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Tag Archives: health care management
Should we be keeping patients happy?
I posted an article to Facebook yesterday regarding patient satisfaction, and to be honest, I was somewhat surprised at just how many people – both medical and non-medical – responded to it. The article was about the “Cost of Satisfaction” … Continue reading
Grading your doctor/hospital may be killing you
The Atlantic recently released an article “The Problem With Satisfied Patients” written by Alexandra Robbins covering the idea that patient satisfaction should be used as a indicator of health care quality. In the era of increasing focus on “patient centered … Continue reading
Posted in health policy, medicine
Tagged Affordable Care Act, health care management, health care system, public health
2 Comments
overread
Ultimately, the health care we all get depends heavily on the caregivers we’ve got. ~Alan Sager
Silence really might be golden
If you’ve walked into any hospital recently, you’ve probably noticed the noise level on patient care floors, with your ears being assaulted by the sounds of multiple ringing alarms. It’s long been established that the noise level in hospitals isn’t … Continue reading
Surgical skill and an alarming trend
Studies on patient outcomes and surgical quality have focused largely on pre-operative and post-operative measures that are often easy to study and analyze. For example, the Surgical Care Improvement Project (SCIP) utilized by the Centers for Medicare and Medicaid Services … Continue reading
overread
This is a beautiful paragraph and the type of medical writing I can only strive to one day achieve. In 1965, the American Medical Association declared that “An intern’s duties and responsibilities are not discharged on a ‘nine-to-five’ basis. While … Continue reading
the future of academic medicine
In September, Victor Fuchs wrote an opinion article in JAMA titled “Current challenges to Academic Health Centers” discussing the perils facing academic health centers in the future. Fuchs offers some valid points as to why academic medicine is becoming increasingly … Continue reading
overread
Humans will always make mistakes regardless of their training, experience, or determination. In other words, the universal constant is that human infallibility is impossible, and those who build a system that depends on the absence of serious human mistakes will … Continue reading
overread
What other enterprise in this nation with such high responsibility and potential liability would tolerate the level of individual practice variation that has become standard in medicine? Try this: Would you fly on an airline that lets their captains decide … Continue reading
Posted in health policy, medicine
Tagged health care management, health care system, overread
1 Comment
Restructuring Health Care Systems
Are they for real? Stuart Altman speaks for the Boston University School of Public Health’s October Health Policy Forum. Dr Altman is an economist by trade and is currently the Chairman of the Massachusetts Health Policy Commission. He is an … Continue reading
Posted in health policy, medicine, politics
Tagged health care management, health care system
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The 5%
No, that’s not a typo. I’m not referring to the 1% as was referenced by the Occupy Wall Street movement. I’m referring to the group of Americans who consume approximately 50% of our health care expenditures. Yes that’s right, the … Continue reading
Reducing the costs of cancer care
Originally posted on Students for Quality Health Care:
This post isn’t 100% quality related but it does involve using incentives to drive change in cancer care. Much like nephrologists made fortunes from dialysis centers and the use of synthetic erythropoeitin,…
intern work hours in the spotlight
I’ve previously reported on the issue surrounding resident work hours, but intern work hours are back in the spotlight. A piece from Kaiser Health News last week highlights some of the problems with maximizing intern shifts at 16 hours. Newly … Continue reading
Are EHRs really a cure all?
Originally posted on Students for Quality Health Care:
Think that electronic health records are a gift from baby Jesus to cure all that ails modern medicine? Think again… A new article from Bloomberg points out that even though EHRs are…
hey Doc… wash your hands!
The push to get health care workers to wash their hands has gone hi-tech. According to a recent article in the New York Times, hospitals are beginning to employ technological solutions to encourage providers to wash their hands. Hospitals are … Continue reading
Dinner with Don Berwick
Last night, I had the pleasure of attending the Massachusetts Medical Society Resident and Fellow Section (RFS) meeting. Though largely intended to be a work meeting in order to elect board members and delegates, the keynote speaker at last night’s … Continue reading
The DSM-5
The American Psychiatric Association is poised to release the newest version of its “bible” of psychiatric disorders today, known as the Diagnostic and Statistical Manual of Psychiatric Disorders or DSM-5. You’re all probably sitting there thinking, who really cares? Well … Continue reading
resident work hours… yet again in the news
I’ve previously mentioned the controversy surrounding the rules governing resident work hours. But the criticisms and critiques in the past of the work hour rules have come from bodies like the Accreditation Council for Graduate Medical Education (ACGME) and from … Continue reading
well… it’s a start
A new report from the US Department of Health and Human Services lauds the so-called “tipping point” in the use of electronic health records by US physicians. According to new data, over half of physicians are now switched to using … Continue reading
You Think You Know 