tag:blogger.com,1999:blog-32053362.post822590047271754325..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: Dr. Vollmer and team continue to tell allPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-32053362.post-41443725551801858212010-12-11T07:15:30.820-05:002010-12-11T07:15:30.820-05:00Perhaps surgery cases are different but I’m a bit ...Perhaps surgery cases are different but I’m a bit skeptical of patient satisfaction scores when it comes to doctors. Medical experts have told me in the past that many, if not most, patients judge doctors based on the three A’s – affability, availability and, last and LEAST, ability. Personally, I much prefer a doctor with excellent clinical and, hopefully, communication skills. I can tolerate a little arrogance if I have to. With respect to hospital stays, lots of people equate satisfaction with pleasant, capable and responsive nurses, nice surroundings and decent food. For surgeries, as Engineer notes, the objective outcome measures, risk adjusted if possible, should get the most weight in determining quality.Barry Carolnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-67528238219404402162010-12-10T17:00:25.262-05:002010-12-10T17:00:25.262-05:00"What about patient satisfaction? The numbers..."What about patient satisfaction? The numbers above are easy to measure, it is however not always the easiest measurements that are the best."<br /><br />The best numbers are the ones that are objectively related to the well-being of the patient and can't be easily fudged. If I were contemplating that surgery the mortality rates would mean a lot more to me than a string of 99 to 100% patient satisfaction bars on a chart.Engineer on Medicarenoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-26617865896371032332010-12-10T13:00:17.151-05:002010-12-10T13:00:17.151-05:00Nice job!
What about patient satishfacton? The num...Nice job!<br />What about patient satishfacton? The number above are easy to measure, it is however not always the easiest measurements that are the best.<br />/ParAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-50401923883120407172010-12-10T12:19:46.680-05:002010-12-10T12:19:46.680-05:00I am a member of the recently formed National Asso...I am a member of the recently formed National Association for Healthcare Quality (NAHQ) Ethical Challenges in Healthcare Quality Task Team. We recently completed a member survey regarding ethical dilemmas that quality professionals face and are drafting a white paper which will include an analysis of the member survey. We plan to collaborate with other stakeholders in early 2011 to address these issues.<br /><br />There are issues with intimidation of quality professionals who seek to address and remedy significant quality issues. Yes, we must get past a culture of blame and litigation and persuade people that transparency works.Ruth Nayko, RN, MBA, CPHQ, CPHRMnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-18324529318753085472010-12-10T12:18:48.636-05:002010-12-10T12:18:48.636-05:00Just for fun, I googled 'outcomes pancreatic r...Just for fun, I googled 'outcomes pancreatic resection' for Cleveland Clinic (renowned for its fancy-schmancy outcomes booklets sent to outside physicians); Mayo Clinic, and BIDMC. Results:<br /><br />CC: one bar graph on pancreatic cancer citing "Progress toward Leapfrog objectives". ???<br /><br />MC: nothing on outcomes, just an educational page on various types of pancreas surgery.<br /><br />BIDMC: took me right to the website with the outcomes chart.<br /><br />They should be coming to you to learn how to do this.<br /><br />nonlocalAnonymousnoreply@blogger.com