Tag Archives: healthcare access

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 »

Understanding Virtual Primary Care, And the Value It Brings

As we continue to identify the benefits of telehealth, we must delineate how this form of technology most efficiently impacts primary care services. One can view such digital interventions as either substitutive or additional. If one utilizes an electronic visit instead of an in-person visit, this is an example of substitution. We are now categorizing this modality as… Read More »

Partnering with Faith-based Leaders to Improve Health Inequities

Out of the numerous learnings from the pandemic, COVID has highlighted several issues within our social structures; one of the most significant findings is the discrepancies in vaccination rates among minorities. For many appropriate reasons, there is a great amount of mistrust.  This behavior originates from historical occurrences leading to fatal outcomes. Another issue being that those that… Read More »

Is Our Racial Divide Worsening in Healthcare?

In 1973, an article entitled, “Does Race Interfere with the Doctor-Patient Relationship,” was published in the Journal of the American Medical Association. It pointed out systemic biases that impact the care for those in minority groups. Almost 50 years later, have we improved? Though the article delineated a significant amount of attention that addresses health inequities and the… 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 »

Is Massive Social Unrest the Next Healthcare Crisis?

As strong leaders, we strive to improve upon each situation and anticipate the next steps. There are numerous scenarios, particularly in acute situations in which our advanced preparation is vital for the operation’s success. Frequently, these are short-lived and are dependent on location, such as weather, earthquakes, fires, etc. As shown, with COVID 19, Ebola, and other recent… Read More »

How is Chart Transparency Going to Impact our Communication Methods?

With the recent legislative enactment of the 2016 Cures Act, I personally have received several comments and concerns. On the surface, the concept of information transparency is paramount as we move towards a more consumer-driven approach. As a patient, I should have immediate access to my information since it pertains to me and I wish to know what… Read More »

To Better Support Those We Serve, Coordination is Key!

As we continue to focus on the social determinants of health, we spend a significant amount of attention on the financial support needed for nutrition assistance. The Supplemental Nutrition Assistance Program (SNAP) is the largest food and nutrition assistance program, tasked with improving food security among low-income households. This program works by providing fiscal supplements to low-income households.… 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 »