About James Allen, MD

I am a Professor of Internal Medicine at the Ohio State University and the Medical Director of Ohio State University East Hospital

Take The Money Or Take The Quality Metric?

Yesterday, I was faced with a philosophical dilemma: is it better for the hospital to get paid more for a hospital admission or to have a better score on publicly reported quality outcomes? Heroin overdose is an epidemic in Ohio (see the post: Found Down With A Needle In The Arm). At issue was a […]

Run, Hide, Fight

The text message on my phone read: “Buckeye Alert: Active Shooter on campus. Run Hide Fight. Watts Hall. 19th and College”. It was a deranged student who went on a stabbing spree on the Ohio State University campus, injuring 13 people before being shot to death by OSU police last November. My son lives in a […]

The Starling Curve Of Physician Productivity

As physicians, we learn about the Starling curve in the first year of medical school. It expresses the relationship between left ventricular end-diastolic volume and cardiac output. The same can be applied to the relationship between physician RVU productivity and departmental/institutional health. The physiologic relationship dictates that as end-diastolic volume increases, cardiac output also increases, […]

Using 50 Words To Express A 6-Word Thought

My college freshman English professor told me: “You are not writing for yourself, you are writing for your reader. Always put the reader first.” It is a great message… and one that electronic medical records (EMRs) have made us totally forget. That professor would once a week have us critique an article by a particular reporter […]

The PATH Audit That Almost Was

There are fundamentally 3 reasons to have a progress note: To communicate with other healthcare providers To provide documentation for medial-legal purposes To provide documentation for billing purposes In the 1980’s, communication with other healthcare providers reigned king. We marked up medical student H&Ps with red ink if they didn’t have perfect grammar and we […]