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Accountable Care Organizations (ACOs)

Berwick and Gilfillan offer six recommendations for reinventing CMMI. My response is yes, but they don’t address the #1 issue: failure to achieve critical mass.

In a recent health policy viewpoint article in JAMA, Drs. Don Berwick and Rick Gilfillan noted that, although the CMS Center for Medicare and Medicaid

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Dr. Ward April 7, 2021 3 Comments

Beautiful video from Cleveland Clinic advocating empathy

We focus on optimizing care processes, analyzing data, implementing technology, and the other technical and scientific aspects of our work to improve health care.  But,

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Dr. Ward March 29, 2013 No Comments
ACO Culture

Michigan physicians are more focused on medical homes and accountable care organizations and more optimistic about careers in medicine. Coincidence?

A recent article in Crains Detroit Business reported the results of a national physician survey conducted by The Doctors’ Company, a large malpractice insurer. According

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Dr. Ward March 24, 2012 No Comments
ACO Culture

To resolve conflicts, re-frame polar positions as optimization between undesirable extremes. But, sometimes there is no way to win.

In politics and professional life, achieving success requires the ability to resolve conflicts.  I’ve noticed that conflicts often become entrenched because the opposing parties both

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Dr. Ward February 18, 2012 3 Comments
ACO Culture

Health Care Heroes: Don Berwick, MD – Adapting industrial quality improvement principles to the improvement of health care processes

Last week, Don Berwick, MD, announced his resignation as Administrator of the Centers for Medicare and Medicaid Services (CMS).  Now is a good time to

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Dr. Ward November 30, 2011 3 Comments
ACO Culture

Primary care physicians acknowledge over-utilization and blame it on the lawyers.

Catching up on some reading, I came across this article in Medical News Today, describing the results of survey research conducted by Brenda E. Sirovich,

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Dr. Ward November 5, 2011 No Comments
ACO Culture

How do we reduce errors in software and data analysis? Culture of Accountability vs. Culture of Learning

A young colleague recently wrote to me complaining of frustration from having to deal with a high rate of errors in software development and data

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Dr. Ward September 24, 2011 1 Comment
ACO Culture

What can we learn from the managed care backlash of the 1990s? Can we avoid an ACO backlash?

Advocates of “accountable care organizations” (ACOs) are careful to avoid the terminology of “managed care,” which is widely viewed as a failed model from the

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Dr. Ward September 10, 2011 No Comments
ACO Culture

Reports of the death of Cost-Effectiveness Analysis in the U.S. may have been exaggerated: The ongoing case of Mammography

Guidelines for the use of mammograms to screen for breast cancer have been the topic of one of the fiercest and longest-running debates in medicine.

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Dr. Ward August 13, 2011 No Comments
ACO Culture

How to get a clearer picture of economic performance: Standard Cost and Payer Neutral Revenue

This morning, I read a set of slides published by the American Hospital Association (AHA) and the Health Research and Education Trust (HRET) called “Striving

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Dr. Ward June 18, 2011 No Comments
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