Author Archives: Ted
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
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
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
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
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
Providers, Patient Care Delivery and Policy: Hospitalist story
There are often perverse incentives in health care. These incentives can, at times, create competing drives where providers are encouraged to do things that directly increase the costs of care. Consider the reaction to the mandate to cut down hours … Continue reading