The Challenges with the “Not-Invented-Here Syndrome” in Healthcare

As we continue to enhance our care models and desire to deliver on value-based care, exactly how we embrace external disciplines in our pursuit of success is crucial. Often called the “Not-Invented-Here Syndrome,” (NIHS) is a situation where a profession only looks for solutions within the context of their own area of expertise. This condition plagues medicine, limits… Read More »

Practicing Evidence-Based Medicine

As we focus on delivering value, and decreasing waste, clinical appropriateness needs to be considered on a daily basis. Unfortunately, much variation is due to the lack of health care providers following evidence-based guidelines. There are various reasons this occurs, including a lack of consensus between medical societies, ease of disseminating new information when it is published, as… Read More »

Self-regulation Should Be a Part of Professionalism

A profession is defined as an occupation founded upon specialized educational training, the purpose of which is to supply disinterested, objective counsel and service to others for direct and definite compensation. The two key components of this very “matter of fact” definition are specialized educational training and offering a service to others for payment. Unquestionably, those that provide… Read More »

How Can We Make “Good” Choices Easier?

Changing behaviors is seldom easy. Behavioral economics and habits play a crucial role in our response, and undoubtedly, we do not fully appreciate the complexity of these issues when providing care. Often, we believe that if we merely educate an individual on what they should be doing to improve their health or incentivize them to do the “right… Read More »

Why is Screening for Social Determinants Difficult?

In the present age of healthcare, we understand that social determinants play a critical role in health and wellness, as well as influencing our ability to treat illnesses. Those who identify with issues such as food insecurity, intimate partner violence, availability or quality of housing, and the ability to pay for necessities such as utilities like heat and… Read More »

How Can Technology Impact the Ever-Changing Specialty Consultation?

Historically, a specialty consult occurred when a physician desired input and would request a specialist examine the patient either in the hospital or as a referral in the outpatient setting. Frequently, as a primary care physician, I would ask a specialist to opine on a particular patient’s situation or diagnosis. Invariably, this request would generate a discussion regarding… Read More »

How Does AI Impact Trust Between Patients and Physicians?

As we continuously increase our utilization of technology and Artificial Intelligence (AI) in our day-to-day healthcare delivery, understanding how this impacts trust between physician and patient is a vital consideration. Historically, the relationship between a physician and their patient held the highest degree of intimacy, privacy, and assurance. Knowing this, it is right to consider; how does one… Read More »

Are Physician Payments Being Calculated Correctly?

In examining healthcare expenditures, various factors influence costs. Although we focus a tremendous amount on overutilization, variation, and waste, unit prices are also an essential factor. For example, drug costs constitute a significant focus concerning unit pricing. However, there are other numerous inputs affecting the health services unit cost equation. One of these such areas is payments to… Read More »

Should We Re-Examine the Length of Medical Education?

Not too long ago, I recall my hospital patients repetitively inquiring, “When can I go home?” Frequently, my response was, “Not a day longer than you need to be here, nor a day shorter.” I was not trying to be audacious, but as many know, an exact time frame was not always possible since a person’s illness, and… Read More »

How Can Health Systems Help in Eliminating Health Disparities?

As our health systems continue to shift to value-based care, it has become paramount that providing quality care to not just some, but ALL we serve is essential. Therefore, focusing on the health disparities that exist is important since a lack of health equity continues to be a significant factor contributing to poor health in many communities. If… Read More »