Family physician, author, blogger, speaker, physician leader.

Tag Archive for patient safety

Getting the Best Hospital Care – Beyond the Hype Over Hospital Rankings

The New York Times recently published an article titled, “The Hype Over Hospital Rankings”. It is that time of year when hospitals tout their US News and World report rankings and crank out their marketing programs. Perhaps this is even important with health care reform, decreasing reimbursement, and a push towards a more consumer driven market. Hospitals are jockeying for position. “Nearly every hospital has a banner out front saying they’re a ‘top hospital’ for something in some rating system,” said Dr. Nicholas Osborne, a Robert Wood Johnson Clinical Scholar at the University of Michigan. “Those ratings have become more important for hospital marketing than for actually helping patients find the best care.”” So, how do you find the best care? Especially in health care when there is information asymmetry? Here is an excerpt from my book – The Thrifty Patient – Vital Insider Tips For Saving Money and Staying […] Read More »

Physician Leaders I Admire – Bob Wachter, UCSF

Recently while following my twitter feed, I noticed the following from an associate editor from The Health Care Blog who quoted Dr. Lucian Leape, Harvard School of Public Health. Dr. Leape wondered why the patient safety movement hadn’t moved. He noted four reasons: Doctor resistance Doctors don’t do teams Difficult culture. No leadership. Though I did not attend the conference where Dr. Leape spoke, the answer seemed pretty obvious. To solve the problem you need leadership. It is leadership that defines the culture, whether teamwork is valued, and whether change occurs. The reason health care has not moved forward quickly enough simply because there has been a void of physician leadership across the entire health care system. There have been plenty of initiatives to improve patient safety over the past decade since the Institute of Medicine “To Err is Human: Building a Safer Health System“, but as stories demonstrate many of […] Read More »