Wednesday, September 22, 2021

Kip Piper's Health Care Blog
Medicare, Medicaid, Health Reform

In the typical hospital, nurses spend only about 30 percent of their time on patient care. The remaining 70 percent of their long days are spent largely on paperwork. This lopsided situation is seen as a major cause of poor quality, patient dissatisfaction, nurse turnover, and operating inefficiency. Thanks to...
To address the enormous deficiencies in quality of health care, health care organizations need to make a business care for improvement. That is, they need to demonstrate a compelling rationale for the significant financial investments necessary to improve quality and reduce medical errors. To make decisions, businesses traditionally look at...
In Medicaid, health plans save money and improve quality of care. While this is no surprise for state Medicaid execs, the mounting evidence of HMO performance in Medicaid is in sharp contrast to public and media perceptions. In a carefully analysis of 14 studies, The Lewin Group found that "In...
  In a new study, HealthGrades, a respected leader in measuring and reporting health care quality, estimates that preventable hospital mistakes kill 195,000 Americans each year. That's twice the Institute of Medicine's 1999 estimate, which many experts observed was conservative. Fortunately, some courageous hospitals are showing their peers how to improve...
Preventable medication mistakes in hospitals is a leading causing of death. Top patient safety experts and The Leapfrog Group have called upon hospitals to replace risky, paper-based prescriptions with computerized physician order entry (CPOE) systems. If installed in every major hospital, CPOE systems would save tens of thousands of lives...
A South Carolina surgeon has asked the American Medical Association to approve a national policy permitting physicians to deny medical treatment to malpractice attorneys, according to NPR's Morning Edition. This is the latest in a series of controversial steps by some physicians to blacklist patients and trial lawyers. It's unclear what...
If the doctors cure then the sun sees it. If the doctors kill then the earth hides it. The doctors should fear arrogance more than cardiac arrest.
The June 2004 issue of the Harvard Business Review contains an outstanding article on Redefining Competition in Health Care by Michael E. Porter, Ph.D. of the Harvard Business School and Elizabeth Olmsted Teisberg, Ph.D. of the University of Virginia's Darden School of Business. Their carefully researched, well-argued, actionable recommendations include: -...
Canada's Socialized health care system may result in cheaper drugs but far more dead patients. The first major study of patient safety in Canadian hospitals has found an extremely high number of preventable medical errors. The study, appearing in the next issue of the Canadian Medical Association Journal, estimates that preventable...
Consumer-driven health care - new models and technologies to empower consumers to make informed choices - is growing in popularity. At it's core, consumer-driven health care is all about transparency of costs and quality of care, and giving consumers the tools and information they need. To learn more, check out...

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