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Thursday, March 17, 2005

Are Older Healthcare Executives Dumber?

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I'm not sure any further explanation of the absurd title of this entry is needed in relation to what looks like a really pathetic attemp...

Are Older Doctors Dumber? - Reloaded

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Joe Diaz and I published an e-letter about the Chourdry et al review of physicians' age versus performance. The e-letter was similar to ...
Tuesday, March 15, 2005

Debate Swirls Around JAMA Article Critical of CPOE

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The recent JAMA article on Computerized Physician Order Entry (" Role of Computerized Physician Order Entry Systems in facilitating Med...
2 comments:

The Ten Day MBA

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On the topic of highly-paid MBA's without scientific or clinical knowledge, training or experience acting as bulls in a china shop in h...
Monday, March 14, 2005

A Million Dollar CEO With More Than an Arm Around "the Medical Expense Trend"

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Earlier, I noted how Charles Baker, the CEO of Harvard Pilgrim Health Care, in Massachusetts, scolded employees for their responsibility for...
Sunday, March 13, 2005

Medical Insta-matics phenomenon?

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Re: the post below, Locking the Emergency Department Doors in Toronto : I also note in the bio of Mr. Closson that "he is currently...

Locking the Emergency Department Doors in Toronto

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Yet another story about the hospital acute care capacity crunch, but with some new twists... The Toronto Sun reports that Toronto General Ho...

"The Way to Save Money and Increase Productivity is to Cut Management Jobs, Not Create Them"

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A telling statistic about health care administrators, this time from the UK. A commentary in the Telegraph reported that from 2001-02, the ...
Saturday, March 12, 2005

Re: Managed Care CEO Blames Patients for High Costs

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My additional thoughts on the post below by Roy Poses regarding Harvard Pilgrim CEO Charles Baker's brilliant idea of using patients th...

Managed Care CEO Blames Patients for High Costs

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Charles Baker, the CEO of Harvard Pilgrim, a large, and heretofore well-reputed non-for-profit managed care organization in Massachusetts (a...

Health Canada Official Sentenced for Fraud

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Another reminder that the irrestible temptations provided by running a large health care organization with a huge cash flow are not confined...
Friday, March 11, 2005

Refusing to Hire Smokers to Reduce Health Insurance Costs

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Montgomery County, Pennsylvania, is considering whether to stop hiring anyone who smokes, according to the Philadelphia Inquirer . The reaso...

Still More Fall-Out from the Bankruptcy of Allegheny: Womens' Medical Center to Close

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The fallout from the bankruptcy of Allegheny Health Education and Research Foundation (AHERF) continues even now. The Philadelphia Inquirer ...
1 comment:

Conflicted Leaders Leaving NIH

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Three leaders at the NIH whom the Los Angeles Times had reported had major conflicts of interest are going to leave, again according to the ...
Thursday, March 10, 2005

US senator says FDA needs independent safety office

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I think Senator Grassley has his priorities correct. As I wrote in a piece " Reflections on the future of drug safety surveillance from...
Wednesday, March 09, 2005

Upenn: Not What The Doctor Ordered

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The University of Pennsylvania has penned an excellent article in JAMA (March 9, 2005): Role of Computerized Physician Order Entry Systems i...
1 comment:
Tuesday, March 08, 2005

Mismanagement: Like Medical School, Like University

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Since the blog began in December, 2004, we have posted several stories about woes at the University of Colorado, suggesting poor management ...

"We Fear to Inform the IT Emperor That Some of His Clothes are Missing"

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After hearing a friend of mine rant about how guys in suits are trying to stuff the latest and greatest electronic health record (EHR) down ...

Tobacco CEO Quits Cancer Center Board

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For a rare look inside the often closed and shadowy world of hospital boards, see the Boston Globe report about the rise and fall of Dana-Fa...
Monday, March 07, 2005

"Crying All The Way to the Bank:" Marketing Old Drugs by Combining Them With New Ones

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From the NY Times , Pfizer has come up with a new scheme for marketing cholesterol lowering drugs. The compnay is running clinical trials o...
1 comment:
Sunday, March 06, 2005

Big Medical Organizations Still Don't Understand Why Medical Students Don't Choose Primary Care

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In Internal Medicine News Online is this gem of an article about how our fearless leaders are trying to attract more students into primary c...
Friday, March 04, 2005

FDA Scolds Drug Companies for Direct to Consumer Advertising

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In the Boston Globe , a US Food and Drug Admininstration (FDA) official scolded drug companies for their direct to consumer (DTC) advertisin...
Thursday, March 03, 2005

Who Paid Those Who Protest the New Stringent Policy Against Conflict of Interest at the NIH?

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The LA Times has yet more on the NIH . A committee of dissidents has been arguing that the new restrictions on outside income, consulting, s...

US FDA official promises early drug risk warnings

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My questions about the article below are these: 1. Exactly what "improvements in health and information technology" is Dr. Woodc...

On the Web-based health movement: consumers as informed self-care managers

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Amplifying the post below , I had written a piece "On the Web-based health movement: consumers as informed self-care managers" bac...
Wednesday, March 02, 2005

After "consumer driven health care" implodes, what next?

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This week's New Republic has a very thought-provoking article by former NEJM editor Arnold Relman. It takes on some of the issues in he...

A Health Care System "Better Suited to a Monty Python Movie"

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In the US, advocates for a single-payer health care financing system have long cited the Canadian model. And many of these advocates have im...

Managed Care: The Reality

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Managed care advocates claimed it would improve quality and reduce costs. Here are two more examples of the reality which proved to be some...
Tuesday, March 01, 2005

The New England Journal of Medicine Meets Radical Chic

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The New England Journal of Medicine rarely prints obituaries. Before this week, its last published obituary was of Francis Crick, who discov...
Monday, February 28, 2005

Follow Up on Alleged Conflicts of Interest Affecting the FDA Panel on Cox-2 Inhibitors

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Bloomberg reported that an FDA spokesperson claimed that "the advisory committee members were screened for conflicts of interest accord...