Recent article From the Sunday New York Times: "Doctor, shut up and listen!"

Vic Nicholls nichollsvi2 at GMAIL.COM
Fri Jan 9 21:35:47 UTC 2015


Thanks.

Then again the ABIMination that is MOC costs us ALL more money in the 
end too. I wonder if there is a study that can be done to show that if 
docs had other ways of learning, keeping up to date, that were useful 
for patients, how much of a dent in improved diagnoses would occur?

Victoria

On 1/7/2015 11:16 AM, Bob Latino wrote:
>
> Valid points Vic.
>
> Then my statement would apply to the entities that set those limiting 
> requirements; because in the end, it costs them more money to treat 
> what they could have prevented.
>
> *Robert J. Latino, CEO*
>
> Reliability Center, Inc.
>
> 1.800.457.0645
>
> blatino at reliability.com
>
> www.reliability.com
>
> *From:*Vic Nicholls [mailto:nichollsvi2 at GMAIL.COM]
> *Sent:* Wednesday, January 07, 2015 9:32 AM
> *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
> *Subject:* Re: [IMPROVEDX] Recent article From the Sunday New York 
> Times: "Doctor, shut up and listen!"
>
> For the professionals who treat patients on the list:
>
> the "avg" time is 6-10 min per patient for an office visit. Do you 
> think that if this went to 15 min each patient, that would help? I 
> understand Mr. Latino's point below, however the driver I see is more 
> admin/finance rather than common sense in that 6-10 min. visits don't 
> allow for proper 'do it right the first time'.
>
> I would think that the reimbursement for 2 visits at 6-10 min is less 
> than 1 visit at 15 min?
>
> Thanks,
>
> Victoria
>
> On 1/7/2015 8:43 AM, Bob Latino wrote:
>
>     We never seem to have the time and budget to do things right, but
>     we always seem to have the time and budget to do them again!
>
>     *Robert J. Latino, CEO*
>
>     Reliability Center, Inc.
>
>     1.800.457.0645
>
>     blatino at reliability.com <mailto:blatino at reliability.com>
>
>     www.reliability.com <http://www.reliability.com>
>
>     *From:*Jason Maude [mailto:Jason.Maude at ISABELHEALTHCARE.COM]
>     *Sent:* Wednesday, January 07, 2015 4:39 AM
>     *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
>     <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
>     *Subject:* Re: [IMPROVEDX] Recent article From the Sunday New York
>     Times: "Doctor, shut up and listen!"
>
>     Thanks for alerting us to this article. One of the really positive
>     things about the article is not just the improved care now being
>     given but a great example of the Chief Medical Office and his
>     senior colleagues managing/leading and setting a standard of care.
>     He states in the article "I realize that many colleagues may see
>     methods like ours as too intrusive on their clinical practice and
>     may say that they don’t have the time.” I believe we need to see
>     much more of this in hospitals. Too often, for example, we see DDS
>     viewed as an end in itself rather than a tool to help with setting
>     a standard of care and I think this explains why adoption of these
>     tools is still relatively low.
>
>     Regards
>
>     Jason
>
>     Jason Maude
>
>     Founder and CEO Isabel Healthcare
>     Tel: +44 1428 644886
>     Tel: +1 703 879 1890
>     www.isabelhealthcare.com <http://www.isabelhealthcare.com/>
>
>     *From: *<Bruno>, Michael <mbruno at HMC.PSU.EDU
>     <mailto:mbruno at HMC.PSU.EDU>>
>     *Reply-To: *Society to Improve Diagnosis in Medicine
>     <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
>     <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>, "Bruno, Michael"
>     <mbruno at HMC.PSU.EDU <mailto:mbruno at HMC.PSU.EDU>>
>     *Date: *Tuesday, 6 January 2015 20:23
>     *To: *"IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
>     <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>"
>     <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
>     <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>>
