Self-regulation will prevent external regulation

Unfortunately, I do not always take the time to read the comments to posts or articles made by my colleagues, but today I did. Regardless of the topic, the same theme emerges, “if you just let me practice how I believe I should, all will be well.” Containing numerous layers and meanings, this comment, at its core, is… Read More »

Better healthcare is in our grasp

As we continue to struggle with healthcare in the United States, a preeminent discussion point has been universal coverage within a single-payer structure. We, as well as other countries, have grappled with this dilemma for decades. One of the leading arguments for such a model is insuring the uninsured. Undoubtedly, a single-payer system is a solution. In moving… Read More »

Physician practice consolidation creates a need for new distribution models

The healthcare environment has undergone rapid change in a short period of time for an industry notoriously slow to adapt. Some of those changes include a shift to pay-for-value, increased focus on outcomes, and most recently a complete overhaul of the physician payment model for Medicare beneficiaries. Those of us steeped in care delivery have seen increased physician… Read More »

Shared decision making requires consumer behaviors

In continuing to discuss the cost of healthcare and its sustainability, we must analyze consumer behaviors and dissect the role they play. For many reasons, healthcare will never be a legitimate market-driven business, nor should it be because it involves important social dynamics. However, there are several aspects of a consumer-based market that are applicable. Shared decision making… Read More »

It will take a village to improve the healthcare system

I believe we create false distinctions between healthcare and non-healthcare services. Recently I read with great interest a study that explored this issue by Vickery, et al, Cross-Sector Service Use Among High Health Care Utilizers in Minnesota After Medicaid Expansion in Health Affairs. The authors reviewed the service utilization of enrollees across the domains of healthcare, housing, criminal… Read More »

24/7 services improve quality and lower costs

People do not choose when they become sick, injured or require needed services. Other industries comprehend the nature of their businesses and provide coverage that is appropriate to the defined needs. Within the realm of healthcare, this same type of delivery approach is not evident. Ambulatory services tend to follow “banking” hours. Surgeons schedule their cases based on… Read More »

Balancing directions as a leader

Leaders grapple with problems every day. Our particular ecosystem is complex and complicated. Understanding the dynamics of the questions themselves and tradeoffs that must transpire is critical for thoughtful decisions and for framing the conversations that must occur. Human nature gravitates towards simplification and it is our responsibility to constantly elevate the conversation to a level that better… Read More »

What does being a trusted partner mean?

We place a great deal of emphasis and focus on attempting to design models of care and services that address the consumer’s wants and needs. We discuss the need for patient-reported outcomes and shifting our metrics to those that are more patient-focused, such as shared decision making. We include patient advocates in our discussions and involve patients in… Read More »

Too many tasks prevent physicians from practicing to the top of their license

Frequently we hear the phrase “work to the top of your license.” Additionally, operational efficiencies focus on this point. Furthermore, segregating activities by function is a proven methodology for improving throughput and standardization. But when we consider these in tandem with the physician role, we often throw this logic out the window. When practicing full time, I vividly… Read More »