Excerpt of our interviews with Choosing Wisely, Lisa Shieh, MD, PhD, of Stanford University School of Medicine, discusses an example of a Choosing Wisely program.
Gregory Seymann, MD, discusses a Choosing Wisely program.
Medicare, the government-run health insurance program for elderly and disabled Americans, paid physicians $90 billion in 2013, up 17% from $77 billion in 2012, U.S. healthcare officials reported earlier this month. Physician payments accounted for less than one-fifth of Medicare’s 2013 net outlays of $492 billion, which rose from $466 billion in 2012. Payments to… [Read More]
The lead author of a new Journal of Hospital Medicine report says one step hospitalists can take toward reducing preventable rehospitalizations is identifying the common traits of frequently admitted patients. Marilyn Szekendi, PhD, RN, director of quality research at University Health System Consortium (UHC) in Chicago, says learning the characteristics that lead to frequent admissions—defined… [Read More]
“Are you comfortable talking to him about all this stuff?” my attending asked me casually. “Yeah, of course—sure,” I replied, trying to mimic the same casual tone. STOP! Hold on. What did I just agree to do? More than a decade later, I still feel the nervous tension in my stomach as I think about… [Read More]
A trickle of anecdotes has become a flood of cautionary tales. There’s one about the patient in intensive care who didn’t have a cardiac condition yet still had a troponin blood test on 26 consecutive days. Guidelines, of course, suggest that three tests in a 12- to 24-hour period are sufficient to diagnose or rule… [Read More]
Beep! Bing! Buzz! Ding! Ring! Bleep! Everyday, throughout the day, hospitalists and other healthcare workers are inundated with alerts and warnings and notifications from medical and communication devices. The sheer number of alarms can be extremely overwhelming. “In any given unit, there may be hundreds of alarms per patient, per day,” says Ronald Wyatt, MD,… [Read More]
Three studies, same conclusion. Three separate studies largely agreed that unnecessary care or overtreatment represents the top contributor to wasteful healthcare in the U.S. 1 Main contributors to $600 to $800 billion in annual healthcare waste 40% Unnecessary care (“Unwarranted treatment, such as the over-use of antibiotics and the use of diagnostic lab tests to protect… [Read More]
1 Caring Wisely Program http://healthvalue.ucsf.edu/caring-wisely Started in 2012 within the division of hospital medicine at the University of California, San Francisco (UCSF), the program sponsored or collaborated on six high-value care projects within its first year. “We don’t shy away from the fact that part of what we do is address cost, but it is… [Read More]