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- Sam Campbell on Unnecessary EKGs – The Heart of the Matter
- Lorna Lynn on The Influence of Ownership on Human Behavior: “Feeding the Beast”
Author Archives: Daniel Wolfson
In his post “Unnecessary EKGs – the Heart of the Matter” (09.20.11), Dr. Stephen Smith wrote how owning a new EKG machine in his practice subconsciously motivated him to order more tests so he could justify the investment to his partner. He reaped no financial benefit from ordering more tests as he was paid on [...]
In the wake of the recent government shutdown, I have been thinking a lot about the “trust” that needs to exist between the public and institutions, and what the repercussions of losing that trust are.
In his recent BMJ feature article, “The challenge of doing less,” Owen Dyer points out that the process employed by the Choosing Wisely® campaign has attracted criticism. In the article, Russell Harris, Director of University of North Carolina’s Center for Excellence in Clinical Preventive Services, states, “We did a systematic review and found that overall, [...]
In Owen Dyer’s recent BMJ article on the Choosing Wisely® campaign, “The challenge of doing less,” I was quoted as saying, “We think that professionalism should trump financial concerns, particularly as this involves potential harm to the patient and sacrifices quality and safety.” In response to this and my assertion that the campaign is about [...]
I had the honor of speaking at the American Society for Radiation Oncology’s (ASTRO) annual meeting in Atlanta, Georgia on September 23. One of the goals of my session was to announce ASTRO’s Choosing Wisely list of five tests and procedures that patient and physicians should question. Actually, Michael Steinberg, MD, chair of the board [...]
The third annual Professionalism Roundtable meeting, sponsored by the ABIM Foundation and the Mayo Clinic, focused on physician well-being and resiliency. Attendees included twenty-five leaders in the field of professionalism from 10 large health care systems. Mayo Clinic’s Tait Shanafelt, MD, presented some disturbing facts about physician burnout, physician dissatisfaction and its consequences for patients: [...]
I read Atul Gawande’s recent article in The New Yorker (07.29.13), “Slow Ideas,” with great interest. In it, Gawande asks, “Why do some innovations spread so swiftly and others so slowly?” I immediately harkened back to the Choosing Wisely campaign.
This year’s ABIM Foundation Forum – Purpose vs. Payment: Motivating Change in Health Care addressed what will motivate physicians and clinicians to transform medicine to achieve better quality outcomes, patient and physician satisfaction, and economic sustainability. Against the backdrop of the debates raging in Washington, DC over how to fix the Sustainable Growth Rate (SGR) [...]
Not surprisingly, this year’s Forum “Purpose vs. Payment – Motivating Change in Health Care” was much more than a simple conversation about extrinsic and intrinsic motivators. Finding ways to motivate physicians and others in health care to take on the issue of reigning in costs is as complex as the population for which they care.
Although the focus of the 2013 ABIM Foundation Forum – Purpose vs. Payment: Motivating Change in Health Care (#ABIMF2013) is not solely on payment systems, I have no doubt that a majority of conversations surrounding the topic at hand will revolve around it. It’s a hard subject to get away from. In preparation for the [...]