healthcare quality

Decision Fatigue in Healthcare

Nov 20, 2019

I once read an article that one of my colleagues left on my desk entitled "2017 Healthcare in Crisis, Needs a Revolution" by Dr. Bill Bysinger, PhD. The opening sentence of this articles states "Having been involved in healthcare since 1980, I continue to be frustrated by the lack of real change or improvement in the industry". In addition, we are confronted every day with news about what our political leaders are contemplating doing in regards to repeal and replacement of the Affordable Care Act (Obamacare). For those of us who spend most of our waking hours involved in the process of...

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Filed Under: changes in healthcare, doctor shortages, healthcare quality, patient satisfaction

The Cost of Overmedication

Aug 29, 2019

Pharmacy costs keep going up. If you are one of the millions of people taking prescription medication regularly, you know this well. In fact, a study by The National Health Expenditure Accounts Team found that in 2016 a staggering amount near $329 billion was spent on prescription drugs in the U.S. alone.  That number is growing year after year. There are many reasons why this amount is so high, but one simple reason seems to glare at us above the others -  overmedication. The Epidemic of Overmedication It is a known fact that the elderly are especially at risk of overmedication . Many...

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Filed Under: elder care, health coach, Health Management, healthcare coach, healthcare quality, Insider, medications, overmedication, polypharmacy, too many pills

Mental Health Disease – the Silent Illness

Aug 28, 2019

My first contact with a tangible mental illness and its implications occurred as a young lawyer trying a murder case in which my client, assigned to me by the court, was accused of murdering his wife. In the normal course, I sought a mental health evaluation of my client. I called one of the most prominent forensic psychiatrists in Detroit and asked him if he would evaluate this individual to determine if he could stand trial or if there was a mental health defense to his criminal actions. The psychiatrist visited the individual at the county jail and conducted an...

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Filed Under: changes in healthcare, Health Management, healthcare quality, Mental Health, mental status affects health

Shopping for Art – Healthcare

Jul 30, 2019

Have you ever thought about the fact that when you walk into an art gallery you are drawn to certain artists and the works they have created? This idea that in art one size does not fit all also applies to healthcare. We see numerous articles about how we as Americans comparison shop for our cars, dishwasher and almost anything else you can find on Amazon or other websites. In her article for Real Clear Health on the future of healthcare, Seema Verma states, "Our demand for a value is the engine that drives competition which, in turn, lowers prices and inspires...

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Filed Under: changes in healthcare, Health Management, healthcare quality, Insider, medical access

Drug Wastage: Hospital & Outpatient

Jul 19, 2019

Drug wastage is defined as the portion of a medication bottle, syringe, or vial that is not given to a patient. Drug wastage has been found to contribute at least an additional two percent cost to total spending across all pharmaceutical lines. There are effects not only on patients due to the cost, but also to insurance companies, hospitals and other healthcare centers, and the patient’s or insured’s employers, especially when it is a smaller company. Nursing Home Drug Waste It should come as no surprise that nursing home residents consume a large amount of prescription drugs. It has been shown that 25%...

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Filed Under: elder care, healthcare quality, medications, overmedication, polypharmacy, preventive healthcare, too many pills