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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
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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
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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
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RESOURCE: 20 Tips for Creating a Professional Learning Network – Getting Smart by Miriam Clifford

Just this month, a tech news article showcased how Harvard scientists are considering that “sharing discoveries is more efficient and honorable than patenting them.”  This idea embodies the true spirit of a successful professional learning network: collaboration for its own sake. As educators, we aim to be connected to advance our craft.  On
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MANUSCRIPT: Reviewing social media use by clinicians

ABSTRACT Adoption studies of social media use by clinicians were systematically reviewed, up to July 26th, 2011, to determine the extent of adoption and highlight trends in institutional responses. This search led to 370 articles, of which 50 were selected for review, including 15 adoption surveys. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3422846/pdf/amiajnl-2012-000990.pdf
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