How about this: in Harvard Business Review, two leaders at Johns Hopkins suggested that hospitals could learn something about buying equipment from -- drum roll, please -- the airline industry. You don't often find many people defending airlines these days, much less holding them up as good examples of anything (except, perhaps, about what not to do, what with overbooking, cramped leg space, plenty of add-on fees, and, of course, dragging paying passengers off planes). That their recommendations make sense probably says more, though, about how poorly health care often does things than how well airlines do...
physician-patient relationship
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EHR Burdens Leave Docs Burned Out, in Critical Condition
The electronic medical records that came with a promise of improving care efficiency are instead forcing physicians to spend more face time with a computer screen than with their patients. An observational analysis and survey of 57 primary care and specialty physicians in four states that was detailed this week in Annals of Internal Medicine shows that for every hour a physician spends providing direct clinical face time with a patient, nearly two additional hours are spent on EHRs and administrative tasks...
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EHRs Inflict Enormous Pain on Doctors. It’ll Take More Than Stopwatches to Learn Why
Electronic health records slow doctors down and distract them from meaningful face time caring for patients. That is the sad but unsurprising finding of a time and motion study published in Tuesday’s Annals of Internal Medicine1. A team of researchers determined that physicians are spending almost half of their time in the office on electronic health records (EHRs) and desk work and just 27 percent on face time with patients — which is what the vast majority of doctors went into medicine to do. Once they get home, they average another one to two hours completing EHRs...
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How MACRA Will Decimate the Private Practice Physician
Small, independent private practices are closing, increasing numbers of physicians are retiring, and fewer medical school graduates are choosing primary care. The old-fashioned practice my father and I have built is a dying entity. Parents say coming to see us for an appointment feels more like a visit with a friend than a medical encounter. I am fighting for the survival of primary care practices. MACRA proposed reimbursement will decimate rural care as we know it...
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OpenNotes Now: How the Movement Will Change the Physician-Patient Relationship
Every movement needs an early, visionary leader, and the OpenNotes movement has been no exception—it’s got Tom Delbanco, M.D. Delbanco, who practiced as an internal medicine physician for 40 years, several years ago joined together with Jan Walker, R.N. to initiate a movement that is now sweeping the country and changing healthcare—and creating numerous implications for healthcare IT leaders in its wake...
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The 'Digital Dystopia': 4 Thoughts from AMA CEO Dr. James Madara
Not all digital tools are created equal, and some of these tools are detrimental to patient care. This was the message James Madara, MD, executive vice president and CEO of the American Medical Association, expressed in his address at the 2016 AMA Annual Meeting. Dr. Madara compared the current digital health landscape, "something I might call our digital dystopia", to the "quackery" of snake oil remedies.Here are four thoughts from Dr. Madara's address...
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Value-Based Care Summit
At the Value-Based Care Summit, attendees will benefit from hearing leaders in the field of value-based care describe the landscape of value-based care, share best practices, and disclose actionable information for those working in the healthcare field. The Value-Based Care Summit offers an opportunity to network with executives from top physician practices and hospitals and to gain insight into value-based care through sessions with speakers such as Dr. Steven Strongwater of Atrius Health, Dr. Thomas Scornavacca of UMass Memorial Population Health, Betsy Hamptom of Population Health Reliant Medical Group, and Micky Tripathi of Massachusetts eHealth Collaborative (MAeHC)...
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