Home2018-05-24T15:44:59+00:00
By  | November 12, 2018 |  0
I do not loathe him, actually. As you might have heard, Atul Gawande will be running the big health concern comprised of Amazon, JP Morgan, and Berkshire Hathaway. How in heavens name he was able to pump out another tome in The New Yorker, a sharp one at that, boggles my mind. If you do not […]

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By  | November 5, 2018 |  1
Suppose I told you one of your patients: –Didn’t vote in the last five elections –Bought a 24 pack of Snickers bars and 12 pack of Cheetos on Amazon every three months –Participates in a  Burger King Whopper loyalty discount program –Owns a Harley Davidson What conclusions would you draw as they relate to future […]
By  | October 23, 2018 |  3
If you are not doing Schwartz Rounds, get them started. ASAP. I recently completed a 4-year tenure as physician moderator for our hospital’s Schwartz Rounds. An amazing team at my hospital helped pull the bi-monthly sessions together. These compassionate care rounds are a national initiative to help foster empathy and compassion in the healthcare setting. […]
By  | October 16, 2018 |  0
By: Rich Bottner, PA-C and Victoria Valencia, MPH You submit an issue to your Event Reporting System and never hear back. You discuss the need for institutional improvement with your colleagues around the water cooler, but few things seem to change. Sound familiar? Instead of passively waiting for quality improvement to happen in hospitals, organizations […]
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Featured Posts

By  | September 29, 2008 |  7
Last week’s New York Times front-page piece on colored wristbands highlighted an issue I’ve been fretting about for years. We can achieve consensus on a $700B bailout in 3 days (well, perhaps not), but can’t agree on what color a DNR wristband should be? Wow. My interest in this subject began with a remarkable case […]
By  | March 26, 2008 |  22
Do you get as annoyed as I do about being pressured on your “Time of Discharge?” I just received my monthly report, and we’re in The Doghouse again: our average TOD – 3:28 pm – is hours after “check-out time.” But when did we turn into the Holiday Inn? Let’s start by appreciating where this […]
By  | May 13, 2013 |  2
A quick post on something we do not think about often. We look at the world through our own professional lens.  If you toil at a big urban hospital, your sphere of interest encompasses GME, training, research, and safety net care.  Conversely, if you work at a small, rural hospital, you concentrate on ER and […]