Comments on: The Vision Thing/ New Book http://healthblog.ncpa.org/the-vision-thing-new-book/ Health Care Policy and Reform Insights | NCPA Sun, 12 Feb 2012 00:03:44 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: John Dale Dunn http://healthblog.ncpa.org/the-vision-thing-new-book/comment-page-1/#comment-22020 John Dale Dunn Mon, 29 Oct 2007 19:29:50 +0000 http://www.john-goodman-blog.com/the-vision-thing-new-book/#comment-22020 Since i have a perverse interest in junk science, i offer, for your consideration, <a href="http://www.acsh.org/factsfears/newsID.487/news_detail.asp" rel="nofollow">evidence</a> that the 100,000 deaths you say are annually due to physician and nurse negligence are a contrived number intended to serve the interests of the IOM and the little cottage industry of patient safety wonks in boston. note that the most prominent of the patient safety researchers, troyen brennan, says the IOM misused his reasearch. he said it on the pages of the NEJM. he now works for aetna. it doesn 't get any better than that. kind of like a perry mason tv show where the bad guy breaks down on the stand and admits his perfidy. Since i have a perverse interest in junk science, i offer, for your consideration, evidence that the 100,000 deaths you say are annually due to physician and nurse negligence are a contrived number intended to serve the interests of the IOM and the little cottage industry of patient safety wonks in boston. note that the most prominent of the patient safety researchers, troyen brennan, says the IOM misused his reasearch. he said it on the pages of the NEJM. he now works for aetna. it doesn 't get any better than that. kind of like a perry mason tv show where the bad guy breaks down on the stand and admits his perfidy.

]]> By: Paul Stevens http://healthblog.ncpa.org/the-vision-thing-new-book/comment-page-1/#comment-21976 Paul Stevens Mon, 29 Oct 2007 14:43:08 +0000 http://www.john-goodman-blog.com/the-vision-thing-new-book/#comment-21976 A critical element of effective and efficient service delivery is providing the appropriate level of service. I recently had the opportunity to see such a process work in my own case. As a resident of Ontario, with publicly funded health care, I have had my share of bad experiences. But I also, this past summer, was referred for treatment to a nurse practitioner, at about a third to quarter the cost of a doctor, for a simple checkup that she was more than qualified to do. I also had a knee replacement, as I chronicle in my blog at www.totalkr.blogspot.com , and had it done quickly and efficiently by a specialized orthopeodic team, with no complications. Three weeks later I was starting to walk without a cane. Key to a least cost medical system is funneling patients to appropriate levels of care. Keep the kids with earaches out of the doctors offices and emergency centers. Even antibiotics for simple infections can be prescribed by NP's. Save the doctors and specialists for higher level needs. A critical element of effective and efficient service delivery is providing the appropriate level of service. I recently had the opportunity to see such a process work in my own case.

As a resident of Ontario, with publicly funded health care, I have had my share of bad experiences. But I also, this past summer, was referred for treatment to a nurse practitioner, at about a third to quarter the cost of a doctor, for a simple checkup that she was more than qualified to do. I also had a knee replacement, as I chronicle in my blog at http://www.totalkr.blogspot.com , and had it done quickly and efficiently by a specialized orthopeodic team, with no complications. Three weeks later I was starting to walk without a cane.

Key to a least cost medical system is funneling patients to appropriate levels of care. Keep the kids with earaches out of the doctors offices and emergency centers. Even antibiotics for simple infections can be prescribed by NP’s. Save the doctors and specialists for higher level needs.

]]> By: Dave Racer http://healthblog.ncpa.org/the-vision-thing-new-book/comment-page-1/#comment-21209 Dave Racer Tue, 23 Oct 2007 13:22:50 +0000 http://www.john-goodman-blog.com/the-vision-thing-new-book/#comment-21209 Dang it. Greg and I were going to write the next great "how to" book, and you may have scooped us. Way to go, pal. So, you follow the literature. What's missing out there right now? What's the angle we should take? Dang it. Greg and I were going to write the next great “how to” book, and you may have scooped us. Way to go, pal. So, you follow the literature. What’s missing out there right now? What’s the angle we should take?

]]> By: Chris Ewin http://healthblog.ncpa.org/the-vision-thing-new-book/comment-page-1/#comment-21113 Chris Ewin Mon, 22 Oct 2007 20:44:08 +0000 http://www.john-goodman-blog.com/the-vision-thing-new-book/#comment-21113 <p>I enjoyed your vision chapter and agree with the dysfunctional, bureaucratic and regulatory obstacles patients and physicians face in our health care system.. A little feedback...specifically about primary care physicians (family physicians, internists and geriatricians) on the front line with private practices... In my opinion, non-physician health care policy leaders, politicians, insurers and employers need to have a better understanding of physicians WORKFLOW. The rules and regs are crushing their small business practices. Financially, the unnecessary burden of massive coding and microbilling is an inefficient system for the government and the insurers dealing with primary care physicians. Primary care is being suffocated and physicians are leaving their practices. There is no good economic reason for insurers or the government to be involved in financing primary care except to maintain their control of every medical transaction. In all respects, it is money wasted by the insurers, government and physicians. It almost doubles the cost of primary care with no value added. What is worse, is that the brightest and smartest medical students aren't entering primary care. The solutions are coming from the physicians with "direct practices"....... I hope you and your colleagues come to our conference and listen to the innovative ways physicians have adapted to this mess... Vision without execution is just a hallucination.</p> <p>Chris Chris Ewin, MD, FAAFP President, SIMPD</p> I enjoyed your vision chapter and agree with the dysfunctional, bureaucratic and regulatory obstacles patients and physicians face in our health care system.. A little feedback…specifically about primary care physicians (family physicians, internists and geriatricians) on the front line with private practices… In my opinion, non-physician health care policy leaders, politicians, insurers and employers need to have a better understanding of physicians WORKFLOW. The rules and regs are crushing their small business practices. Financially, the unnecessary burden of massive coding and microbilling is an inefficient system for the government and the insurers dealing with primary care physicians. Primary care is being suffocated and physicians are leaving their practices. There is no good economic reason for insurers or the government to be involved in financing primary care except to maintain their control of every medical transaction. In all respects, it is money wasted by the insurers, government and physicians. It almost doubles the cost of primary care with no value added. What is worse, is that the brightest and smartest medical students aren't entering primary care. The solutions are coming from the physicians with "direct practices"……. I hope you and your colleagues come to our conference and listen to the innovative ways physicians have adapted to this mess… Vision without execution is just a hallucination.

Chris Chris Ewin, MD, FAAFP President, SIMPD

]]> By: Jaime Herrera http://healthblog.ncpa.org/the-vision-thing-new-book/comment-page-1/#comment-21093 Jaime Herrera Mon, 22 Oct 2007 19:18:05 +0000 http://www.john-goodman-blog.com/the-vision-thing-new-book/#comment-21093 I just followed the link you provided at the bottom of the page to find the entire book – I am looking forward to reading it. Thank you for the health alerts and for the health policy analysis (and ideas) that you provide. I just followed the link you provided at the bottom of the page to find the entire book – I am looking forward to reading it. Thank you for the health alerts and for the health policy analysis (and ideas) that you provide.

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