Quality of Healthcare
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How to provide individualized care in an era of standardized office processes and procedures

How to provide individualized care in an era of standardized office processes and procedures | Quality of Healthcare | Scoop.it
Standardization of office processes and procedures is not incompatible with the “personal touch.”
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How Value-Based Payment Arrangements Should Measure Behavioral Health

How Value-Based Payment Arrangements Should Measure Behavioral Health | Quality of Healthcare | Scoop.it
How Value-Based Payment Arrangements Should Measure Behavioral Health | At the intersection of health, health care, and policy.
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Systems Approach | AHRQ Patient Safety Network

Systems Approach | AHRQ Patient Safety Network | Quality of Healthcare | Scoop.it
Medicine has traditionally treated errors as failings on the part of individual providers, reflecting inadequate knowledge or skill. The systems approach, by contrast, takes the view that most errors reflect predictable human failings in the context of poorly designed systems.
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Institute for Healthcare Improvement: Four Tips on Reliability from Venomous Snake Handlers

Institute for Healthcare Improvement: Four Tips on Reliability from Venomous Snake Handlers | Quality of Healthcare | Scoop.it
Health care has learned a lot about safety from the aviation industry.

But what about zoos?
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Less than one-quarter of Georgia hospitals score “A” in safety ratings

Just 22 percent of Georgia hospitals received an “A” grade on patient safety in the latest ratings from the Leapfrog Group. That put Georgia in a tie for 36th place among states ranked on percentages of top-safety hospitals. The ratings from Leapfrog, a patient safety organization founded by employers, are issued semi-annually, in fall and spring. In this year’s spring survey, Georgia came in 35th among states in the overall percentage of top-performing hospitals. The Leapfrog Group’s rankings are part of a growing movement to analyze and report publicly on the quality of medical care. Leapfrog gives “A” through “F” grades to more than 2,600 hospitals based on how they prevent medical errors, injuries, accidents and infections. Not all hospitals are graded: Critical access hospitals and pediatric facilities are excluded because of insufficient data. Hospital safety problems, including patient injuries, accidents and infections, kill more than 200,000 Americans each year, making these errors the third-leading cause of death in the nation, Leapfrog said. “In the fast-changing health care landscape, patients should be aware that hospitals are not all equally competent at protecting them from injuries and infections,’’ Leapfrog President and CEO Leah Binder said in a statement. “We believe everyone has the right to know which hospitals are the safest and encourage community members to call on their local hospitals to change, and on their elected officials to spur them to action. States that put a priority on safety have shown remarkable improvements.” Of the U.S. hospitals evaluated by Leapfrog
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La cantidad siempre vence a la calidad | El Arte de Presentar

La cantidad siempre vence a la calidad | El Arte de Presentar | Quality of Healthcare | Scoop.it
Deja de teorizar y ponte a trabajar. La perfección no existe. Tus presentaciones mejorarán cuantas más hagas.
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Patient satisfaction can be done right. Here's how.

Patient satisfaction can be done right. Here's how. | Quality of Healthcare | Scoop.it
A patient may be very satisfied one moment and dead the next.
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Lo viejo no es enemigo de lo nuevo: estándares de calidad para instituciones sanitarias

Lo viejo no es enemigo de lo nuevo: estándares de calidad para instituciones sanitarias | Quality of Healthcare | Scoop.it
Blog sobre gestión clínica, innovación y gestión santaria
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The Top Five Recommendations For Improving the Patient Experience | THCB

patient experiences—even more than adherence to clinical guidelines—are associated with better outcomes
Dr. Luis Ramos Neira's insight:
“patient experiences—even more than adherence to clinical guidelines—are associated with better outcomes”
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I am a Terrible Doctor; and I’m Proud of it

I am a Terrible Doctor; and I’m Proud of it | Quality of Healthcare | Scoop.it
So yes: the insurance companies say I’m a terrible doctor. And I’m proud of it.
Dr. Luis Ramos Neira's insight:
“So yes: the insurance companies say I’m a terrible doctor. And I’m proud of it.”
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Razones de por qué el Lean Healthcare funciona en Sanidad • MBA • IMF

