Electronic health records as path to improved outcomes and lower costs is more hype than reality
In short, the most rigorous studies to date contradict the widely
broadcast claims that the national investment in health IT —some $1
trillion will be spent, by our estimate—will pay off in reducing medical
costs. Those studies that do claim savings rarely include the full cost
of installation, training and maintenance—a large chunk of that
trillion dollars—for the nation's nearly 6,000 hospitals and more than
600,000 physicians. (Source: Ideal Medical Practices)
Source: Ideal Medical Practices - September 22, 2012 Category: Primary Care Authors: L Gordon Moore Source Type: blogs
Typical Electronic Health Record Use in Primary Care Practices and the Quality of Diabetes Care: don't count your chickens
From the Annals of Family Medicine May/June 2012: (Source: Ideal Medical Practices)
Source: Ideal Medical Practices - May 28, 2012 Category: Primary Care Authors: L Gordon Moore Source Type: blogs
Hospitals, Practice Administrators and Clinicians: You Gotta Learn to Love Patient Ratings – Health Affairs Blog
You are increasingly being held accountable for the outcomes of the health care you deliver. Pay for performance; shared savings in ACOs; public report cards …the list of strategies to monitor and measure the effects of your efforts is lengthening. Many of you seem dismayed by the increased weight accorded to the patient experience of care ratings embedded in most of these programs. Here’s why you should embrace them: The care you deliver cannot im prove our health outcomes or even maintain passable ones without the knowledgeable, active participation of us patients and our families. (Source: Ideal Medical Practices)
Source: Ideal Medical Practices - May 23, 2012 Category: Primary Care Authors: L Gordon Moore Source Type: blogs
Breakthroughs in patient outcomes – helping people address lifestyle change and healthy behaviors
John emailed to say how happy he was for one of his patients with diabetes. (Source: Ideal Medical Practices)
Source: Ideal Medical Practices - March 15, 2012 Category: Primary Care Authors: L Gordon Moore Source Type: blogs
More doctors charging extra for services that once were free - Business Monday - MiamiHerald.com
Want to see your doctor without an appointment? You may have to pay a little extra. (Source: Ideal Medical Practices)
Source: Ideal Medical Practices - February 29, 2012 Category: Primary Care Authors: L Gordon Moore Source Type: blogs
Strong and weak indicators of quality and outcomes: not what you'd expect
The prevailing quality paradigm starts with the simple observation that we can observe gaps in care when we create an evidence based guideline and assess observed care against expected. One study says that we meet these expectations about 56% of the time.[1] (Source: Ideal Medical Practices)
Source: Ideal Medical Practices - September 2, 2011 Category: Primary Care Authors: L Gordon Moore Source Type: blogs
Our approach to measuring health care quality is broken
I'm reading through the Massachusetts AG's report on Examination of Health Care Cost Trends (Source: Ideal Medical Practices)
Source: Ideal Medical Practices - July 2, 2011 Category: Primary Care Authors: L Gordon Moore Source Type: blogs
