Category : Rapid Learning Healthcare System

MANUSCRIPT: Tumor Boards (Team Huddles) Aren’t Enough to Reach the Goal

Incremental changes in the tumor board infrastructure may increase the value of these team meetings and extend their potential benefits to low-volume physicians. The application of technology to create the “virtual” or telemedicine tumor board should be explored. Synchronous audio and video presentations that link physicians in remote areas with disease-specific expert clinicians, as well as

RESOURCE: 77% of Academic Leaders Rate MOOC Outcomes Same or Superior to Face-to-Face Learning – Compass Higher Education Consulting

Changing Course: Ten Years of Tracking Online Education in the United States,” a 2012 collaborative survey report based on responses from over 2,800 academic leaders and published by the Babson Survey Research Group, College Board and the Sloan Consortium, shows a clear migration and accepting uptake of MOOC’S (Massive Open

MANUSCRIPT: Workplace learning

Abstract This critical review found Dutch research to be strong at the undergraduate and residency levels and more or less absent in continuing medical education. It  confirms the importance of coaching medical students, giving constructive feedback, and ensuring practice environments are conducive to learning though it has proved hard to improve them. Residents learn primarily

MANUSCRIPT: Word of Mouth and Physician Referrals Still Drive Health Care Provider Choice

Sponsors of health care price and quality transparency initiatives often identify all consumers as their target audiences, but the true audiences for these programs are much more limited. In 2007, only 11 percent of American adults looked for a new primary care physician, 28 percent needed a new specialist physician

MANUSCRIPT: Care Patterns in Medicare and Their Implications for Pay for Performance

Conclusions In fee-for-service Medicare, the dispersion of patients’ care among multiple physicians will limit the effectiveness of pay-for-performance initiatives that rely on a single retrospective method of assigning responsibility for patient care. http://www.nejm.org/doi/pdf/10.1056/NEJMsa063979

MANUSCRIPT: Dropping the Baton: Specialty Referrals in the United States – MEHROTRA – 2011 – Milbank Quarterly – Wiley Online Library

Findings: PCPs vary in their threshold for referring a patient, which results in both the underuse and the overuse of specialists. Many referrals do not include a transfer of information, either to or from the specialist; and when they do, it often contains insufficient data for medical decision making. Care across the primary-specialty interface

MANUSCRIPT: Primary Care Physician Specialty Referral Decision Making: Patient, Physician, and Health Care System Determinants

Conclusions. PCPs’ referral decisions are influenced by a complex mix of patient, physician, and health care system structural characteristics. Factors associated with more discretionary referrals may lower PCPs’ thresholds for referring problems that could have been managed in their entirety within primary care settings. http://mdm.sagepub.com/content/26/1/76.full.pdf html

MANUSCRIPT: Mapping Physician Networks with Self- Reported and Administrative Data

Objective: To assess whether connections between physicians based on shared patients in administrative data correspond with professional relationships between physicians. Data Sources/Study Setting: Survey of physicians affiliated with a large academic and community physicians’ organization and 2006 Medicare data from a 100 percent sample of patients in the Boston Hospital referral region. http://humannaturelab.net/wp-content/themes/human-nature-lab/media/pdf/publications/articles/122.pdf

MANUSCRIPT: Physician Patient-sharing Networks and the Cost and Intensity of Care in US Hospitals

Background: There is substantial variation in the cost and intensity of care delivered by US hospitals. We assessed how the structure of patient-sharing networks of physicians affiliated with hospitals might contribute to this variation. http://humannaturelab.net/wp-content/themes/human-nature-lab/media/pdf/publications/articles/128.pdf

MANUSCRIPT: Reasons for Choice of Referral Physician Among Primary Care and Specialist Physicians

BACKGROUND: Specialty referral patterns can affect health care costs as well as clinical outcomes. For a given clinical problem, referring physicians usually have a choice of several physicians to whom they can refer. Once the decision to refer is made, the choice of individual physician may have important downstream effects. OBJECTIVE: To examine the reasons why