The advantages and dangers of computers
the "ipatient" vs. the real patient
how physical exam skills are atrophying as American physicians increasingly just rely on technology.
"But all that training can be undone the moment the students hit their clinical years. Then, they discover that the currency on the ward seems to be "throughput" — getting tests ordered and getting results, having procedures like colonoscopies done expeditiously, calling in specialists, arranging discharge. And the engine for all of that, indeed the place where the dialogue between doctors and nurses takes place, is the computer."
http://www.nytimes.com/2011/02/27/opinion/27verghese.html?pagewanted=2&_r=1
Monday, February 28, 2011
Hot Spotters by Atul Gwande
http://www.newyorker.com/reporting/2011/01/24/110124fa_fact_gawande?currentPage=all
1% of patients account for 30% of costs
Really inspiring ideas.
Improve care for the most costly patients.
That will bring overall costs down.
That really makes sense considering how prevention can reduce emergency costs.
The idea of health coaches really stood out.
This is taken from the international arena of community health workers.
Also, Dr. Brenner used many of the community mapping ideas widely used in international development.
The analysis of data is vital in improving care.
Use insurance billing data or EMS data to find out where patients come from and then go find out why these patients are not receiving adequate care.
Each ER visit is a failure in the web of society, whether a result of crime, transportation, lack of access, drugs or economic circumstances.
Another great idea is the salaried doctor office. Doctors paid for their time, not for procedures.
This results in better outcomes.
Team approach to care, with nurses, front desk staff and health coaches included.
Nurses as case managers in medical home model.
Calling, following up, being like the patients mother.
1% of patients account for 30% of costs
Really inspiring ideas.
Improve care for the most costly patients.
That will bring overall costs down.
That really makes sense considering how prevention can reduce emergency costs.
The idea of health coaches really stood out.
This is taken from the international arena of community health workers.
Also, Dr. Brenner used many of the community mapping ideas widely used in international development.
The analysis of data is vital in improving care.
Use insurance billing data or EMS data to find out where patients come from and then go find out why these patients are not receiving adequate care.
Each ER visit is a failure in the web of society, whether a result of crime, transportation, lack of access, drugs or economic circumstances.
Another great idea is the salaried doctor office. Doctors paid for their time, not for procedures.
This results in better outcomes.
Team approach to care, with nurses, front desk staff and health coaches included.
Nurses as case managers in medical home model.
Calling, following up, being like the patients mother.
Friday, February 18, 2011
Helene Gayle, guest speaker at bmc
CARE CEO Helene Gayle Accepts 2011 Hepburn Medal
More than 200 guests watched President Jane McAuliffe present the 2011 Katharine Hepburn Medal to Helene Gayle, president and chief executive officer of the international humanitarian organization CARE, in honor of her efforts to fight global poverty and reduce the transmission of HIV/AIDS
Saw her speak at BMC. Really inspiring.http://news.brynmawr.edu/?p=7955
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