Posts by Charlie Wray

Why Do Some Hospitals Choose Wisely?: The Next #JHMChat

As a personal advocate for value-based care, I was lucky enough to do my Hospital Medicine Fellowship at an institution that placed a strong emphasis on improving and optimizing value for its patients. As a (mildly naïve) first-year fellow, I recall being impressed by an atmosphere and culture that appeared to embrace the “less-can-be-more” movement. Yet as time went on, I found that while many wanted to achieve that goal, the pathway to getting there was not as straight and narrow as I’d imagined or perceived it to be. My friend and mentor, Vineet Arora, MD recounted to me how even though we all want to do the right thing, the process can be challenging. She recalls their story here on how difficult it was to just remove ONE lab from their order set: “Several years ago, an enterprising resident came to me and asked, ‘Why do we order CKMB…