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American Health Scare · 1h ago

Doubts About Value-Based Hospital Programs

Two recent studies raise doubts about Medicare programs aimed to improve hospital outcomes. One study evaluated voluntary participation in Medicare’s Hospital Readmission Reduction Program, ...
American Health Scare · 3d ago

The High Costs of Hospitalists

Hospitalists, doctors who only see patients in the hospital, almost always in a shift work model, are the fastest growing “specialty” in medicine, from nothing about 15 years ago to about 50...
American Health Scare · 1M ago

More Disappointing News on the PCMH

First, I recognize that the whole PCMH experiment was not a total failure. There were some successes. The Patient Centered Primary Care Collaborative (PCPCC) puts out an annual review on PCM...
American Health Scare · 1M ago

Family Physician Quality – A New Way Forward

Wrapping up my series on our recent paper criticizing how industrial Quality Improvement has been misapplied to primary care, (and sorry for the gap in wrapping this up), I want to share my ...
American Health Scare · 3M ago

Ways to Improve Family Physician Quality – Measure Other Aspects of Primary Care Capacity Associated With Better Outcomes

In our recent paper criticizing how industrial Quality Improvement has been misapplied to primary care, we didn’t just complain, we made suggestions for a better way forward. This was under ...
American Health Scare · 3M ago

Ways to Improve Family Physician Quality – Measure When Physicians Do Not Order Tests or Treatments

In our recent paper criticizing how industrial Quality Improvement has been misapplied to primary care, we didn’t just complain, we made suggestions for a better way forward. This was under ...
American Health Scare · 4M ago

Ways to Improve Family Medicine Quality – Target Ranges without Absolute Goals

In our recent paper criticizing how industrial Quality Improvement has been misapplied to primary care, we didn’t just complain, we made suggestions for a better way forward. This was under ...
American Health Scare · 4M ago

Ways to Improve Family Medicine Quality – Shared Decision Making

In our recent paper criticizing how industrial Quality Improvement has been misapplied to primary care, we didn’t just complain, we made suggestions for a better way forward. This was under ...
American Health Scare · 5M ago

Trumpocare/Obamacare – Visa/Mastercard

Our national useless dialogue on the future of healthcare in the U.S. continues. Trumpocare has a long way to go before it potentially becomes law, so no one knows  what it will finally look...
American Health Scare · 7M ago

Industrial QI Does Not Work in Primary Care

Traditional industrial QI does not work in primary care. A recent publication brilliantly makes this case on both theoretical and practical levels ;-). On a theoretical level, primary care i...