- What Does “Follow the Science” REALLY Mean?
- Getting Policies Implemented is tough
- Reading the Medical Literature. Does anyone do it anymore?
- Pandemics are not new. Have we learned anything from 1918-1919 Influenza?
- It Ain’t What You Don’t Know That Gets You into Trouble. It’s What You Know for Sure That Just Ain’t So”[i]
Category Archives: Quality
A Follow-up on the Autopsy
This follow up on the Autopsy has data and suggestions for returning the autopsy to a significant role in medical education (both initial and continuing education of physicians and all other health professionals). Pathologists have reported autopsy findings since before … Continue reading
Posted in General Interest, Policy, Quality, Quality in Medicine Tagged Autopsy, George Lundberg, Lee Goldman, Stephen Geller 1 Comment
A Tale of Three Autopsies
The autopsy, which has largely been ignored has helped families and physicians some of the deceased. Three stories demonstrate how the autopsy made a difference. This is the first of two posts on the autopsy. Continue reading
What is Quality in Medicine? – It Isn’t Easy!
The definition of Quality in Medicine is in the eye of the beholder. There are several good paradigms, but they all look at different components of the overall concept. Continue reading
Posted in General Interest, Policy, Quality Tagged Public Policy, quality 4 Comments
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
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
Posted in CV, Guidelines, Policy, Quality Leave a comment
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
Posted in General Interest, Operational effectiveness, Policy, Quality Tagged Hospitalist, Public Policy, quality 3 Comments