Now we’re giving star ratings to hospitals? Does anyone think this is a good idea? Actually, I do. Hospital rating schemes have cropped up all over the place, and sorting out what’s important and what isn’t is difficult and time consuming. The Centers for Medicare & Medicaid Services (CMS) runs the best known and most comprehensive hospital rating website, Hospital Compare. But, unlike most “rating” systems, Hospital Compare ...

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Smitty greets Sully as they meet to head to work, “Hey there, Sully! How’s your wife?” Sully answers, “Oh, geez. She’s up in bed with laryngitis.” Then Smitty says, “Laryngitis?! That damned Greek!”
As you may have guessed, I am nursing a case of laryngitis, my voice muted and strained. This time, it has not stopped me from attending to my work responsibilities or other activities. It has required some adjustments though, ...

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shutterstock_208716340 Ever since Medicare started using patient satisfaction surveys in 2012 to calculate hospital reimbursements, the healthcare system has been looking to the hospitality industry to learn how to make patients enjoy their hospital stay. Hotels do have the answer, but hospitals are looking in all the wrong places. What hospitals are doing wrong The concept behind Medicare’s HCAHPS survey -- a short questionnaire asking ...

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Throughout the course of a physician’s career, many patients come across the path with numerous complaints and medical conditions requiring interpretations and actions, respectively. In a field with little time to see everybody at length, pattern recognition becomes important to make efficient decisions with regards to patient care. Usually, it involves focusing on the patient’s condition exclusively, but at times, the social aspects of a patient come into play with ...

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When we take our sick or injured loved ones to the hospital, we often hope that they will be admitted. In many instances, this is a very reasonable request. When heart or lung disease are at work, when severe infections, dehydration, fractures or strokes occur, admission may well be the only option. However, sometimes our desire to admit our family members is a throwback to a simpler time in medicine; ...

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There was a doctor. The doctor had an office. In the office, he had a practice. The doctor worked hard, was honest, smart and compassionate. He took care of many patients, everyday, and helped many people. The people paid with cents, checks, and chickens. He was solo, alone, by himself. It was good. There was a hospital, near the doctor. It was an important hospital. It took care of many patients, ...

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Being sick and hospitalized in a lonely and unfamiliar place is a terrifying time for our patients. It’s an easy thing for doctors and nurses to forget as we go about our hectic days, when time goes by so quickly that we barely have time to stop and think. Whether you are practicing medicine in a large academic center or a small rural hospital, the feedback that patients give about ...

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Patients want to receive health care that is of the highest quality. Physicians want to provide it. But what is “high-quality health care?” On that, few agree. Ask most Americans and they’re unsure where to find it. They know they want to be kept healthy, have rapid access to personalized care whenever they need it and be charged only what they can afford. Ask the leaders of the national medical and surgical ...

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“Hi, it’s Dr. Smith, are you taking consults today?” the voice on the other side of my short-range hospital phone said.  I recognized the caller's name as one of the new hospital doctors, known as hospitalists. “Of course,” I said, “What have you got?” I guess some groups have a specific doctor for the day “take” the consults.  If I am in the hospital, I am always taking consults. “Great,” the hospitalist ...

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shutterstock_261978071 Dr. Melos is a gastroenterologist in solo practice in a medium-sized Midwestern city.  One day she hears a knock on her door. When she answers, she finds two representatives of Athenian Health System, who request a few minutes of her time.  She invites them to take a seat in her office. After exchanging pleasantries, the visitors get down to business. They extend Dr. Melos an ...

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