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Latest Posts

Accountable Care And Doctor-Patient Communication Go Hand In Hand

Accountable Care Organizations (ACOs) figure prominently in the new Patient Protection and Affordable Care Act (PPACA). The concept behind ACOs is that by tying both physician and hospital compensation to outcomes via a bundled fee (say for pneumonia) we can expect to see an improvement in quality and value.

In principal, accountable care makes a lot of sense. Practicality speaking, however, doctors and hospitals must address a huge challenge before they can expect benefit financially. Before doctors can be held accountable for the care they deliver, they must first be held accountable for the quality of their communication with patients.

Take hospital readmissions, which are a big healthcare cost driver today. According to a recent study in the New England Journal of Medicine, 20 percent of all Medicare patients discharged from hospitals were readmitted within 30 days, and 34 percent percent within 90 days. The Joint Commission and others rightly believe that inadequate communication between physicians — as well as between physicians and patients – is a major contributing factor. Read more »

*This blog post was originally published at Mind The Gap*

Why Are Patients Readmitted To The Hospital Within 30 Days Of Discharge?

Bouncing back to the hospital refers to patients who were discharged from the hospital but return during some defined period of time.  This will become important as insurance companies, including CMS, stop paying for patients who are readmitted within some defined period for the same condition.  In medical circles, we usually refer to this as the 30 day readmission rate.

When hospitalist groups were first coming on the scene and were showing reduced length of stay, many folks falsely believed that hospitalists must have a higher percentage of patients bouncing back into the hospital.  I have yet to see any research that indicates such trend every existed. Read more »

*This blog post was originally published at The Happy Hospitalist Blog*

Latest Interviews

Are Your Allergies Acting Up? Ragweed Pollen Season Is Here

I don t know about you but my allergies have really been acting up lately. Well maybe not this week since it s been cooler. But last week my eyes were watering my nose was running and my lungs were wheezing kind of But for the first two weeks of…

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Health Tips For Back-To-School

I was lucky enough to be asked by one of the local TV stations to talk about some back-to-school issues when it comes to health. I don t know about where you re at but most of the local schools around here started yesterday August rd Keeping up-to-date on immunizations…

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Latest Cartoon

cardiaccath

Here’s a cartoon I created a few years back. Enjoy!

- Dr. Val

*This blog post was originally published at Science-Based Medicine*

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Latest Book Reviews

A Biomedical Look At Spaceflight

Book review by Dan Buckland Dan Buckland is an editor at Medgadget and an MD PhD student at Harvard Med MIT whose thesis deals with diagnosing back injury in spaceflight using ultrasound. Mary Roach author of previous entertaining books Bonk a history of sex research and Stiff a history of…

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UTI and “Eat, Pray, Love”

I really didn t expect to like Eat Pray Love. In fact since its publication in I’d been avoiding it like the plague. Typical new-agey Oprah-y girly-book I thought. Nothing in it to speak to me. Then I saw the trailer for the movie and I was hooked probably because…

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Will Science Succeed With An Anti-Aging Revolution?

Wouldn’t it be great if we could find a way to prolong our lives and to keep us healthy right up to the end Ponce de León never found that Fountain of Youth but science is still looking. What are the chances science will succeed How’s it doing so far…

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