Adverse events -- when bad things happen to patients because of what we as medical professionals do -- are a leading cause of suffering and death in the U.S. and globally.  Indeed, as I have written before, patient safety is a major issue in American health care, and one that has gotten far too little attention. Tens of thousands of Americans die needlessly because of preventable infections, medication errors, surgical ...

Read more...

I recently spoke to a quality measures development organization and it got me thinking -- what makes a good doctor, and how do we measure it? In thinking about this, I reflected on how far we have come on quality measurement.  A decade or so ago, many physicians didn’t think the quality of their care could be measured and any attempt to do so was “bean counting” folly at best or ...

Read more...

March 2nd through the 8th was National Patient Safety Awareness Week -- I don’t really know what that means either.  We seem to have a lot of these kinds of days and weeks -- my daughters pointed out that March 4 was National Pancake Day -- with resultant implications for our family meals. But back to patient safety and National Patient Safety Awareness Week. In recognition, I thought it would be useful to ...

Read more...

I was just recently in Guiyang, the capital of the Guizhou province in China and had a chance to visit the Huaxi District People’s Hospital (HDPH), one of the largest “secondary” hospitals in the province.  Like the rest of China, it has been gripped by the construction boom, recently opening a new surgery center and revamped medical facilities.  They had a terrific EHR from a local vendor -- probably more ...

Read more...

The most commonly heard comment in healthcare these days is that we have to move from paying for volume to paying for value.  While it may sound trite, it also turns out to be pretty true.  Right now, most healthcare services are paid for on a fee-for-service basis -- with little regard for the quality of that service.  We clearly need to move towards value-based payments (sometimes referred to as ...

Read more...

In my previous blog, I made the argument that whatever strategy we use to improve care in hospitals will not be implemented and executed well without proper focus by hospital leadership.  So, it is in this context, that we recently published some pretty disappointing findings that are worth reflecting on. We examined the pay of CEOs across U.S. hospitals and found that some CEOs got paid a lot more than others.  ...

Read more...

I was recently chastised by a colleague for being too negative in one of my pieces on hospital care. His is a remarkable story of what happens when things go well, and it has made me think a lot about why, in some places, things seem to work while in others, not so much. He told me how a few months ago, soon after returning to Boston from a trip to China, ...

Read more...

On a warm and sunny August Sunday, I was rollerblading with my kids on the Shining Sea Bikeway. On mile nine on the trip, I hit a tree root, went flying, and landed on my shoulder.  I could tell immediately that something was wrong -- I couldn’t move my arm and was in the worst pain of my life. Feeling for my left shoulder, it was obvious that I had ...

Read more...

Just a little over four years ago, President Obama, in his inaugural address, challenged us a nation to “wield technology’s wonders to raise health care’s quality and lower its costs.”  This was an awe-inspiring, “we will go to the moon” moment for the healthcare delivery system.  But the next thought that ran through the minds of so many of us who work on health IT issues was this: how were ...

Read more...

Racial disparities in health and healthcare are a persistent and troubling problem for the U.S.  Despite substantial policy efforts to the contrary, racial and ethnic minorities, especially African-Americans, often receive a lower quality of care and have worse outcomes.  The key questions, of course, are why do these disparities exist, and what might we do about them? Over the past decade, two primary theories have emerged to explain disparities and propose ...

Read more...

2 Pages

Most Popular