tag:blogger.com,1999:blog-32053362.post2655226542822996519..comments2024-03-18T06:27:51.599-04:00Comments on Not Running a Hospital: Really, the most significant?Paul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-32053362.post-52269682623635139502011-12-26T10:51:50.154-05:002011-12-26T10:51:50.154-05:00In general I agree - this Medscape thing appears t...In general I agree - this Medscape thing appears to be about the <i>business</i> of medicine, not about better care for the people who need it. I'm guessing this was an inside-baseball post, nothing more, nothing less: "Us medicals talking about what interests us."<br /><br />Which, btw, seems to include zero-zippo about anything *patients* had to say this year. Nor impact on patients. For instance, the MMR-autism fraud item talks only about the inside-baseball aspects - not a peep about the children harmed by the fraud. So it's clear where this publication's priorities are. (I'm trying hard not to get moral about it, but just to observe.)e-Patient Davehttps://www.blogger.com/profile/16381434866099596466noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-86658459767866788952011-12-21T15:41:11.505-05:002011-12-21T15:41:11.505-05:00As always, insightful and spot on, Paul! I was str...As always, insightful and spot on, Paul! I was struck by the collaboration and lack of ego in all of your examples. Perhaps this is the beginning of the paradigm shift from cowboys to pit crews that Atul Gawande so eloquently argues for in the Checklist Manifesto.<br /><br />Best wishes for a wonderful 2012,<br />PamPamela Ressler, MS, RN, HN-BChttp://stressresources.comnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-53119040558869033852011-12-20T13:44:13.619-05:002011-12-20T13:44:13.619-05:00Being included in this list of innovators, whose a...Being included in this list of innovators, whose accomplishments have literally saved lives and improved patient care, is truly an honor for the SCAD Mayo Clinic research initiatives. Thank you, for your belief in the promise of patient-initiated research.<br /><br />Katherine LeonAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-51730342644834032202011-12-20T11:08:40.683-05:002011-12-20T11:08:40.683-05:00Paul, thanks for this terrific post. You’re correc...Paul, thanks for this terrific post. You’re correct that the list of major advances and events is a superficial, typical end-of-year wrap story that misses the real accomplishments and improvements in clinical care that are achieved every day, patient by patient, at the grassroots level. This reminds me of what Don Berwick said in his recent speech at the Institute for Healthcare Improvement Forum in Orlando: “Act locally. The moment has arrived for every state, community, organization, and profession to act. We need mobilization – nothing less.” <br /><br />One area of clinical care quality improvement that too often gets overlooked are the contributions of the professional board certified chaplain as a member of the hospital clinical team. Board certified professional chaplains have been recognized as the experts in identifying beliefs and values important to the patient and advocating for their inclusion in their medical plan of care. These include spiritual, religious, and cultural issues that impact the patient experience of their illness, injury, and interaction with the health care system. Patients experience less distress when these needs are identified, and clinical processes are improved by the quality improvement practices that are often the result of the recurring issues identified by the professional chaplain.Jim Siegelnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-13971768551472867292011-12-19T23:29:52.846-05:002011-12-19T23:29:52.846-05:00I am hopeful that by next year you will be able to...I am hopeful that by next year you will be able to add our group of ten surgeons in Daytona Beach, led by Dr. Bruce Ramshaw. We truly believe we are on the virge of transforming care in our community as we form patient-centered teams--transparent and including patients and families to provide horizontal rather than siloed care.HarryBlackhttps://www.blogger.com/profile/18178307881942711048noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-65326575376198587712011-12-19T19:15:57.359-05:002011-12-19T19:15:57.359-05:00We are honoured and excited that you put the Saska...We are honoured and excited that you put the Saskatchewan Health Quality Council on your list, especially considering the considerable passion, expertise and results demonstrated by the other organizations and people that you highlight.<br /><br />While we believe we are on the right path, we are only just getting started on all the work that Saskatchewan needs us to do. Keep your eyes on us because you ain't seen nothing yet! <br /><br />Susan Shaw<br />Board Chair<br />Saskatchewan Health Quality CouncilSusan Shawhttps://www.blogger.com/profile/15156430163406458500noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-52604890591951562842011-12-19T11:46:42.060-05:002011-12-19T11:46:42.060-05:00This is really excellent. I hope you sent it to th...This is really excellent. I hope you sent it to the editors of Medscape. It illustrates the paradigm shift in orientation that so far escapes us in the profession.<br /><br />nonlocal MDAnonymousnoreply@blogger.com