July-effect July 1st is a special day at hospitals.  What does that mean?  It depends, depending if you're a medical student, resident, or attending. James Chang is a radiologist and author of Oh Doctor, The Places You Will Go… He blogs at Poor MD and can be reached on Facebook.

ZDoggMD was a hospitalist in a past life, so he knows all about hospital readmissions.  Here are his R&B stylings on the ridiculousness surrounding the issue.

shutterstock_173798813 My daughter was born, three months premature, during my third year of residency.  Following a harrowing three months in the NICU, we joyfully welcomed her home. After eight blissful but isolating weeks, I was eager to return to the wards. I happily reunited with colleagues and patients, but I also deeply missed being home. During quieter moments, I daydreamed about stroking ...

Read more...

shutterstock_213583006 In the world of health care, we face a lot of questions and challenges. Hospital administrations across the country are grappling with these and always on the lookout for solutions. As far as raising the standard of health care quality, there’s been great progress over the last several years in the areas of patient safety, adhering to best practices, and trying ...

Read more...

In many communities around the country, hospitals are one of -- if not the -- largest employers. Consequently, there are undoubtedly economic issues that would befall an area if its hospital were to close. But this post isn’t about that. It’s about the health care consequences, and by extension, the health consequences that might arise in a community when a hospital closes its doors. The logic is fairly straightforward: If a ...

Read more...

shutterstock_167475845 Imagine you were seeking major surgery, and the hospital's consent form contained this surprise statement, which you were asked to initial: "I understand that this surgeon and hospital have not performed this procedure in the last 12 months. As such, I accept the greater risk of complications and even death." It's hard to believe that you would sign the form and move ...

Read more...

shutterstock_99727790 It could be the title of a new prime time show (maybe it should be): The Great Discharge Paperwork Makeover. Assemble a group of bright and creative minds from across the country and put them together in an exotic location for a week to talk about something that will affect all of us one day -- either ourselves or a relative. ...

Read more...

Co-management agreements are growing in popularity as health care shifts to outcomes-based reimbursement models.  Physicians and hospitals contract with one another in quality-oriented pay-for-performance arrangements, in which physicians oversee and manage service lines (most commonly orthopedics, oncology, and cardiology). The overarching goal of these agreements is quality improvement, which benefits all parties involved -- especially the patient.  The hospital benefits financially in part from reducing costs and physicians receive a base ...

Read more...

shutterstock_173620244 This is one of those columns that will risk the respect and friendship of some of my closest colleagues in the health care world.  In addition to disagreeing with me, they may argue that I am giving aid and ammunition to "the enemy," where the enemy might be viewed as those forces in the health care world who really don't want ...

Read more...

Recently a neighbor of mine was in our local hospital for several weeks undergoing treatment for MRSA and dehydration. Polly is a woman in her late seventies who is completely alert and oriented. She lives an active and independent lifestyle and is fully capable of understanding and communicating clearly with others. I asked her adult daughter how her mother’s experience had been so far. Given that this is a hospital that ...

Read more...

339 Pages

Most Popular