For a hospital that had once labored to break even, Wheeling Hospital displayed abnormally deep pockets when recruiting doctors. To lure Dr. Adam Tune, an anesthesiologist from nearby Pittsburgh who specialized in pain management, the Catholic hospital built a clinic for him to run on its campus in Wheeling, W.Va. It paid Tune as much as $1.2 million a year — well above the salaries of 90% of pain management physicians ...

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A gray-haired emergency medicine physician once provided the most succinct view of ED efficiency ever uttered. He said, “Sometimes they ask us to dig a ditch. Then they give us spoons with which to do the job.” Though cynical, it is the view of many. There really is only one problem and a single solution to ED efficiency. The problem is variation. The answer is scale. Biologists understand variability best. Biologic ...

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No, vaccines do not cause autism. No, vaccines do not cause cancer. No, vaccines are not toxic. No, getting the disease is not safer than vaccination. Yes, they are safe. Yes, they are effective. As a pediatrician, I spend countless hours each week talking about vaccines and counseling parents about the importance of immunization. While parents may not know anyone with rubella, polio or tetanus — almost every parent knows someone who knows someone ...

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In 1976, we couldn't wait to be nurses. Our starched white dresses with the nurse caps and stripes symbolized our graduation status as we were called one by one to receive our diploma and a rose. We took an oath to care for the sick, to be professional, to critically think, to respect doctors and to respect patients and family members. And to respect each other. It was the age before computers. We ...

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Across the country, many doctors, nurses and other health care workers have remained silent about what is being called an epidemic of violence against them. The violent outbursts come from patients and patients’ families. And for years, it has been considered part of the job. When you visit the Cleveland Clinic emergency department — whether as a patient, family member or friend — a large sign directs you toward a metal detector. An ...

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This article is about learning to protect yourself and your standard of living as a nurse. Now that I am considered a seasoned nurse, I have concluded that there are many essential aspects of the nursing profession that are not discussed during nursing school. It is a shame because many of these topics should be discussed so that new nurses can prepare themselves for issues that may and often occur ...

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These are trying times for health care optimists. Despite all the hype surrounding breakthroughs in clinical practice and technology, American medicine is stuck in in neutral. Though the engine is revving loudly, little progress is being made. This unfortunate truth came into clearer light last week when I was preparing lesson plans for the health care strategy course I teach at the Stanford Graduate School of Business. During the first class of ...

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As calls for radical health reform grow louder, many on the right, in the center and in the health care industry are arguing that proposals like “Medicare for all” would cause economic ruin, decimating a sector that represents nearly 20% of our economy. While exploring a presidential run, former Starbucks chief Howard Schultz called Medicare for all “not American,” adding, “What industry are we going to abolish next — ...

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Which statement fits your organization the best? Option A: Our organizational strategies, incentives, goals, and mantras are driven by patient experience. Option B: Our organizational strategies, incentives, goals, and mantras are driven by quality and safety. It may be hard to say an organization can be one without the other since, after all, experience is a byproduct of quality. The two are so interrelated that there is often a cloud of confusion regarding ...

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Physician compensation in most employed positions is based on how much a physician “produces.” I work as a psychiatrist, and this amounts to how many patients you see per hour. The more patients you see, the more “productive” you are, the more money you generate, the more valued you are by your organization and the more RVUs you churn out for a larger paycheck. But, in human terms, what exactly ...

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