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Author Archives: Daniel Wolfson
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.”
“Outrageous!” was the reaction of some physician leaders to a recent article in The New York Times by Elisabeth Rosenthal entitled After Surgery, Surprise $117,000 Medical Bill From Doctor He Didn’t Know. In the piece, Rosenthal tells the story of a patient negotiating charges for his neck surgery to correct herniated disks even as he [...]
I recently met with former CEOs of prepaid group practices (PGPs) that were part of the early years (1984-2000) of the HMO Group—now the Alliance of Community Health Plans—a coalition of not-for-profit, pre-paid group practices. (I was the first president and CEO.) One of the most notable accomplishments of this alliance back then was the [...]
This week, I participated in a tweet chat (#BopChat) hosted by the Commonwealth Fund (@commonwealthfnd). The event, “Incentives 2.0: Thinking Beyond Financial Rewards & Penalties,” echoed the theme of the 2013 Foundation Forum and I looked forward to sharing some of the takeaways from that meeting as well as hearing from others on the subject.
This year’s Forum, Rebooting the System for Service and Satisfaction, addressed elements of the clinical environment that foster or inhibit the quality of patient care and clinicians’ joy in practice. The 150 invitees, all leaders in health care, discussed the unintended consequences of health care technology—particularly electronic health records (EHRs)—on performance measurement and improvement. Based [...]
From August 3-5, over 150 national leaders representing consumer groups, physician organizations, medical students and residents, policymakers, accreditors, certifying boards, journal editors, researchers, health plans and employers will discuss the positive and negative consequences of technological innovations in medicine and associated regulations on patient care and the effect on physician well-being. Individuals with acute or [...]
I recently received an e-mail from a frustrated physician who expressed his concerns to me about HealthFair, a company providing screening services at his local academic medical center. Tuned into the Choosing Wisely® campaign, the physician claimed the cardiovascular screenings HealthFair was offering (echocardiograms and electrocardiograms) went against the specialty societies’ recommendations.
This past April, the Choosing Wisely campaign celebrated its second anniversary. As is the case with the passing of any milestone, I have been reflecting on what the campaign has achieved and what we have yet to accomplish. It also made me take stock of the environment in which we incubated this concept and launched [...]
I am pleased to announce the publication of a new textbook sponsored by the ABIM Foundation entitled Understanding Professionalism, written by Shiphra Ginsberg, MD, Fred Hafferty, PhD, Foundation trustee Wendy Levinson, MD, and former trustee Catherine Lucey, MD. While the book’s subject matter is not new to medical education curricula, the way it presents professionalism [...]
As noted in a previous blog post, Choosing Wisely is gaining traction abroad. Global initiatives include Choosing Wisely Canada, Choosing Wisely Netherlands and “Slow Medicine” in Italy. I am fascinated by the different ways other countries are promoting the campaign to physicians and patients, and leveraging it to tackle issues prevalent in their particular health systems.