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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 […]
By  | August 29, 2018 |  1
By:  Chirag R. Patel, DO, SFHM, FACP The Ohio State University Wexner Medical Center [email protected] twitter.com/OSUBUCKQI Efficiency and timeliness in care are two of the Institute of Medicine’s six “Aims for Improvement”. Those are literally “million-dollar” topics for your institution, as millions are wasted annually due to throughput inefficiencies and increased length of stay. A […]
By  | August 21, 2018 |  2
By:  Richard Bottner, PA-C Hospitalist, Division of Hospital Medicine, Dell Seton Medical Center Assistant Clinical Professor, Internal Medicine, Dell Medical School at The University of Texas at Austin Alvin is a 42-year-old man who was never really given a chance. His parents both had severe alcohol use disorder. At age 12, his parents encouraged him to skip school […]
By  | August 8, 2018 |  2
By: Ethan Cumbler, MD, FHM, FACP Sarguni Singh, MD University of Colorado School of Medicine What’s the purpose of attending documentation on a resident’s progress note? The answer might seem obvious, but stop and think about it. Often, the attestation is a detailed exposition of the attending’s own thought process on the diagnosis, differential, and work-up […]
By  | February 1, 2018 |  0
By: Win Whitcomb, MD, MHM Hospitalist groups have been among the highest volume participants in Medicare’s Bundled Payments for Care Improvement (BPCI) demonstration project, initiating almost 200,000 episodes representing over $4.7B in spending since the model began1. On January 9, the Centers for Medicare and Medicaid Services (CMS) announced BPCI’s follow-on model, ‘BPCI Advanced’,2 which starts […]
By  | October 20, 2017 |  0
By: Charlie M. Wray DO, MS I’ll be honest – I can’t remember who won the 2012 Super Bowl, World Series or any other pop culture phenomenon*, but I do recall stumbling across something called Choosing Wisely® one afternoon while sitting in my clinic. With a burgeoning awareness that much of the care I was […]