Value-based Care
Tamiflu: an expensive lesson in panic stockpiling
26 Jun, 2017 | 13:58h | UTCTamiflu: an expensive lesson in panic stockpiling – Dr Justin Coleman Blog (RT @pash22 see Tweet)
Respiratory medicine: Six things physicians and patients should question
26 Jun, 2017 | 15:04h | UTCNew Choosing Wisely Canada List: Respiratory medicine: Six things physicians and patients should question (free) (RT @ChooseWiselyCA see Tweet)
See more on the Choosing Wisely initiative in our April 5 issue, see #6.
For Some, Pre-Hospice Care Can Be A Good Alternative To Hospitals
26 Jun, 2017 | 14:58h | UTCFor Some, Pre-Hospice Care Can Be A Good Alternative To Hospitals – NPR (free) (RT @pash22 see Tweet)
Rising Medical Costs Mean More Rough Times Ahead
25 Jun, 2017 | 16:43h | UTCJAMA Forum: Rising Medical Costs Mean More Rough Times Ahead (free)
What happens when an expensive drug is approved based on a lower bar of proof?
25 Jun, 2017 | 13:50h | UTCInsurers Battle Families Over Costly Drug for Fatal Disease – The New York Times (10 articles per month are free)
“A new drug can cost over a million dollars, even though it’s unclear if it works. Now, insurers are refusing to pay” (RT @NYTHealth see Tweet)
Interesting initiative for improving quality and reducing readmissions from skilled nursing facilities
25 Jun, 2017 | 14:24h | UTCNecessity is the mother of invention: an innovative hospitalist-resident initiative for improving quality and reducing readmissions from skilled nursing facilities – Journal of Community Hospital Internal Medicine Perspectives (free) (RT @HMVJC see Tweet)
In this model of care, a hospitalist-led team, including the resident on the geriatrics rotation, followed patients discharged from the hospital to the skilled nursing facility, leading to significant decrease in readmission rates.
How app culture is reviving the house call
25 Jun, 2017 | 13:44h | UTCDoctor on demand: How app culture is reviving the house call – The Washington Post (a few articles per month are free)
What is people-centered care? And why does it matter?
23 Jun, 2017 | 01:05h | UTCWHO Framework on integrated people-centered health services (free resources)
Video: WHO – What is people-centered care? And why does it matter? Our new video explains! (free) (RT @WHO see Tweet)
“Integrated people-centered health services means putting the comprehensive needs of people and communities, not only diseases, at the center of health systems, and empowering people to have a more active role in their own health”.
Why We Overrate the Lifesaving Power of Cancer Tests
23 Jun, 2017 | 01:01h | UTCWhy We Overrate the Lifesaving Power of Cancer Tests – Scientific American (free) (RT @EricTopol see Tweet)
Concierge Medicine For $10 A Month? Yes, It’s Possible
23 Jun, 2017 | 00:58h | UTCConcierge Medicine For $10 A Month? Yes, It’s Possible – Forbes (free)
Value-Based Care Alone Won’t Reduce Health Spending and Improve Patient Outcomes
22 Jun, 2017 | 16:32h | UTCValue-Based Care Alone Won’t Reduce Health Spending and Improve Patient Outcomes – Harvard Business Review (a few articles per month are free) (RT @pash22 see Tweet)
“We believe that value-based care, implemented using lean principles and in conjunction with an ongoing, community-wide effort to address social determinants of health, can reduce health spending and deliver on the promise of better health”
Performance Improvement: Phenytoin Toxicity
22 Jun, 2017 | 00:02h | UTCPerformance Improvement: Phenytoin Toxicity – JAMA (free)
Interesting case of medication error and prevention of subsequent adverse events (RT @JAMA_current see Tweet)
Obstetrics and Gynaecology: Ten Things Physicians and Patients Should Question
21 Jun, 2017 | 21:34h | UTCObstetrics and Gynaecology: Ten Things Physicians and Patients Should Question – Choosing Wisely (free) (RT @ChooseWiselyCA see Tweet)
“New Choosing Wisely recommendations list! @SOGCorg identifies 10 tests, treatments to question in obstetrics and gynecology”
Stanford Medicine launches health care trends report
21 Jun, 2017 | 15:11h | UTCHarnessing the Power of Data in Health – Stanford Medicine 2017 Health Trends Report (free PDF)
News release: Stanford Medicine launches health care trends report (free)
“Stanford Medicine launches report on health care trends” (RT @StanfordMed see Tweet)
The Challenge of Polypharmacy
21 Jun, 2017 | 15:10h | UTCA medicine review is about stopping medicine as much as it is about prescribing – Royal Pharmaceutical Society of Great Britain (free) (RT @MaryanneDemasi see Tweet)
Original report: The Challenge of Polypharmacy: From Rhetoric to Reality – Royal Pharmaceutical Society and Royal College of General Practitioners Partnership (free PDF)
Related: Current and future perspectives on the management of polypharmacy – BMC Family Practice (free)
Lean: Targeted Therapy for Care Delivery
21 Jun, 2017 | 02:09h | UTCLean: Targeted Therapy for Care Delivery – Journal of the National Comprehensive Cancer Network (free)
The possible benefits of applying the “Lean” approach to oncology care delivery.
