Value-based Care
Video: Do Less, Not More—Reducing Waste in Health Care
4 Jan, 2018 | 17:09h | UTCVideo: Do Less, Not More—Reducing Waste in Health Care – NEJM Catalyst (free)
Meta-Analysis: Effectiveness of Pharmacist-Led Medication Reconciliation After Hospital Discharge
3 Jan, 2018 | 13:14h | UTCSource: Hospital Medicine Virtual Journal Club
Opinion: Too Much Screening Has Misled Us About Real Cancer Risk Factors
2 Jan, 2018 | 16:19h | UTCToo much screening has misled us about real cancer risk factors, experts say – STAT (free) AND Overscreening for Cancer Yields Misleading Results – MedPage Today (free) AND Could finding more cancer lead us to understand risk factors less? – HealthNewsReview (free)
Original article: Scrutiny-Dependent Cancer and Self-fulfilling Risk Factors – Annals of Internal Medicine (link to abstract – $ for full-text)
Telehealth: Can Home Health Visits Help Keep People Out Of The ER?
2 Jan, 2018 | 16:17h | UTCCan Home Health Visits Help Keep People Out Of The ER? – NPR (free)
Will Gathering Vast Troves of Information Really Lead To Better Health?
1 Jan, 2018 | 12:29h | UTCWill Gathering Vast Troves of Information Really Lead To Better Health? – NPR (free)
Review: Overdiagnosis Across Medical Disciplines
1 Jan, 2018 | 12:27h | UTCOverdiagnosis across medical disciplines: a scoping review – The BMJ Open (free) (via @brooke_nickel)
“Less is More”: The New paradigm in Critical Care
1 Jan, 2018 | 12:29h | UTC“Less is More”: The New paradigm in Critical Care – by Paul Marik, in EMCrit (free)
Opinion: Too Many Older Patients Get Cancer Screenings
1 Jan, 2018 | 12:27h | UTCToo Many Older Patients Get Cancer Screenings – The New York Times (10 articles per month are free)
Systematic Review: Whole-System Approaches to Improving the Health and Wellbeing of Healthcare Workers
1 Jan, 2018 | 12:24h | UTC
Opinion: Ms. Inappropriate Defends The Status Quo
1 Jan, 2018 | 12:17h | UTCMs. Inappropriate Defends The Status Quo – Cardiobrief (free)
Original article: The Less-Is-More Crusade — Are We Overmedicalizing or Oversimplifying? (free)
Research: Association of Hospitalist Years of Experience With Mortality
1 Jan, 2018 | 12:10h | UTCAssociation of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary: Mortality Higher for Inpatients Seen by First-Year Hospitalists – Medscape (free registration required)
Viewpoint: Funding Innovation in a Learning Health Care System
1 Jan, 2018 | 12:07h | UTCFunding Innovation in a Learning Health Care System – JAMA (free)
What Does ‘Value’ Mean in Healthcare?
