Tag Archives: healthcare delivery

Why Using Social Determinant Metrics in The Hospital Readmission Penalty Calculation Matters?

Currently, there is an ongoing debate whether Medicare readmission penalty policy is equitable to all hospitals. The greatest argument and concern is the lack of social determinants of health (SDOH) factors in the calculation. Many contend including SDOH is essential to create greater equality amongst the comparisons. In contrast, others do not believe they are impactful or state… Read More »

Does the Usage of Telemedicine Visits Increase Follow-up Visits?

During the COVID pandemic, in-person visits were not recommended so telemedicine rapidly evolved into an ideal way of delivering care safely and expanding access while reducing exposure to pathogens to both patients and staff. And tremendous enthusiasm exists for the continuation of such a model. There is no doubt that there is a significant enhancement to access with… Read More »

The Physician’s Role in Addressing Social Determinants of Health

As a physician, I was taught to diagnose and treat. Sure, I knew your social situation outside of my office played a role in your overall wellbeing, but it really was not in my differential diagnosis. Undeniably, I did what I could to help with those situations, but only within the context of increasing the ability of the… Read More »

Healthcare Can Be More Affordable if We Can Limit Waste

The cost of healthcare in the United States is exorbitant. There are multitudes of reasons for our elevated unit price. Many believe, waste, makes up a significant part of the problem. And the largest component of wasteful spending is what we identify as administrative costs. These are dollars that are not improving patient care, and yet, they impact… 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 »

Taking a Closer Look at Capitation for Value-Based Care

As we focus on delivering value-based care; higher quality at a more affordable price, the conversation concerning payment models rapidly pivots to global capitation for a population of lives. The opposite payment model is a fee-for-service model, and currently, there is a belief that service-based fees lead to an over-utilization of services. Consequently, many believe the only possible… Read More »

Promoting Transparency for our Consumers

With the first month of the New Year nearly behind us, and new transparency regulations becoming law, Healthcare faces increasing challenges when it comes to consumerism. Using such a framework is appropriate as the persons to whom we provide services of our “goods” do “consume” them; however, compared to consumers of other types of products it is not… 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 »

Understanding and Instilling Trust in Our Patients

Periodically, there are discussions regarding the critical component of trust in healthcare. Currently, the present pandemic is a prime example of the issue. Some, we observe, inherently trust science; others prefer the approach, I need to distrust you until you prove to me you are trustworthy. A third category proclaims I trust you; however, I must verify the… Read More »