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• The Great Quality Debate: Berwick’s Plea for Action vs. Evidence-Based Medicine

  In this week’s JAMA, Dr. Don Berwick, CEO of the Institute for Healthcare Improvement, argues that evidence-based standards should be relaxed for quality improvement practices. Ironically, a few pages away, a Swiss study finds than an IHI-endorsed MRSA Read More... Posted Mon, Mar 17 2008 11:59 PM by Bob Wachter | 4 Comments Filed under: Quality Improvement, Hospital Care, Transparency and Reporting, Quality Measurement, Medical Education/Academia, Patient Safety/Medical Errors, Health Policy

• More on Quality Reports: Lessons From SAT Scores

  My older son is gearing up to apply to college (:-\ and so I bought him one of the Bibles, the Fiske Guide. The book is cleverly written – enough academic factoids to get parents to spring for it, leavened with enough social scene skinny to get kids to Read More... Posted Fri, Dec 14 2007 2:42 AM by Bob Wachter | 1 Comments Filed under: Transparency and Reporting, Quality Measurement, Medical Education/Academia, Health Policy

• Rating Doctors Like Restaurants

  So Zagat will now be rating doctors, using the methods it perfected helping you find the best sushi in Brooklyn Heights. What’s next, Consumer Reports rating grad schools? Fodor rating auto mechanics? Whatever you think of Zagat’s cross-dressing, it again Read More... Posted Sun, Oct 28 2007 5:57 AM by Bob Wachter | 4 Comments Filed under: Hospital Care, Transparency and Reporting, Quality Measurement, Medical Education/Academia, Hospitalists/Hospital Medicine, Information Technology, Ambulatory/Primary Care

• Are Hospitalists Killing Primary Care, Redux

  The comments to my original post on this topic are so striking and passionate that I wanted to answer them in a new post rather than as another comment. First, "LPrieto" wrote, "I think the death of outpatient general Internal Medicine is inevitable." Read More... Posted Thu, Oct 25 2007 11:12 PM by Bob Wachter | 9 Comments Filed under: Hospital Care, Transparency and Reporting, Quality Measurement, Medical Education/Academia, Hospitalists/Hospital Medicine, Ambulatory/Primary Care

• Can Computerized Decision Support Get Docs to Toe the Line on Quality?

  A humorous and telling story about quality measurement, decision support, and human nature: I was visiting professor at a very good academic medical center a year or so ago. On these trips, one of the fun things I get to do is meet with the residents. Read More... Posted Wed, Oct 10 2007 3:47 AM by Bob Wachter | 2 Comments Filed under: Quality Improvement, Hospital Care, Transparency and Reporting, Quality Measurement, Medical Education/Academia, Information Technology