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American Health Scare · 3d 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 · 2W 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 · 1M 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 · 3M 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...
American Health Scare · 3M ago

The AAFP and Payment Reform — They’re Screwing It Up, Again, Part 5 – Population Health Management

In the AAFP’s Advanced Primary Care Alternative Payment Model document, the concept of population health management is a little more muddled, but it keeps rearing its head in different place...
American Health Scare · 3M ago

The AAFP and Payment Reform — They’re Screwing It Up, Again, Part 4 – Care Coordination

First, I’ll quote the statement in the AAFP’s Alternative Payment Model document that deals with care coordination: “[P]rimary care is best positioned to coordinate care across settings and ...
American Health Scare · 4M ago

The AAFP and Payment Reform — They’re Screwing It Up, Again, Part 3 – Stuff I Agree With

Sorry for the delay in posts. My day job and another side project have taken up a lot of my time recently. Onward and upward. From the AAFP Principles to Support Patient-Centered Alternative...
American Health Scare · 4M ago

The AAFP and Payment Reform — They’re Screwing It Up, Again, Part 2 – A Poor Foundation

The AAFP’s recent statement on Advanced Primary Care calls for adopting the “five key functions of the Comprehensive Primary Care Plus Initiative.” This was an experiment under Obamacare whe...
American Health Scare · 5M ago

The AAFP and Payment Reform — They’re Screwing It Up, Again, Part 1- Background and a Brief History

Over my career, the American Academy of Family Physicians, my primary professional society, has made some colossal mistakes in what it has chosen to advocate for. It has learned from its pas...
American Health Scare · 6M ago

The Story of a Cancer Fight Rarely Told

This post is based on a friend of a friend situation. Important details have been changed to protect anonymity, but not the basic realities I want to discuss. A 49-year old man was diagnosed...