Oregon’s Dilemma: How To Measure Health
The federal government has allocated $2 billion to Oregon to test ideas for coordinating care given by doctors, nurses, and hospitals. Now, the state has to figure out how it will measure its success
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The federal government has allocated $2 billion to Oregon to test ideas for coordinating care given by doctors, nurses, and hospitals. Now, the state has to figure out how it will measure its success
Nurses say understaffing at hospitals should be illegal; hospitals say the laws tie their hands.
In recent weeks, readers have reacted to stories about climbing death rates at critical access hospitals, the readmissions penalties being imposed on some hospitals and Walgreens' move to become the first retail chain to diagnose and treat chronic conditions. Other coverage that drew responses included a story about angry doctors as well as coverage of decisions made both by physicians and consumers that impact the cost of care.
Dr. Ashenafi Waktola relies on his own experience as a refugee from Ethiopia to shape his practice in Silver Spring, Md. where almost 50 percent of his patients are refugees. The 76,000 new arrivals from troubled countries who come to the U.S. each year qualify for government health care for eight months, but they often face language barriers and a confounding system when that special status elapses.
Even though the 2010 health law stymies their growth, these hospitals are gaining under Medicare's quality payments programs.
Some experts say the pool of psychologists, psychiatrists and others is too small and the federal effort could jeopardize understaffed local centers.
Jose Chavez Gonzalez was working construction but had eight years of medical training in El Salvador. A UCLA program finds its candidates working in warehouses, meat packing plants and behind the counter at McDonalds.
Stores in 18 states to use nurse practitioners, physician assistants to expand services to include diagnosis and treatment for chronic conditions such as diabetes and asthma.
A clinic in a Camden, N.J., apartment building makes slow progress persuading patients not to use hospital emergency rooms for primary care.
These critical access hospitals, which are often in rural areas, get paid more generously by Medicare and are exempt from some federal reporting standards. But those exemptions may be hiding quality issues at the facilities.
Quinnipiac University in Connecticut is recruiting its first class for the Frank H. Netter MD School of Medicine, with an eye toward meeting the coming demand for more primary care physicians.
State officials want to limit hospital spending to the growth rate of the state's economy, a huge challenge for hospitals.
To save money, some cut procedures, such as labor and delivery services, but a growing number are forced to close.
Consortium of large employers says that only 10.9 percent of employers' health spending is based on value-based payment.
While some emergency department doctors take strong positions against guns, others maintain that the first defense is keeping firearms out of the hands of people who are mentally ill.
Physicians are urged to discuss access to firearms with patients who might be suicidal.
Consumer columnist Michelle Andrews answers a reader question about what triggers Medicare's penalties for hospitals who readmit patients too frequently.
With an expanding number of groups offering a stamp of approval, consumers find a confusing array of quality awards to consider when choosing a hospital.
Dr. Valerie Goodman, an osteopathic doctor, explains osteopathic medicine and how it influences how she delivers patient-centered care at her practice in rural Centreville, Md.
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