>     *Subject: *[IMPROVEDX] Recent article From the Sunday New York
>     Times: "Doctor, shut up and listen!"
>
>     *Greetings IMPROVEDX List-serve colleagues, and Happy New Year! *
>
>     **
>
>     *Thanks to Jason and Thomas for starting this years’ discussion.*
>
>     **
>
>     *The attached article appeared in the Sunday /New York Times/.   I
>     thought it was relevant to our group’s discussion.*
>
>     **
>
>     http://www.nytimes.com/2015/01/05/opinion/doctor-shut-up-and-listen.html?_r=0
>
>     *All the best,*
>
>     **
>
>     *Description: Description: Description:
>     \\hersheymed.net\files\Staff\M\mbruno\Signature2.gif.gif*
>
>     *Michael A. Bruno, M.D., F.A.C.R.
>     Professor of Radiology & Medicine
>     Director of Quality Services & Patient Safety
>     The Milton S. Hershey Medical Center
>     Penn State College of Medicine
>     500 University Drive, Mail Code H-066
>     Hershey, PA  17033
>
>     Phone: (717) 531-8703
>     Fax:      (717) 531-5596
>
>     e-mail: mbruno at hmc.psu.edu <mailto:mbruno at hmc.psu.edu>*
>
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>
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>     *From:*Carroll, Thomas [mailto:Thomas_Carroll at URMC.ROCHESTER.EDU]
>     *Sent:* Tuesday, January 06, 2015 1:44 PM
>     *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
>     <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
>     *Subject:* Re: [IMPROVEDX] "Early diagnostic suggestions improve
>     accuracy of GPs"
>
>     Interesting. My question would be how this would translate to the
>     real world.  In this artificial environment we know whether or not
>     the “correct” dx is in the list of suggested dx’s.  That would not
>     be the case in the real world.
>
>     Thomas M. Carroll M.D., Ph.D.
>
>     Assistant Professor, General Medicine & Palliative Care
>
>     University of Rochester
>     thomas_carroll at urmc.rochester.edu
>     <mailto:thomas_carroll at urmc.rochester.edu>
>     Pager 5-1616 #3872
>
>     Tel: 585-275-7424 (General Medicine Office)
>
>     Tel: 585-273-1154 (Palliative Care Office)
>
>     Tel: 585-341-6775 (Resident Practice, Highland Hospital)
>
>     *From:*Jason Maude [mailto:Jason.Maude at ISABELHEALTHCARE.COM]
>     *Sent:* Tuesday, January 06, 2015 1:25 PM
>     *To:* IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
>     <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
>     *Subject:* [IMPROVEDX] "Early diagnostic suggestions improve
>     accuracy of GPs"
>
>     This is very interesting study just published in the British
>     Journal of General Practice which also highlights the potential
>     value of patients using symptom checkers and handing the results
>     to their doctor at the start of the consultation. This would get
>     over the current technical challenges of a system automatically
>     producing a differential from more complex cases with multiple
>     symptoms.
>
>     http://bjgp.org/content/65/630/e49
>     <https://urldefense.proofpoint.com/v2/url?u=http-3A__bjgp.org_content_65_630_e49&d=AwMFAg&c=4sF48jRmVAe_CH-k9mXYXEGfSnM3bY53YSKuLUQRxhA&r=R16GG-MhGQFeEbiQbUUeP30HTmJHZlqL3XxjDPQtyXcSwB0zl0UIXhhofztdrEG1&m=eGvrWf26LmmmVkGW0vnRf9XeztEuR6JjBE8n1vgrIvU&s=uIrQIXl54eDZI6b32fN7ALZnLQKX_yTntnGzo_z3mD0&e=>
>
>     Regards and Happy New Year to the group.
>
>     Jason
>
>     Jason Maude
>
>     Founder and CEO Isabel Healthcare
>     Tel: +44 1428 644886
>     Tel: +1 703 879 1890
>     www.isabelhealthcare.com
>     <https://urldefense.proofpoint.com/v2/url?u=http-3A__www.isabelhealthcare.com_&d=AwMFAg&c=4sF48jRmVAe_CH-k9mXYXEGfSnM3bY53YSKuLUQRxhA&r=R16GG-MhGQFeEbiQbUUeP30HTmJHZlqL3XxjDPQtyXcSwB0zl0UIXhhofztdrEG1&m=eGvrWf26LmmmVkGW0vnRf9XeztEuR6JjBE8n1vgrIvU&s=rZEhyq7LgURp9ngavWrjRLodS2ccXYnsmuk6_HzmETc&e=>
>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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