Razones de por qué el Lean Healthcare funciona en Sanidad • MBA • IMF | Quality of Healthcare | Scoop.it
Muchas veces llegan a nuestros entornos sanitarios lo que parecen modas sobre gestión y así parece que pudiera ocurrir cuando hablamos de Lean Healthcare.
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It’s Happening; Unintended Consequences of “Quality”

It’s Happening; Unintended Consequences of “Quality” | Quality of Healthcare | Scoop.it
Once again, I called it! Some of my previous takes on the fallacies of "Quality": 9/24/09: The biggest mistake made by Medicare, private insurers, and other entities seeking to improve medical care by rewarding “quality” is mistaking it for “performance”. 2/18/13: The real reason doctors have begun “requiring” that patients undergo all manner of screening…
Dr. Luis Ramos Neira's insight:
-What!???
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How We Can Engineer a Less Costly Health Care System

How We Can Engineer a Less Costly Health Care System | Quality of Healthcare | Scoop.it
we cannot ignore the dysfunctional systems at the heart of how we care
Dr. Luis Ramos Neira's insight:
"We cannot ignore the dysfunctional systems at the heart of how we care”
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Institute for Healthcare Improvement: Measurement of Improvement or Measurement for Improvement?

Institute for Healthcare Improvement: Measurement of Improvement or Measurement for Improvement? | Quality of Healthcare | Scoop.it
on their own, inspection methods cannot move a system to a higher level of performance beyond that dictated by its underlying design
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Experiencia o satisfacción del paciente

Experiencia o satisfacción del paciente | Quality of Healthcare | Scoop.it
Blog sobre gestión clínica, innovación y gestión santaria
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Big Hospital Network Cracks Down On The Right To Sue

Big Hospital Network Cracks Down On The Right To Sue | Quality of Healthcare | Scoop.it
Some networks of hospitals, doctors and medical services are now so dominant in their region that they can hike their prices and force patients to waive the right to sue when things go wrong.
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VA touts patient satisfaction, but its findings are questionable

Veterans Affairs leaders downplay wait times for appointments and tout patient satisfaction, but can anyone count on the data?
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Editorial: Lower the volume on quality reporting

Editorial: Lower the volume on quality reporting | Quality of Healthcare | Scoop.it
What you don't measure, you can't improve. But if you measure everything, you are at risk of sending false signals about what's important and what's not.
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The insurance companies say I'm a terrible doctor. And I'm proud of it.

The insurance companies say I'm a terrible doctor. And I'm proud of it. | Quality of Healthcare | Scoop.it
if you look at the meaningless quality indicators generated by various insurance companies, I look like a terrible doctor
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Building Better Metrics:  Patient-Driven Metrics | THCB

A patient may be very satisfied one moment and dead the next.
Dr. Luis Ramos Neira's insight:
"A patient may be very satisfied one moment and dead the next."
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6 unintended consequences of online doctor reviews

6 unintended consequences of online doctor reviews | Quality of Healthcare | Scoop.it
There are several things that reviews do that is, in fact, damaging to the care of patients in medicine.
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BMJ Blogs: The BMJ » Blog Archive » Richard Smith: The “micro-macro problem” and the difficulty of using evidence to make policy

BMJ Blogs: The BMJ » Blog Archive » Richard Smith: The “micro-macro problem” and the difficulty of using evidence to make policy | Quality of Healthcare | Scoop.it
Making policy is fundamentally different from treating patients.
Dr. Luis Ramos Neira's insight:
Conclusion, make best you can, best you know, trying to keep both politicians and gurus away from it. Catch the systems approach, else, your doomed.
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Physician outcomes should be quality measures

Physician outcomes should be quality measures | Quality of Healthcare | Scoop.it
Give physician outcomes the attention they deserve.
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On the Worst Healthcare Experience of My Life | THCB

On the Worst Healthcare Experience of My Life | THCB | Quality of Healthcare | Scoop.it
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