October 17, 2019 |  0
I distinctly remember my first stint on night float rotation — it did not come until I was a third-year resident since most of my rotations were pre-duty hours. It was a “novel innovation” in our program and the job seemed simple — admit overnight, handoff to the day team, go home and sleep. Get […]
By Moises Auron, MD, SFHM
September 27, 2019 |  0
By: Moises Auron, MD, SFHM It is a well-known fact that healthcare expenditure in the United States occupies a large proportion of its gross domestic product, being 17.8% in 2016, which was almost twice to what is expended in other advanced countries; however, this expenditure does not necessarily translate into optimal patient outcomes. In 2012, […]
September 24, 2019 |  0
Look up from your stack of journals lately? You will note DNA analysis has gotten awfully popular. Mom, dad, and the rest of the clan want in and the temptation to obtain the blueprint that makes you, you has an almost hypnotic-like draw. You are curious if what grandma told you—half of your “G, C, […]
September 18, 2019 |  1
There is at least one aspect of “Obamacare” that my mother-in-law and I can firmly agree on: hospitals should not get paid for frequent readmissions. The Hospital Readmission Reduction Program (HRRP), enacted by the Centers for Medicare and Medicaid Services (CMS) in 2012 with the goal of penalizing hospitals for excessive readmissions, has great face […]
August 26, 2019 |  1
The doctor opened the door after a gentle knock. He was greeted with warmth, offered a seat by Mary, and promptly sat down on the end of the hospital bed. As he sat, the family stood to greet him. They discussed the grandkids, the trips taken since they last saw each other. The room felt peaceful. Time slowed down. Walking in behind my […]
June 10, 2019 |  0
Public and private payers incentivizing providers (P4P) to coax desired clinical behaviors have failed. Both CMS derived measures and those used by commercial insurers, many of which overlap, fail to pass Good Housekeeping standards and lack the reliable characteristics indicators must possess. Whether those indicators are valid, attributable, or meaningful makes all the difference in […]