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Health Updates on the Web
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The Patient Safety Group has compiled the latest in health, quality, and safety, news and reports.
AHRQ Innovations Exchange
A Family Guide: Integrating Mental Health and Pediatric Primary Care
Jul-16-2014
This guide for families provides practical information about the integrated care movement and how this approach can improve the quality of care children receive in pediatric primary care settings.
Alliance of Filipino-American Community Health Workers: Resource Library
Jul-16-2014
The resource library provided by The Alliance of Filipino-American Community Health Workers provides information to assist in many different areas of conducting a community health program.
Community Health Workers Offer Culturally Tailored Interactive Workshops and Counseling to Filipino Americans, Leading to Improvements in Medication Adherence and Cardiovascular Risk Factors
Jul-16-2014
Community health workers provided culturally tailored workshops and one-on-one counseling and support to Filipino Americans at high risk of cardiovascular disease, leading to greater adherence to medication regimens, better attendance at scheduled appointments, improved blood pressure control, and lower body mass index.
Health Plan's Multifaceted Strategy Involving Care Coordination, Disease Management and Physician Incentives Leads to Better Outcomes and Reduced Costs for Medicare Advantage Enrollees
Jul-16-2014
HealthSpring's Partnership for Quality program offers bonuses to physician practices and onsite care coordination and disease management support, leading to significantly better outcomes and reduced costs for Medicare Advantage enrollees.
Hospital Gain-Sharing Program Offers Incentives to Physicians Based on Their Efficiency, Producing Significant Cost Savings Without Decline in Quality
Jul-16-2014
A group of 12 New Jersey hospitals offered upside incentives to individual physicians based on their performance on various efficiency metrics, leading to significant cost savings without negatively affecting quality of care.
Hospital-Affiliated Physician Group Offers Modest Performance-Based Incentives to Salaried Physicians, Leading to Sustained Improvement on Quality-Related Metrics
Jul-16-2014
A hospital-affiliated physician group offers modest performance-based incentives to salaried physicians, leading to sustained improvements in performance on a broad array of quality-related metrics.
Payment Adjustments Tool For eHealth Programs
Jul-16-2014
This interactive tool helps practitioners determine their payment adjustments and reimbursements for each of the Medicare incentive programs.
Private Performance Feedback Reporting for Physicians: Guidance for Community Quality Collaboratives
Jul-16-2014
This resource document is intended to provide practical information and guidance primarily to Chartered Value Exchanges and other community quality collaboratives interested in the design, dissemination, and use of private feedback reports on physician performance.

AHRQ WEBMM
SPOTLIGHT CASE AND COMMENTARY: Wandering Off the Floors: Safety and Security Risks of Patient Wandering
Hospitalized for alcohol withdrawal, an elderly man was feeling "cooped up" by hospital day 6 and left the floor without informing any providers. An hour later upon return to his room, he complained of new arm pain. While off hospital grounds, the patient had fallen and broken his arm.
CASE AND COMMENTARY: May I Have Another?—Medication Error
A man admitted to the hospital for his first seizure was found to have been taking up to 10 tablets of 10 mg zolpidem per night (an unsafe dose) to fall asleep and had recently run out. The instructions on the medication label had stated: "If ineffective, take another."
CASE AND COMMENTARY: CVC Removal: A Procedure Like Any Other
Following removal of a central venous catheter placed during his admission for a prolonged course of intravenous antibiotics, a young man with a history of Behcet disease was discharged from the hospital. Shortly thereafter, he presented to the emergency department with acute onset shortness of breath and a "whistling sound" coming from his neck. Diagnosed with air embolism, he was admitted to the ICU.
In Conversation with...Dave deBronkart
Dave deBronkart, known as e-Patient Dave, is a co-founder and board member of the Society for Participatory Medicine and coauthor of Let Patients Help: A Patient Engagement Handbook. We spoke with him about engaging patients in safety and allowing patients to access their medical records.
Patient Advocacy in Patient Safety: Have Things Changed?
This piece describes the evolution of the patient advocacy movement, including the events that spurred it, resulting reforms, and the impact of online access to medical information.

BLOG
Crowdsourcing My New Book on How Computerization is Changing the Practice of Medicine in Surprising Ways
Jun-16-2014
I have been in blog-silence mode of late, for which I am sorry. Rumors that I’ve taken my Elton John act on the road are, I’m pleased to assure you, incorrect. Instead, I’ve been hard at work on my new book, tentatively titled “Disrupted: Hope, Hype and Harm at the Dawn of Medicine’s Digital Age.” […]
Hospitalist Potpourri
Apr-14-2014
I’m just back from the annual meeting of the Society of Hospital Medicine and, as usual, I was blown away. I’ve not seen a medical society meeting that is remotely like it. As Win Whitcomb, who co-founded SHM, wrote to me, the meeting is “a mix of love, deep sense of purpose, community, mission, changing-the […]
Patient Safety’s First Scandal: The Sad Case of Chuck Denham, CareFusion, and the NQF
Jan-30-2014
In retrospect – always in retrospect – it should have been obvious that, when it came to Dr. Charles Denham, something was not quite right. In a remarkable number of cases of medical errors, it’s clear – again, in retrospect – that there were signs that something was amiss, but they were ignored. The reasons […]
Global Health Hospitalists: Strange but Noble Bedfellows
Dec-19-2013
As my Division of Hospital Medicine has grown – now to about 60 faculty – I spend part of my time figuring out what direction we should go in. At times, the path is obvious. It didn’t take Wayne Gretsky to recognize that we needed expertise in healthcare IT a decade ago, or in cost […]



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