Tag Archives: clinician experience

Understanding Why We Need Stratification of Hospitals for Readmission Penalties

There has been considerable debate concerning the value of the Medicare Hospital Readmissions Reduction Program. The program was designed to deduct up to 3% of Medicare payments for hospitals with higher-than-expected thirty-day all-cause readmission rates, after index admissions, for six conditions and procedures. One of the primary concerns regarding the program was the disproportionate impact on teaching and… Read More »

A Bell-Shaped Curve and Healthcare Grading

Healthcare is brimming with competitive clinicians and administrators. CMS and other “grading” agencies pit us against each other concerning benchmarking, penalties, and value-based payments. But does this methodology promote better patient care? Most of our quality and experience metrics are “graded” on a bell-shaped curve; in other words, how we do, compared to others? This constant analysis leads… Read More »

Do We have the Definition of Diagnosis All Wrong?

Almost daily, there are articles addressing the need for healthcare to be more consumer centric. We envision the topic within the context of service, access, and affordability. Yet, there remains a component that encompasses how we engage those we serve from a clinical perspective. Diagnosing and treating has been the primary focus of clinicians’ training. But, as we… Read More »

Is Evidence-Based Medicine Being Used in Drug Step Therapy?

Pharmaceutical costs continue to rise and are increasingly becoming a significant portion of medical spending for care. There have been many attempts to stem this ever-increasing portion of the total cost of care including, increased generic utilization, value-based incentive models, and the use of drug step therapy protocols. Specifically, this latter model requires the administration of specific agents… Read More »

How Do We Support Primary Care?

Primary care in the United States accounts for more than one-half of all outpatient visits. Moreover, regardless of the clinical models, primary care is at the core. Unquestionably, primary care is at the center of health equity and preventive care. However, it receives a relatively modest proportion of resources, possesses no federal coordinating capacity, no dedicated research support,… Read More »

Finally, The Elimination of State Lines

One of the major issues concerning physician licensure is that a physician’s right to practice ends at the state border, regardless of their ability or the needs of others. When we examine areas where there are physician shortages, we see significant differences by geographic location. This shortage might be drastically different if we considered the problem through the… Read More »

Where Do Conflicts of Interest Exist in the Medical Profession?

We hear about conflicts of interest on the news all the time. And in medicine, we have addressed this topic in relation to the pharmaceutical industry and its interactions with physicians. As a result, one can now review these connections as part of the ever-increasing desire for transparency. However, as technology progresses, we must also be attuned to… Read More »

Exploring Quality as the Use of Virtual Care Expands

The COVID-19 pandemic has elevated the speed at which we have converted to virtual care. Physicians and consumers have substantially increased their use of virtual visits and digital applications. This care includes interactions concerning diagnosis, evaluation, and management of conditions that historically have occurred in person. Because of this, many questions arise concerning the quality and utilization of… Read More »

How Can We Become the Trusted Voice?

What the COVID-19 pandemic has brought to light is the detrimental effect of medical misinformation. We must remember the “law of rumor” is proportional to the level of ambiguity and the importance of the spreading. When there is an overwhelming feeling of uncertainty, when people feel anxious, when the information is deemed important, and whether they believe the… Read More »

Building Trust in the Patient-Clinician Relationship

Last week I shared a post, Understanding and Instilling Trust in Our Patients, today’s post takes a deeper look at how to build that trust between patient and clinician. As we continue to focus on building patient trust, it’s necessary to recognize that one’s own characteristics play a critical role. For those times that we are dealing with… Read More »