The Cost Of Measuring Quality

The Cost Of Measuring Quality

Quality is expensive. In the United States, we spend about $40,000 per physician just to report on quality measures. That’ $15.4 billion per year. A study by Dr. Catherine MacLean and colleagues found that of the 86 MIPPS/QPP measures (Merit-based Incentive Payment System/Quality Payment Program) that were relevant to general internal medicine, 35% were not valid […]

The Effect Of Free-Standing Emergency Departments

The Effect Of Free-Standing Emergency Departments

Freestanding emergency departments can provide emergency care in locations not immediately served by emergency departments contained in a hospital and in theory, this should improve access to healthcare, particularly in rural areas.  However, there are hidden costs of freestanding emergency departments that can lower the overall value of healthcare in the community. Beginning in 2004, […]

Estimating Your Income Needs In Retirement

Estimating Your Income Needs In Retirement

For many people, and most physicians, getting to a retirement age means being able to work because you want to work and not because you have to work. A year and a half ago, I wrote a 12-part post on financial planning for physicians, with one goal of saving enough for retirement. But how do […]

The Value Of Shared Values

The Value Of Shared Values

Leadership change in a healthcare organization is inevitable but every time it happens, it can be a bit unsettling to the physicians. If there are a lot of changes that occur simultaneously with sweeping changes in multiple leadership positions, then it can shift from being a bit unsettling to being a lot unsettling. And much […]

Should Men Be Screened For Prostate Cancer With PSA?

Should Men Be Screened For Prostate Cancer With PSA?

Identification of cancers in early stages when they are surgically curable has resulted in an overall reduction in cancer death rates in the past 20 years. Where cancer screening has been most effective is in colorectal cancer, cervical cancer, and breast cancer. Prostate cancer screening has been much more controversial with several recent studies suggesting […]

Why U.S. Health Care Is So Expensive

Why U.S. Health Care Is So Expensive

This month, an article in JAMA gives us some ideas of why American medical costs are so high. The authors analyzed data from the OECD (Organisation for Economic Co-operation and Development). The OECD maintains a huge database of economic information from most of the world’s developed countries. Their healthcare database is particularly useful to anyone […]