Value-based Care
Viewpoint: Professionalism, Performance, and the Future of Physician Incentives
30 Nov, 2018 | 01:29h | UTCProfessionalism, Performance, and the Future of Physician Incentives – JAMA (free for a limited period)
Meta-Analysis: Clinical Outcomes of Telehealth for Managing Diabetes
23 Nov, 2018 | 00:18h | UTC
Study: Predicting the Risk of Emergency Admission with Machine Learning
23 Nov, 2018 | 00:08h | UTCCommentary: Machine learning can help healthcare workers predict whether patients may require emergency hospital admission, new study finds – University of Oxford (free)
Study: Cost-Effectiveness of an Optimized Intervention for Residents with Clinically Significant Agitation in Dementia
22 Nov, 2018 | 21:52h | UTCImproving the quality of life of care home residents with dementia: Cost-effectiveness of an optimized intervention for residents with clinically significant agitation in dementia – Alzheimer’s & Dementia (link to abstract – $ for full-text)
Commentaries: Care homes with dementia ‘carer champions’ reduce agitation and antipsychotics – carehome.co.uk (free) AND Improving dementia care and treatment saves thousands of pounds in care homes – University of Exeter (free)
ERAS Guidelines for Perioperative Care in Elective Colorectal Surgery
16 Nov, 2018 | 03:34h | UTC
Top 8 Healthcare Predictions for 2019
16 Nov, 2018 | 02:19h | UTCTop 8 Healthcare Predictions for 2019 – Forbes (free)
Randomized Trial: Effect of a Pharmacist-Led Educational Intervention on Inappropriate Medication Prescriptions in Older Adults
16 Nov, 2018 | 02:24h | UTCEffect of a Pharmacist-Led Educational Intervention on Inappropriate Medication Prescriptions in Older Adults: The D-PRESCRIBE Randomized Clinical Trial – JAMA (free for a limited period)
Video Summary: Effect of a Pharmacist-Led Intervention on Inappropriate Prescriptions in Older Adults (free)
Perspective: Getting Rid of Stupid Stuff
16 Nov, 2018 | 01:40h | UTCGetting Rid of Stupid Stuff – New England Journal of Medicine (free)
Systematic Review: Effective Healthcare Cost-Containment Policies
16 Nov, 2018 | 01:03h | UTCEffective healthcare cost-containment policies: a systematic review – Health Policy (free)
Perspective: Accreditation, Quality, and Making Hospital Care Better
5 Nov, 2018 | 12:07h | UTCAccreditation, Quality, and Making Hospital Care Better – JAMA Forum (free)
Related: Questioning One of Healthcare’s Sacred Cows – Op-Med (free)
See Original Study: Hospital Accreditation not Associated with Better Outcomes in Observational Study (free study and commentaries)
Payment Designed for People: Introducing the Primary Care Outcomes Model
2 Nov, 2018 | 03:32h | UTCPayment Designed for People: Introducing the Primary Care Outcomes Model – NEJM Catalyst (free)
Perspective: Surgical Value — Beyond Bundled Payments
2 Nov, 2018 | 03:22h | UTCSurgical Value — Beyond Bundled Payments – NEJM Catalyst (free)
Physician Burnout Costs up to $17B a Year, Task Force Says
2 Nov, 2018 | 02:20h | UTCPhysician burnout costs up to $17B a year, task force says – HealthcareDive (free)
Related Position Paper: The Business Case for Humanity in Healthcare – National Taskforce for Humanity in Healthcare (free PDF)
Related: Systematic Review: Prevalence of Burnout Among Physicians (link to abstract and commentaries) AND Implementing Optimal Team-Based Care to Reduce Clinician Burnout (free review and commentaries) AND Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction (link to abstract and commentaries) AND Physician Burnout Can Lead to Major Medical Errors (link to abstract and commentaries) AND The Burnout Crisis in American Medicine (free perspectives on the subject)
Order Wisely Video Lectures: Appropriate Use of Tests & Treatments
26 Oct, 2018 | 01:55h | UTCOrder Wisely®: Appropriate use of tests & treatments – High Value Practice Academic Alliance (free) (via @KariTikkinen)
Comprehensive educational program that reviews appropriate use of imaging exams, lab tests, medications, transfusions and procedures to promote high-value practice.
Perspective: Australia is responding to the complex challenge of overdiagnosis
17 Oct, 2018 | 19:19h | UTCAustralia is responding to the complex challenge of overdiagnosis – The Medical Journal of Australia (free for 7 days)
Commentaries: Overdiagnosis: a deep cultural problem – MJA InSight (free) AND Overdiagnosis is harming patients and action is required, says chief medical officer – The Sidney Morning Herald (free)
Related: Overdiagnosis: causes and consequences in primary health care – Canadian Family Physician (free) AND Overdiagnosis across medical disciplines: a scoping review – The BMJ Open (free) AND Too much medical care: bad for you, bad for health care systems – STAT News (free) AND Overdiagnosis: what it is and what it isn’t – BMJ Evidence Based Medicine (free) AND Screening: How overdiagnosis and other harms can undermine the benefits – Health News Review (free) AND Position Paper on Overdiagnosis and Action to be Taken – Wonca (free PDF)
Perspective: What Should we Stop Doing in the ICU?
16 Oct, 2018 | 23:36h | UTCWhat should we stop doing in the ICU? – ICU Management & Practice (free)
Perspective: Can Bundled Medical Payments Save You Money?
16 Oct, 2018 | 21:32h | UTCCan Bundled Medical Payments Save You Money? – Forbes (free)
Infographic Series: Treatments and Initiatives that are Cost Effective
11 Oct, 2018 | 21:42h | UTCNine ways research could save the NHS money – NHS Dissemination Centre (free)
New infographic series with selected NIHR Signals covering a range of treatments and initiatives that are cost effective.
Perspective: What the Tests Don’t Show
11 Oct, 2018 | 20:11h | UTCWhat the tests don’t show – The Washington Post (a few articles per month are free)
“Many doctors are surprisingly bad at reading test results and/or fail to grasp how false positives work. This is putting patients at risk” (via @pash22 see Tweet)
Randomized Trial: Effectiveness of Online vs In-Person Care for Adults With Psoriasis
11 Oct, 2018 | 20:06h | UTCCommentary: Treating psoriasis in the future could be as easy as going online – USC News (free)
Perspective: Move To Population Health Hits Hospital Finances
11 Oct, 2018 | 20:03h | UTCMove To Population Health Hits Hospital Finances – Forbes (free)
Ten Principles for More Conservative, Care-Full Diagnosis
5 Oct, 2018 | 02:22h | UTCTen Principles for More Conservative, Care-Full Diagnosis – Annals of Internal Medicine (free) (via @EricTopol)
Study: Same-Day Discharge After Elective PCI Seems Safe and Reduce Costs
28 Sep, 2018 | 01:13h | UTC“Same day discharge after elective PCI used infrequently (3.5%), while safe + associated w/ reduced costs” (via @krychtiukmd see Tweet)
Podcast: High Value Care
27 Sep, 2018 | 22:23h | UTC
Perspective: A Palliative Care Mentor Program for Generalists
27 Sep, 2018 | 22:22h | UTCBack to the Future? – A Palliative Care Mentor Program for Generalists – NEJM Catalyst (free)