Recent Posts

by Christopher Moriates, MD Author of Understanding Value-Based Healthcare* The hospital chargemaster has become nearly a household term, following its turn as the villain in highly publicized features in Time magazine, The New York Times, and the The Daily Show. Nobody seems to like the…
By Mimi Zander During my undergraduate studies at Rutgers University, I studied English, women's and gender studies, and literary theory. As part of The Institute for Women's Leadership Scholars Program, during class discussions, we would circle back to the idea of bridging theory and practice.…
Sorta. A new study out today in JAMA you will want to know about: How has Medicare done on the inpatient side from 1999-2013? Medicare all-cause mortality?  DOWN (more…)
by Frank Zadravecz, MPH Across industries, Big Data is widely believed to offer a higher form of intelligence and knowledge that can generate insights that were previously impossible. However, the current cacophony of patient alarms we experience on the wards is not as informative for…
I have always had a bugaboo with mortality rates.  It is a clunky standard. We need death measures to serve as precise tools for quality improvement and hospital performance.  If a hospital has a standardized mortality rate of 3%, you can assume only a small…
by Monica Shah Patient safety has always been a priority for me, but it is only recently that I became aware of the many issues that threaten quality of care for patients. As a medical student, I vividly remember shadowing at the hospital and being…
Costs in health care tend to concentrate in the domains of the few (think 80/20 rule).  As it goes for chronically ill community dwellers, the same applies to frequent flyers in the ER.  You may have heard of the term super-utilizers. Those individuals present week after…
My uncle just died.  He was my mother's brother,  an irascible blowhard, a mercurial bit of a family dictator with a soft spot for small children. He had the unfortunately common clinical course of catastrophic illness followed by steadfast decline into the heartbreaking oblivion of…
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