Author Archives: Ted

About Ted

Edward B. J. (Ted) Winslow received an MD from the Faculty of Medicine of the University of British Columbia in Vancouver and an MBA by the Kellogg School of Northwestern University. Before getting his MBA, Ted practiced Cardiology and Internal Medicine at several Chicago institutions (University of Illinois, Veterans West Side, Illinois Masonic, Northwestern Memorial and Evanston Northwestern Healthcare – each one at a time). As a practicing physician, Ted has had experience in managing a medical practice, and implementing the adoption of electronic medical record systems

How Can We Align Incentives As We Move From Volume to Value?

Changing payment for health care from volume to value will be facilitated if the stakeholders keep a close eye on “What’s in it for me” Continue reading

Posted in General Interest, Operational effectiveness, Quality | Leave a comment

How Do We Use Statistics?

How we utilize Statistical Inference is indeed a critical piece in the evaluation of new information in the Biomedical Literature. Continue reading

Posted in General Interest, Guidelines, Health Information, Statistics and Decision Making | Leave a comment

What Happens to my medical information? Where is it?

In this week’s MedPage, a medical information website, there is a post, by Dr. Leonard Lichtenfeld, about sharing personal health data. He was asked to sign a consent for information sharing that may have essentially taken away from him any … Continue reading

Posted in General Interest, Health Informtion Exchange, Medical Records, Personal Health Record | Leave a comment

We have “Information Overload” in Clinical Guidelines.

Guidelines should be useful to the provider of health care. However, there are more guidelines than can be digested by these providers. This may make guidelines less useful than intended. Continue reading

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Helping our Patients and Ourselves Navigate the Internet for Reliable Health Information.

In June 2015 Dr. Arthur Caplan opined on Medscape that physicians should be prepared to help patients in some way as they try to navigate the morass of medical information that is available on the Internet[i]. One oft quoted study … Continue reading

Posted in General Interest, Health Information, Health Informtion Exchange, Literature | 8 Comments

Dr. Gawande has done it again – almost – a review of “Being Mortal”; Gawande, Atul; Metropolitan Books; New York; 2014

This book is almost on track to be a potential game changer. The title is engaging. However, on my first reading, I found the book a little difficult to follow. Dr. Gawande has essentially written about two distinct components of … Continue reading

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General Shineski Needn’t Have Been Ousted – He Was Betrayed

At the end of May, after a series of exposés and congressional hearings, General Eric Shinseki, was pressured to resign as Secretary of the Department of Veterans’ Affairs… Could the VA scandal have been prevented? – In all likelihood yes. Would it have been easy to prevent? – No. Continue reading

Posted in General Interest, Leadership, Policy | 2 Comments

Diagnosis may be the Achilles Heel of Incentive Based Payment.

“Diagnosis is the mental act of selecting the one explanation most compatible with all the facts of clinical observation”.  – Raymond Adams in Harrison’s Principles of Internal Medicine – 4th edition In almost all instances, Government and other third party … Continue reading

Posted in General Interest, Policy, Quality, treatment options | 2 Comments

What is Quality? It Depends on Who Does The Measurement

There are more than a dozen sets of publicaly reported quality metrics … with between 8 & 80 individual components to each set. It is small wonder that they don’t agree. Continue reading

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What is Evidence Based Medicine?

One definition would be: Delivery of Medical Care based on results of best available evidence. This usually means finding or relying upon data, some of which will be from outside one’s immediate memory to help answer a clinical question. EBM … Continue reading

Posted in effectiveness/efficacy, General Interest, Quality, treatment options | 2 Comments