Could it get any better at the top? Corporate executives seemingly have many perks; private jets, golf club memberships, and events held at exotic locations. Companies and their boards justify these perks, due to the stresses and strains of the job and the need to keep their top executives healthy; otherwise these companies risks declining […]
Continue readingThe Doctor Will See You NOW!
If you’re looking for the front door of a hospital and assume it’s under the grand awning, straddled by ornate Corinthian columns and under a brightly lit sign reading “St. Elsewhere,” you’d be wrong. Most hospital administrators might not like to admit it, but the front door is really through the emergency room. By far, […]
Continue readingEMR and the Falling Patient
Is Mom at risk of falling? Electronic medical records (EMR) efficiently capture physician’s keystrokes—yes or no—to this question and tuck it along side other data about our so–called medical lives. The physician’s judgment has to take into account many factors: is the patient elderly and ‘frail,’ do they have an orthopedic or neurological problem causing […]
Continue readingThe Neverending Story
We’re hearing a lot about the use of electronic medical records (EMR) in medicine. The government is all for it—providing financial incentives for those with EMRs and disincentives for those still relying on paper charts to make their way through the world. Most health professionals, especially new physicians in training, simply can’t imagine a world […]
Continue readingHow the Grinch Stole Medicine
When I was young, I often heard my elders say, ‘there ain’t no free lunch.’ It wasn’t until becoming a medical intern and resident that I discovered not only are some lunches free, but also dinners, books, bags, shirts and even trips to wonderful resorts and hotels. That is if you didn’t mind having them […]
Continue readingWhen I’m 64
“Will you still see me next year?” Her question threw me, as I thought the visit had gone well. She’s been my patient for the past four years. She originally came to me when her earlier physician decided to join a concierge practice. His new medical practice doesn’t take insurance and patients pay cash if they […]
Continue readingOn This Eve of Giving Thanks
We’re living in thoughtful times. Everyday in healthcare I am humbled by the care, compassion and thoughtfulness exhibited by the staff at our hospitals and clinics. They don’t show this because it’s prescribed in a handbook, or policy and procedure. They’re not after a high rating on the next patient care survey. They don’t need […]
Continue readingUnintended Consequences
Joe is a guy that never really cared about his health. He is overweight, according to any objective standard, and always attributes this to “bigger muscles” (it isn’t). He dutifully comes in once a year, but admittedly only because of his wife’s insistence. She worries about his lack of exercise, his growing abdominal midsection (“muscle”) […]
Continue readingAccounting for Taste
Today I’m feeling like the lyrics in the country song: “Can’t explain, there’s something strange about the early Fall. It’s a comfort leaving me without a care. I remain but everything around me hears the call. And tonight, I feel a change in the air.” Only the change that I’m feeling is the sweeping health reforms brought to […]
Continue readingA Tip of Our CAHPS to Coming Clean in America
Are hospitals coming clean? An article just published in Health Affairs reveals details of a government–required survey conducted in 2008 and 2009. The Hospital Consumer Assessment of Healthcare Providers and Systems survey or CAHPS (thank goodness for acronyms!) is required of all hospitals receiving and hoping to continue to receive federal funding. Analysts compared CAHPS […]
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