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The Medical Professionalism Blog

For Patient-Centered Care, Check the (Road) Map

We all talk about “patient-centered care” without having a clear vision or definition of what it is or means. Thus I was honored to have the ABIM Foundation be one of the many organizations the Gordon and Betty Moore Foundation and the American Institutes for Research (AIR) convened to develop a roadmap for patient and family engagement in healthcare practice and research. This work will help pave the way for true patient-centered care for the future.

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V.I.P. Syndrome Can Lead to Bad Care

A section of the tabloid, US Magazine, called “Stars – They’re Just Like Us”, shows pictures of celebrities doing mundane activities like walking the dog or taking out the garbage. This helps to remind us that, just like the average Joe, they walk their dogs and take out the garbage and— because they are people, too—might even need medical treatment from time to time. Unfortunately, some doctors treating celebrity patients don’t see them “just like us.”

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Professionalism as a Means for Improvement

Jeffrey Kullgren, MD, MS, MPH, a general internist and researcher from VA’s Center for Clinical Management Research and the University of Michigan Medical School has a method for implementing Choosing Wisely® recommendations. He relies on a behavioral economics technique referred to as “precommitment” which, in this instance, calls upon physicians to make choices rooted in medical professionalism.

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“How Medical Care Is Being Corrupted” — Really?

How is it that when the health care system is going through needed and positive changes, people like Pamela Hartzband and Jerome Groopman write an opinion piece in The New York Times in which they profess a longing for the “good old days” before measurement? For a moment, let’s go back to those old days. They weren’t as good as they think they were.

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Adventures in Choosing Wisely®

This post was written by Amy Berman, BS, RN and first appeared on the John A. Hartford Foundation blog.

I live with stage IV cancer—cancer that has spread to the far reaches of my body, an incurable disease, a terminal diagnosis. But if you saw me—if our carts randomly bumped into each other in the supermarket—you would never think I live with serious illness.

And let me add that I feel as well as I look, just great.

I am four years into one of the most devastating diagnoses and I haven’t visited a single hospital. This means that my care is much lower cost than others in my situation. How is this possible?

One answer is that my health care team and I choose wisely.

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Physician Measurement: Good in Theory but Not in Practice

Most issues in health care are replete with nuance rather than absolutes. I was reminded of this recently at the National Physician Alliance’s (NPA) 2014 Annual Conference & Transforming Healthcare Summit.

NPA is considered a “progressive” physician leadership organization. It champions transparency in the disclosure of conflicts of interest, health care reform and avoiding waste and overtreatment. In fact, NPA, with a small grant from the ABIM Foundation, originally conceived the Good Stewardship Project which identified five tests and procedures in internal medicine, pediatrics and family medicine that were wasteful, and served as the precursor to the Choosing Wisely® campaign.

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Help Light the Path from Volume to Value: The Second Annual Teaching Value and Choosing Wisely Challenge

Clinicians are increasingly accountable for delivering better care at lower cost. Despite the rapid evolution of the health care system, many of us still feel left in the dark. Fortunately, there are beacons of light scattered across the United States.

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Henry Ford Physician Network’s Choosing Wisely® Competition: Breathtaking

Since the Choosing Wisely campaign launched in 2012, there have been definitive moments when it felt like what we’re doing is really moving the needle and that change is on the horizon. Never have I felt that more strongly than at the Henry Ford Physician Network (HFPN)’s annual summit, “Collaboration for the Future.”

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When Self-Promotion Crosses into Unprofessionalism

As a physician, is it possible to remain professional and market yourself? While it is understandable that physicians and physician researchers need to promote themselves to get jobs, patients, research grants etc., it should never come at the cost of patient care or trust.

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Choosing Wisely®: Sticking It to Doctors Doesn’t Work

I received a call from a colleague affiliated with one of the specialty society partners of the Choosing Wisely® campaign who wanted to vent about Jeanne Whalen’s Wall Street Journal piece entitled, “Hospitals Cut Costs by Getting Doctors to Stick to Guidelines: ‘Choosing Wisely’ Campaign Has Physicians Weigh in on Standardizing Care.”  

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