Bryn Nelson, PhD
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The Difficulty of Predicting Physician Shortages
July 29, 2015
Much of the criticism directed at the IOM’s proposed revamping of federal GME funding stems from the idea that a graying population will place additional strains on a healthcare system that already is facing a significant doctor shortage. “Number one, they came out and said, ‘We don’t know that t
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LISTEN NOW: Yale hospitalists’ brush with cancer leads to healthcare cost awareness training program
June 9, 2015
ROBERT FOGERTY, MD, MPH, a hospitalist and assistant professor of medicine at Yale University, talks about how his own bout with cancer as a college senior heading to medical school helped influence his I-CARE education initiative, which introduces cost awareness into internal medicine residency pro
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LISTEN NOW: UCSF’s Christopher Moriates, MD, discusses waste-reduction efforts in hospitals
June 9, 2015
CHRISTOPHER MORIATES, MD, assistant clinical professor in the Division of Hospital Medicine at the University of California, San Francisco, talks about the change in focus and priorities needed for medicine to make progress in waste-reduction efforts. [audio mp3="http://www.the-hospitalist.org/wp
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From a Near-Catastrophe, I-CARE
June 9, 2015
For Robert Fogerty, MD, MPH, it’s more than just a story. It’s a nightmare that he only narrowly avoided. Now a hospitalist at Yale University School of Medicine in New Haven, Conn., Dr.
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Medical Care Overuse Causes Waste, Harm in Healthcare
June 8, 2015
A trickle of anecdotes has become a flood of cautionary tales. There’s one about the patient in intensive care who didn’t have a cardiac condition yet still had a troponin blood test on 26 consecutive days.
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Healthcare’s Main Contributors to Wasteful Spending
June 8, 2015
Three studies, same conclusion.
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Healthcare Industry Agents of Change Promote Responsible Spending
June 1, 2015
1 Caring Wisely Program http://healthvalue.ucsf.edu/caring-wisely Started in 2012 within the division of hospital medicine at the University of California, San Francisco (UCSF), the program sponsored or collaborated on six high-value care projects within its first year.
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Physician Culture, Beliefs Drive Variation in Healthcare Spending
June 1, 2015
The Dartmouth Institute for Health Policy and Clinical Practice and other institutions have long tried to quantify the prevalence and geographic variation of low-value care.
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Many Physicians Unaware of Costs for Lab Tests, Procedures
June 1, 2015
Sometimes, simply knowing what a test costs can make all the difference. Many physicians have sheepishly admitted that they know little about the price tags attached to the procedures and tests they order on a routine basis—or how that might impact their patients financially.
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Insufficient Time for Patients May Add to Healthcare Waste
June 1, 2015
Reform advocates agree that a doctor’s time is a scarce resource that can contribute to waste when it is stretched too thin. “It’s not just about overtreatment; it’s about getting the right treatment, and the right treatment depends on the right diagnosis, and the right diagnosis depends on reall