1 Jan, 2018 | 12:07h | UTCWhat Does ‘Value’ Mean in Healthcare? – HealthLeaders Media (free)
Original Survey: Bringing Value Into Focus (free PDF)
Hospital Giants Vie for Patients in Effort to Fend Off New Rivals
1 Jan, 2018 | 12:05h | UTCHospital Giants Vie for Patients in Effort to Fend Off New Rivals – The New York Times (10 articles per month are free)
Do Hospitals Still Make Sense? The Case for Decentralization of Health Care
31 Dec, 2017 | 15:52h | UTCDo Hospitals Still Make Sense? The Case for Decentralization of Health Care – NEJM Catalyst (free)
Review: Screening Tools to Identify Patients with Complex Health Needs at Risk of High Use of Health Care Services
31 Dec, 2017 | 15:47h | UTCSee related articles on the Caring for High-Need, High-Cost Patients
Infographic: Date Night with the Electronic Health Record
29 Dec, 2017 | 19:38h | UTCInfographic: Date Night with the EHR – NEJM Catalyst (free)
Related Guideline: Putting Patients First by Reducing Administrative Tasks in Health Care: A Position Paper of the American College of Physicians (free)
Related Commentary: Why Physician Burnout Is Endemic, and How Health Care Must Respond – NEJM Catalyst (free)
Guidelines to Eliminate Repetitive Laboratory Testing
29 Dec, 2017 | 19:39h | UTCEvidence-Based Guidelines to Eliminate Repetitive Laboratory Testing – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Experts Recommend Fewer Lab Tests for Hospitalized Patients – Johns Hopkins Medicine, via NewsWise (free) AND Experts devise plan to slash unnecessary medical testing – MedicalXpress (free)
Research: Regional Variation of CT Imaging and the Risk of Nephrectomy
29 Dec, 2017 | 17:45h | UTCEditorial: Use of Advanced Imaging Tests and the Not-So-Incidental Harms of Incidental Findings (free)
Commentary: Trunk Imaging Tied to Higher Nephrectomy Risk – MedPage Today (free registration required)
“The remarkable number of unnecessary CT scans and their downstream risk from incidental findings” (via @EricTopol see Tweet)
Why Doctors Keep Doing Expensive Procedures That Don’t Work
29 Dec, 2017 | 17:41h | UTCWhy American doctors keep doing expensive procedures that don’t work – VOX (free)
“The proportion of medical procedures unsupported by evidence may be nearly half”.
Tackling the High Cost of Cancer Care
28 Dec, 2017 | 17:24h | UTCTackling the High Cost of Cancer Care – The ASCO Post (free)
“A formidable group of oncologists has come together with the joint aim of improving access, affordability, and sustainability (value) of cancer therapies”.
Original abstract: A prospective international randomized phase II study evaluating the food effect on the pharmacokinetics (PK) and pharmacodynamics (PD) of abiraterone acetate (AA) in men with castration-resistant prostate cancer (CRPC) (free) AND Commentary: A group of cancer doctors discovered a way to slash the cost of expensive pills by up to 75%, but they’ve hit a wall – Business Insider (free)
Related Website (news section): Value in Cancer Care Consortium (free resources)
See also other articles and commentaries on financial toxicity of cancer treatments
Opinion: Are Hospital Readmission Penalties a Good Idea?
28 Dec, 2017 | 17:23h | UTCThe data are in, but debate rages: Are hospital readmission penalties a good idea? – STAT (free)
Research: Association of the Hospital Readmissions Reduction Program With Outcomes in Heart Failure
28 Dec, 2017 | 17:22h | UTCAssociation of the Hospital Readmissions Reduction Program Implementation With Readmission and Mortality Outcomes in Heart Failure – JAMA (link to abstract – $ for full-text)
Commentaries: To Fix the Hospital Readmissions Program, Prioritize What Matters – JAMA Forum (free) AND Readmissions reduction program linked to increased mortality for heart failure patients – Cardiovascular Business (free) AND Going the Wrong Way: ACA’s Readmission Reduction Program Linked To Increased Heart Failure Deaths – MedicalResearch (free) AND Hospital quality-control program tied to rise in heart failure deaths – Reuters (free)
Research: Small Increases in Complications When Knee Replacement Done as Outpatient Procedure
28 Dec, 2017 | 17:06h | UTCCommentaries: Small increases in complications when knee replacement done as outpatient procedure – Wolters Kluwer Health, Via EurekAlert (free) AND More Data on Outpatient vs Inpatient Joint Replacement – OrthoBuzz (free) AND Outpatient Knee Replacement Complications: How Important Are They? – OrthoBuzz (free)
Last Month in Oncology with Dr Bishal Gyawali: November 2017
27 Dec, 2017 | 20:58h | UTCLast Month in Oncology with Dr Bishal Gyawali: November 2017 – eCancer News (free)