June 10, 2019 |  0
Public and private payers incentivizing providers (P4P) to coax desired clinical behaviors have failed. Both CMS derived measures and those used by commercial insurers, many of which overlap, fail to pass Good Housekeeping standards and lack the reliable characteristics indicators must possess. Whether those indicators are valid, attributable, or meaningful makes all the difference in […]
March 6, 2019 |  0
You have read constant references about ACOs (accountable care organizations) in every journal you pick up until you are blue in the face, I’m sure. You or your hospital might even be participating in one. Mostly all straight Medicare patients (the two-thirds not in Managed Medicare) are eligible for inclusion. You need two things to […]
January 14, 2019 |  0
“The Joint Commission – [insert name of your institution here] is in the survey window.” A message you have become accustomed to seeing every few years at your hospital–and one administrators liken to habanero sauce on a gaping cold sore. But there is something else you should know. Bet you were not aware of this […]
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 […]
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 […]
September 10, 2018 |  1
I am going to teach you something you do not know. I am almost sure of it. Warm handoffs–a term you often hear within the confines of hospital walls when transferring a patient service to service or ward to ward. You do it in-house, but its unlikely you make the same connection when you discharge […]