Tag Archives: healthcare quality

Watch Out Hospitals: Medicare’s Planning to Punish You if You Misbehave

It used to be that hospitals billed Medicare for the services they provided, and Medicare – I know this is crazy! – simply paid the bills. Those days are rapidly receding into history. Soon, a significant chunk of hospital revenue … Continue reading

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Hugs, Tweets, and Physician Reimbursement — A Problem for Pay-For-Performance

According to recent research, a hug a day could keep the doctor away. According to another study, twitter can predict the chance that people will experience heart attacks. A normal blogger would look at these two findings and tell a … Continue reading

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Why The Government Tried To Fix Primary Care And Failed

Americans spend more per-capita on medical care than just about any other country and, yet, they often have little to show for it. Americans have worse access to care than people in other countries, and are often less likely to … Continue reading

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Your Physician Can’t See You Yet – She’s Busy Filling Out Paperwork!

Left to our own devices, most of us physicians try our best to provide high quality care to our patients. But almost none of us provide perfect care to all of our patients all of the time. In fact, many … Continue reading

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Are Device Manufacturers Playing Bait-And-Switch with the FDA?

The problem with the FDA is that if often requires so much proof of safety and effectiveness that the time it takes to bring a new product to market can grow by 3, 4, or even more years. FDA delays … Continue reading

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Have Reimbursement Rules Taken the Joy Out of Being A Physician?

She came to the urgent care center with a sprained ankle. The primary care provider gave her excellent care, expertly applying evidence-based evaluation guidelines to her situation, and, thereby, avoiding unnecessary x-rays. By all measures, the provider’s care was excellent, … Continue reading

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Could Pay-For-Performance Lead To Overuse Of Antibiotics?

Not long ago, the Joint Commission (a healthcare quality organization) established that patients with pneumonia should receive antibiotics within four hours of diagnosis. Timely diagnosis and treatment can be the difference between life and death in patients with this illness. … Continue reading

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When Aggressive Medical Care Was More Dangerous Than Assassin's Bullets

Dr. Smith Townsend knelt on the filthy train station floor, the patient lying in front of him with a bullet wound in his back.  The patient was clinically stable for the moment, so Townsend turned his attention to the wound, … Continue reading

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My Take on Shared Decision Making

Put simply, shared decision making is the gold standard — the sine qua non* — for how medical decisions ought to be made. The pipe medical choice is rarely a function of medical facts alone. Tough decisions require value judgments, … Continue reading

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