The Medical Professionalism Blog
Tag Archives: quality improvement
Choosing Wisely®: Can Stories and Emotions Produce Change?
At the recent annual meeting of the Institute of Healthcare Improvement (IHI), Fred Hafferty of the Mayo Clinic and I gave a presentation on the effect systems have on the professional behaviors of clinicians. I asked the 100 or so attendees if they thought intrinsic (i.e., personal satisfaction and mastery) or extrinsic (i.e., payment) motivators [...]
Five Reasons Choosing Wisely® Has Appeal to Physicians
We’ve heard from a number of physicians across the country that they are beginning to think through ways to advance the Choosing Wisely campaign. They are embracing the recommendations from the specialty societies and exploring how conversations between physicians and patients about reducing overused or wasteful tests and procedures can be embedded in their practices. [...]
Recommended Reading: December 1 – 7
The Choosing Wisely® campaign continues to generate conversations about improving care, both here in the U.S., as well as internationally. Read more in this week’s Recommended Reading: In “The Choosing Wisely Campaign and Its Potential Impact on Diagnostic Radiation Burden,” two radiologists at Johns Hopkins University examine the possible effects of Choosing Wisely imaging recommendations [...]
Recommended Reading: November 24 – 30
This week’s Recommended Reading features articles on low-value health care services in both the United States and Australia, along with a piece on emotional support for physicians coping with medical errors and adverse events: In a new Archives of Internal Medicine article, the authors report that diagnostic tests are frequently repeated among Medicare beneficiaries. Such [...]
Recommended Reading: November 10 – 16
Catch up on the latest articles on medical professionalism in this week’s Recommended Reading: A new article in Health Affairs discusses the development of the Teamwork Effectiveness Assessment Module (TEAM), a tool for physicians to evaluate how they perform as part of an interprofessional patient care team. This research was funded in part by the ABIM [...]
The “Other” Physician and Patient Competencies—What’s all the Fuss?
What competencies are needed for physicians and patients/caregivers in the 21st century in order to achieve the triple aim – better patient experience, improved health of populations, and reduced cost in high-performing delivery systems? This question was posed at the 2012 ABIM Foundation Forum, Choosing Wisely in an Era of Limited Resources.
Putting Joy Into Practice: A Journey Into Primary Care
Dr. Christine Sinsky is on a mission to improve the work-life of primary care physicians and clinicians to improve care and attract physicians to primary care. A member of the Board of Directors of the American Board of Internal Medicine, Dr. Sinsky is a board certified internist who practices internal medicine at Medical Associates Clinic [...]
Where, Oh Where Do Physicians Learn About Cost-Effectiveness?
The Institute of Healthcare Improvement (IHI) defines the Triple Aim as: Better health (population health) Better care (quality improvement) Reduced cost Although many quality improvement organizations and delivery systems are focused on the Triple Aim, cost is not often a part of their efforts.
Attracting Physicians to Primary Care
In 2010, David Reuben wrote that if primary care was to be once again an attractive specialty to pursue, simply increasing the reimbursement levels would not be enough. Rather, the working conditions and job content would also have to change. A strong primary care workforce is crucial to improving the quality of care in this [...]
Exploring What Works to Improve Care: Hold the Money, Pass the Praise
On November 18th, the American Board of Internal Medicine, through a grant from the Agency for Healthcare Research and Quality, the Robert Wood Johnson Foundation and the ABIM Foundation, conducted a conference entitled, “Physician Level Assessment and Recognition: What Works?” The basis of the conference was a yet-to-be-published systematic literature review that compares the efficacy [...]
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