Peer Comparisons Can Enhance Value

As the healthcare industry continues to focus on value (improved quality and service, and decreased cost), understanding the human dynamics of physician healthcare providers will enhance our ability to drive change. Incentives are foundational, however, money is not always the primary motivator. Behavioral Science postulates that different people respond differently to similar incentives. We know there is a… Read More »

Preconceived Ideas Don’t Always Lead to What We Expect

A commonly held premise of shared decision-making is that the healthcare profession neither adequately gives specific treatment options nor discusses the trade-offs of surgical intervention. Predominantly, the thought is that if more in-depth conversations were to occur concerning the trade-offs, and there is more appropriate management of expectations, the chosen solution would be the more conservative approach. With… Read More »

The Future of Medical Education May Look Drastically Different

During this pandemic, I am blessed to have a son finishing his senior year of college from our home. Candidly, it was fascinating to observe the dynamics of the educational process through a digital platform. It became apparent, rather quickly, that some, but not all professors excelled utilizing the online platforms; and some struggled to hold their student’s… Read More »

Study Shows Social Needs Interventions DO Offer Return on Investment

There is a tremendous amount of focus on the value of social interventions like housing and food stability, on the cost of healthcare. For the benefit of all, we must learn how to investigate the value of these interventions. A recent study in Health Affairs by Kangovi et al. examines the return on investment for an evidenced-based community… Read More »

Being Mindful Matters

Over the next few weeks I will be sharing some previous posts that are relevant to the uncertain healthcare climate we are navigating right now with COVID-19. What is the definition of being mindful? In the simplest terms, it conveys to be aware of your thoughts and emotions, in addition to demonstrating consideration of those with whom you… Read More »

Investment in Social Determinants of Health is Rising

As we continue to focus on value-based care, with particular attention being put on the social needs of those we serve, how these investments are made is important. Historically, funding for this was part of the public health sector, either by governmental or philanthropic funding. However, as we move towards value-based payment models, other delivery entities begin to… Read More »

Taking a Look at How Clinical Care and Public Health Intersect

Undeniably, individual rights are foundational to our civil liberties. However, we are also socially minded, meaning thinking beyond individual needs, and therefore, we must bridge this polarity. From a care perspective, these dualities remain in two different verticals,1. medical care/treatment, and 2. public health. For example, when I discuss a condition and treatment options with a patient, the… Read More »

What Happens When I am Proven Wrong?

“Hot-spotting” is a method in healthcare to identify areas for intervention. The premise suggests, if I can identify a segment that is responsible for most of a situation and change its trajectory, a positive outcome will occur. This premise is the basis for disease management, and now value-based care concerning social determinants of health. However, a recent randomized… Read More »

Using the “Five A’s” to Support Social Factors in Healthcare

It is understood that social factors influence health and wellness. Currently, Healthcare systems grapple with the question of how to address issues. A recent report from the consensus committee of the National Academies of Sciences, Engineering, and Medicine provides recommendations to guide practice, societal, and policy discussions in this area. They recommend five A’s specifically, in the health… Read More »

When it Comes to Improving Healthcare, Consumers are Accountable Too!

Overall, we focus a considerable amount of time and energy on physician accountability for delivering value to those we serve. However, with consistently increasing costs to the consumer, there is less conversation concerning their responsibility. Currently, there is a societal debate asking what exactly, are the duties of individuals involving their own health and well-being. Undeniably, patients’ behavior… Read More »