has exposed the limitations of the current quality indicators used by Medicare and many insurance companies. This time it’s for in-hospital patient deaths. Researchers looked at the mortality rate for patients admitted for pneumonia to 303 California hospitals. Hospitals were lumped into groups of performance using the standard quality measures....
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Bad Family Medicine

7
January 25, 2015

As much as I have given the ologists and other members of the dysfunctional U.S. healthcare system a hard time in previous posts, it’s only fair that I call out bad family medicine as well. I have a great example. I recently saw patient who is relatively new to the area...
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The Cost-Effectiveness of Family Physicians — Work Up New Symptoms in Stages

0
September 29, 2013

I took the longest time off from posting on this blog site that I ever have since I launched it in 2010. I had a good reason. I spent a week in England learning more about their National Health Service. I’ll share some of those experiences later. Plus, I’m working on...
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The Cost-Effectiveness of Family Physicians – Comfort with Uncertainty

0
June 3, 2013

This post is the 3rd in a series discussing our findings in a recently published study on the ways family physicians deliver better care at a lower cost than a multi-ologist model. Family physicians told us they are more comfortable with uncertainty than the ologists. For a little history, the Future...
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Payers Who Cooperate to Purchase High-Value Healthcare

2
April 21, 2013
Payers Who Cooperate to Purchase High-Value Healthcare

Two weeks ago, I wrote about the actual lack of success Kaiser has had in reducing healthcare costs very much more than the rest of the U.S. healthcare system. This is a story about a group having a little more success. This is a post originally written by Brian Klepper, PhD...
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Loss of Professional Joy

0
April 10, 2013

Larry Bauer, who is a leader in family medicine education in the northeast U.S., sent out a link to a piece written by teacher who complained about the over-emphasis on standardized tests in secondary education. He felt so bad about it, he quit teaching.  Here is the link: http://www.washingtonpost.com/blogs/answer-sheet/wp/2013/04/06/teachers-resignation-letter-my-profession-no-longer-exists/ Larry asked...
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Forbes Questions Patient Satisfaction Scores

0
March 17, 2013

An article in Forbes recently questioned the value of patient satisfaction scores for both pay-for-performance schemes and as markers of quality and value in general. The article effectively exposed the inordinate sway Press Ganey has on the hearts and minds of hospital administrators. Press Ganey is an influential patient satisfaction survey...
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To Work in Commercial Urgent Care Centers, You Must First Sell Your Soul

6
February 17, 2013

I recently received this email message from one of my residents who has moonlighted in a local commercial urgent care center. This message is reprinted with his permission just as I received it, except I removed the brand name. “Hey Dr. Young, I’m looking for some basic mentoring advice.  I’ve been moonlighting...
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Telling Stories of the Harms of Over-Testing and Over-Treating

2
October 7, 2012

It is so hard to push back against the influence of GIMeC, because people often make up their minds about reality based on stories of other people.  How many times have you seen this story on the TV news, magazines, or TV dramas? A person had some sort of pain or...
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