Category Archives: Quality

Engagement and Alignment: The Key to Improved HCAHPS is with Both Physician and Patient Education

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A few years ago, a friend was describing her visit to an outpatient oncology site.  The facility was located in a run-down urban area, the office needed a coat of paint, the furniture needed to be refreshed and the other patients were a bit dowdy.  Her impression was less than stellar and led her to choose a different facility for Read More

Motivating Physicians: Dollars and Sense

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Jo and I had a great conversation last week with Dr. Joe Bujak, MD, FACP,  the author of several books including Inside the Physician Mind: Finding Common Ground with Doctors (2008).  Bujak’s premise is that physicians are driven by their personal visions and goals, and that organizations need to align their interests Read More

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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