Overuse of Chest CT in Patients With Stage I and II Breast Cancer
20 Jun, 2017 | 19:23h | UTCNews release: NCCN Guidelines Compliance for Chest CT Reduces False Positives and Decreases Health Care Spending in Breast Cancer, Study Finds (free)
In this cohort 11% of patients with stage I and 36% of patients with stage II breast cancer underwent chest CT, despite NCCN Guidelines against the exam. “Nearly one-third of these patients were found to have pulmonary nodules, but only 1.3% were ever diagnosed with pulmonary metastases”
Simplifying Prenatal Care for Low-Risk Patients
20 Jun, 2017 | 18:12h | UTCHow Mayo Clinic Is Simplifying Prenatal Care for Low-Risk Patients – Harvard Business Review (a few articles per month are free)
“Prenatal care model makes mothers-to-be active participants while reducing costs & time commitment” (RT @MayoClinic see Tweet)
What will healthcare look like in 2030?
20 Jun, 2017 | 18:40h | UTCWhat will healthcare look like in 2030? – World Economic Forum (free)
Changes in Hospital Quality Associated with Hospital Value-Based Purchasing?
20 Jun, 2017 | 12:27h | UTCChanges in Hospital Quality Associated with Hospital Value-Based Purchasing – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Value-Based Purchasing Program Has Little Effect – Medscape (free registration required) AND Is There Value in Hospital Value-Based Purchasing? – NEJM Catalyst (free)
How VBP works: Hospital Value-Based Purchasing – U.S. Centers for Medicare & Medicaid Services (free)
Why overtreatment and overdiagnosis can be bad for your health
20 Jun, 2017 | 12:19h | UTCWhy overtreatment and overdiagnosis can be bad for your health – CBC Radio (free text and audio)
See more on the Choosing Wisely initiative in our April 5 issue, see #6.
“Choosing Wisely on CBC Sunday about overdiagnosis & importance of speaking with your doc about tests/treatments” (RT @ChooseWiselyCA see Tweet)
Why Providers May Fail to Reduce Wait Times
20 Jun, 2017 | 12:14h | UTCPerspective: The Waiting Game — Why Providers May Fail to Reduce Wait Times – New England Journal of Medicine (free)
How Did Health Care Get to Be Such a Mess?
20 Jun, 2017 | 12:13h | UTCOpinion: How Did Health Care Get to Be Such a Mess? – The New York Times (10 articles per month are free)
Opinion over payment models in the U.S health care system.
Evolocumab for Treatment of High Cholesterol: Clinical Effectiveness
19 Jun, 2017 | 12:55h | UTCEvolocumab for Treatment of High Cholesterol: Clinical Effectiveness (free PDF) (RT @AnilMakam see Tweet 1, Tweet 2, Tweet 3 and Tweet 4)
News release: Institute for Clinical and Economic Review’s “New Evidence Update” on PCKS9 Inhibitors Highlights Lack of Mortality Benefit With Evolocumab (free)
Lack of mortality benefit in a recent large trial is highlighted in this updated review. Se more on the FOURIER trial and commentaries in our March 20th issue, see #2.
Perspectives on the Use of Clinical Pathways in Oncology Care
16 Jun, 2017 | 01:29h | UTCPerspectives on the Use of Clinical Pathways in Oncology Care – 2017 ASCO Educational Book (free)