Category Archives: Care Redesign/Performance Improvement

Lessons From Ice Hockey: How Gainsharing Fits Into a Population Health Strategy

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I was a big Philadelphia Flyers fan in the heyday of their Stanley Cup Championships in the 1970s.   One of the saddest events I can recall is when Flyer Hall of Fame goalie Bernie Parent’s career ended in February 1979 when an errant stick hit him in the eye, finding an unprotected area through his fiberglass mask. Now
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Care Redesign – Its Time Has Come

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My dog has kidney disease.  She’s had it for some time and it really hasn’t changed her life.  Once a couch potato, always a couch potato.  She is on the maximum doses of drugs for the disorder, which she takes begrudgingly.  On her last visit to the nephrologist (yes, she has a nephrologist), an ultrasound was
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Using Recipes: Sugar In The Jelly

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I like to cook.  When I first started, I would diligently follow the recipes exactly as printed.  My kitchen cupboards hold a variety of measuring cups and spoons that attest to this.  Over time, as I became more familiar with the chemistry of cooking and became surer of myself, the need to follow the instructions so closely waned.  Accurate measuring became an “eyeball” event. Ingredient substitution became
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Choosing Wisely

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When I graduated from nursing school, inpatient care was much different.  We hadn’t heard of things like length of stay.  Patients stayed as long as the physician deemed necessary – a week or a month – it didn’t matter.  Frequently patients underwent testing that had nothing to do with their admitting diagnosis
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