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Setting SMART Goals To Make Lasting Healthy Changes

Each year, countless people vow to get healthier: Lose five pounds. Exercise every day. Quit smoking. Unfortunately, replacing unhealthy behaviors with healthier ones usually isn’t easy, and many ambitious attempts often fall short. But you’re more likely to succeed if you start by choosing the right goal.

Choosing a goal seems simple enough. If that muffin top is bothering you, you should plan to lose those extra 10 pounds, right? Not necessarily, says Dr. Edward Phillips, Director and Founder of the Institute of Lifestyle Medicine and assistant professor of the Harvard Medical School’s Department of Physical Medicine and Rehabilitation. If you tackle the goal you’re most likely to accomplish—rather than the goal you think you should make—you’re better able to achieve it and build up a head of steam to tackle tougher goals.

Listen to Dr. Phillips’ advice on how to make a healthy change that will last: Read more »

*This blog post was originally published at Harvard Health Blog*

Penalties Will Not Promote Participation In ACOs

As we get closer to January 2012, the originally scheduled implementation date for Accountable Care Organizations (ACOs), the time has come to reexamine the showpiece of President Obama’s Patient Protection and Affordable Care Act (PPACA) of 2010.

The final rules for ACO’s are now scheduled for release on January 2012. The implementation was originally scheduled for January 2012. As the original rules are being studied and interpreted the program for ACOs implementation became more confusing. Dr. Don Berwick (CMS Director) has refused to discuss the final rules until they have been published in the Federal Register.

“The ACO program is based on the hubristic assumption that the federal government can design the best organizational structure for the delivery of care, foster its development, and control its operation for the entire country.

The federal government has big-footed health system reform. Although there is no one right way to organize care, the federal government (Dr. Don Berwick and President Obama) thinks it has found one—and exerts top-down, bureaucratic control through PPACA to implement it.”

ACOs are supposed to be organizations that improve coordinated care. If an ACO decreases the cost of care Read more »

*This blog post was originally published at Repairing the Healthcare System*

Maybe The ER Shouldn’t Be A Fun Place For Kids

What’s the deal with hospital stickers these days?  I found this sticker laying around in Happy’s emergency department the other day.  Should we be encouraging children to come to the emergency room and feeling happy and excited about the sticker they get?  I’m not sure putting a happy robot on a sticker and proclaiming ones exciting visit to the emergency is the best public health policy.  Perhaps we need to take a different course of action before another entire generation of  citizens feel obliged to use the emergency department as their sole source of medical care.  Perhaps instead of a hospital sticker, children in the emergency room would all get a saline injection in their shoulder.  Now that’s the kind of memory you want kids to have of their emergency room visit. They should fear the hospital and do everything in their power to stay healthy as adults.  Not feel giddy about happy robots on hospital stickers.

Do children get hospital stickers at your facility?

*This blog post was originally published at A Happy Hospitalist*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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