Electronic Health Records (EHRs) are not the cause of inferior notes

Recent discussions within the industry have placed blame on EHRs for repetitive or ineffectual notes. Some say the reason is the required documentation that must be completed in order to justify reimbursement. We also have seen the proliferation of information in the EHR that has very little impact on the reason for the visit. EHRs do not cause… Read More »

Care value is not based on license

I have been reading recently about the “debate” over what type of patients should be seen by which licensed professional. Usually this discussion revolves around the use of Nurse Practitioners or Physician Assistants versus Physicians. There are obviously arguments for both, and those have been well-discussed. But, I am not going to focus on the present situation as… Read More »

Why is evidence-based medicine so difficult to follow?

As we continue to focus on value-based care, where quality and costs are extremely important, there has been an increasing emphasis on practicing evidenced-based medicine. Researchers are now beginning to collect data and evidence not only on clinical matters, but also on issues such as whether patient-centered medical homes truly work or if technology definitely lowers costs. As… Read More »

Doctors, leading the conversation

Webster’s states, “a professional is characterized by or conforming to the technical or ethical standards of a profession.” And, Postema, Gerald J. (1980). “Moral responsibility in professional ethics.” (PDF). NYUL Rev. 55. Retrieved March 26, 2016 proclaims (they), “self-subjugate themselves to strict codes of conduct enshrining rigorous ethical and moral constraints that serve important aspects of public interest… Read More »

Healthcare and policing violence: The need to work together

Health in the United States has become segmented and siloed. Failing to acknowledge the connections between situations that impact us, leads us to miss opportunities to fully explore creating models that improve results. Violence remains a leading cause of healthcare issues, both from a quality of life and cost perspective. While those in healthcare and law enforcement understand… Read More »

What does the physician of tomorrow look like?

There has been continued debate concerning the topic of physician shortages. Just like any discussion, there are numbers to use that support both sides. Pure supply and demand economics does not support the idea of a shortage, and as technology in healthcare matures, this new technology will drive down the supply needs. In a value-based model, innovation will… Read More »

Creating the Healthcare Consumer – Who should pay?

There is a lot of discussion concerning better access for patients such as retail clinics and virtual care. The hypothesis is that having such access will lower the cost of care and improve service at the same time. As these models are very consumer friendly, we are beginning to see the impact of the more consumer driven approach.… Read More »

A simple yes or no won’t do

Not all problems are solved with “yes” or “no” In healthcare, as well as in many other situations, we seem to strive for simplifying the problem at hand to a simple yes or no. Though we intuitively know this is not possible, we still respond as if it is doable. We strive to simplify situations and truly want… Read More »

The healthcare workforce of the future

As we shift our thinking to value-based, person-centered care, we must also think about the workforce needed to deliver on our new promises, how to train such individuals, and where this new workforce will come from. Historically, we have trained our healthcare workforce to help with the process of diagnosing and treating without much regard for the human… Read More »