“Discharging the (Old) Discharge Summary: How AI is Rewriting the Last Chapter of the Hospital Stay”

“Discharging the (Old) Discharge Summary: How AI is Rewriting the Last Chapter of the Hospital Stay” Hospital discharge summaries have always been the awkward epilogue of the patient’s inpatient journey—something between a clinical record, a legal form, and a lengthy regurgitation of disconnected items from within the chart. Traditionally, they’ve been authored by overworked residents […]

How To Reduce CHF Readmissions

Reducing readmission rates, with a particular focus on Congestive Heart Failure, which is our index disease process due for this effort to its frequency, complexity, and high rates of both mortality and readmissions.

December 2020

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments.

December 2020

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows.

October 2020

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows.

October 2020

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments.

September 2020

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows

September 2020

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments

Be Ready • Be Safe • Vote

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August 2020

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows

August 2020

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments

July 2020

Value in healthcare is the obverse of waste. Easy to agree but hard to identify. Read more about it here.

July 2020

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows

July 2020

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments

July 2020

Selected review articles recently published – good care and diagnostic overviews. Read all about it.

June 2020

Value in healthcare is the obverse of waste. Easy to agree but hard to identify. Read more about it here.

June 2020

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows

June 2020

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments

June 2020

Selected review articles recently published – good care and diagnostic overviews. Read all about it.

February 2020

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows

February 2020

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments

January 2020

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows

January 2020

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments

December 2019

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows

December 2019

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments

November 2019

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows

November 2019

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments

RAC of Lamb

Rack: noun \ ˈrak \ (2) : an instrument of torture on which a body is stretched (3) : a cause of anguish or pain

October 2019

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows

October 2019

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments

October 2019

Selected review articles recently published – good care and diagnostic overviews. Read all about itOctober 2019

September 2019

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows

September 2019

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments

August 2019

Articles related to 3 essentials of care – Quality of Care, efficiency of care delivery, and designing optimal workflows

August 2019

The politics and economics of health care are inescapable. Here is some of what is being written about these endless developments

Quality & Safety Updates #3

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Quality & Safety Updates #2

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.19.13″] Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean id ipsum blandit urna fringilla elementum. In condimentum orci eu tempor iaculis. In bibendum dolor rhoncus dui pellentesque egestas. Sed malesuada ullamcorper orci a accumsan. Duis et nulla suscipit, fringilla massa a, euismod tellus. Ut in pellentesque mi. Praesent at suscipit arcu. […]

Quality & Safety Updates #1

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.19.13″] Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean id ipsum blandit urna fringilla elementum. In condimentum orci eu tempor iaculis. In bibendum dolor rhoncus dui pellentesque egestas. Sed malesuada ullamcorper orci a accumsan. Duis et nulla suscipit, fringilla massa a, euismod tellus. Ut in pellentesque mi. Praesent at suscipit arcu. […]

Epic Update #2

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Epic Update #1

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.19.13″] Lorem ipsum dolor sit amet, consectetur adipiscing elit. Aenean id ipsum blandit urna fringilla elementum. In condimentum orci eu tempor iaculis. In bibendum dolor rhoncus dui pellentesque egestas. Sed malesuada ullamcorper orci a accumsan. Duis et nulla suscipit, fringilla massa a, euismod tellus. Ut in pellentesque mi. Praesent at suscipit arcu. […]

Department of Medicine Rules Regulations & Best Practices

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May 2019

Current literature about doing things more effectively – avoiding excessive testing and treatment

Pulmonary Embolism

Most patients with PE can be treated as outpatients or very short hospital stay. Here are some tips to getting your patient home promptly when they don’t need to be here.

February Test

[et_pb_section fb_built=”1″ _builder_version=”3.19.13″][et_pb_row _builder_version=”3.19.13″][et_pb_column type=”2_3″ _builder_version=”3.19.13″][et_pb_text _builder_version=”3.19.13″] Your content goes here. Edit or remove this text inline or in the module Content settings. You can also style every aspect of this content in the module Design settings and even apply custom CSS to this text in the module Advanced settings. [/et_pb_text][/et_pb_column][et_pb_column type=”1_3″ _builder_version=”3.19.13″][/et_pb_column][/et_pb_row][/et_pb_section]

August 2018

Better value is needed but sometimes hard to find or define. Current literature highlights where we can do things better, avoid unnecessary testing and treatment, and better look at the big picture

July 2018

Better value is needed but sometimes hard to find or define. Current literature highlights where we can do things better, avoid unnecessary testing and treatment, and better look at the big picture.

June 2018

Better value is needed but sometimes hard to find or define. Current literature highlights where we can do things better, avoid unnecessary testing and treatment, and better look at the big picture.

May 2018

Better value is needed but sometimes hard to find or define. Current literature highlights where we can do things better, avoid unnecessary testing and treatment, and better look at the big picture.

April 2018

Our commitment to value includes recognizing and reducing waste – medical recycling if you will – here are some of the recent papers addressing this.

March 2018

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Pulmonary hypertension in HF-PEF – frequency and significance – Opioids and invasive pneumococccal disease editorial – MRI targeted biopst for prostate cancer – Concerns about ACC guidelines for hypertension in older adults – Ashma guidelines [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

January 2018

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Clinical decision support may be best strategy to reduce imaging for pulmonary embolism – Editorial – implications of declining BP in elderly patients – Less is more campaign – cautions – Spy pill – The Power of the Physician’s Words [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

January 2018

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] Politicoeconomic Articles – HHS banning CDC from using selected words for political reasons – Trump’s Mental Health as a Public Safety Concern – Why the US pays so much for health care – high prices – You’re Sick – Whose Fault is That Work Flow Articles – A […]

January 2018

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – CV risk of LABAs and LAMAs for COPD – Diet and mortality – New ACC guidelines for CHF – PFO closure and cryptogenic stroke editorial – Stroke intervention based on perfusion scanning [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

Policies and Procedures

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Alert from OPMC – Informed Consent Policy – Switch to Electronic Death Cert. [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

December 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Declining blood pressures in the 20 years before death commentary – Less is More – not that simple – Tackling Low-Value Care_ A New “Top Five” for Purchaser Action – The other big drug problem_ Older people taking too many pills – Unexpected negative consequences of Medicare […]

December 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – 2016 Health Care Spending – Business case for investing in physician well-being – Date Night with Your EHR – Texting medical orders unsafe and banned – Internists Say Tax Legislation Could Harm Health Care for Millions of Americans – Patient satisfacton after denying patient requests – Public […]

December 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Capsules for fecal transplants – Failure of multiple tested interventions to prevent dementia – Individualized diabetes control – Lower CHF readmissions linked with higher CHF mortality – Necrotizing soft tissue infections – Timing of surgery after hip fracture – Copy [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

Osteoporosis: Falls and Fracture Prevention – Dr. Bruce R. Troen

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”2_3″][et_pb_video _builder_version=”3.0.62″ src=”https://www.youtube.com/watch?v=HoLuAS0QEOE” /][/et_pb_column][et_pb_column type=”1_3″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] Accompanying Documents – Osteoporosis: Falls and Fracture Prevention Slides [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

Major Neurocognitive Disorder: Nuances of Psychopharmacology – Dr. Sanjay Gupta

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”2_3″][et_pb_video _builder_version=”3.0.62″ src=”https://www.youtube.com/watch?v=dO46n5iCF40″ /][/et_pb_column][et_pb_column type=”1_3″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] Accompanying Documents – Major Neurocognitive Disorder: Nuances of Psychopharmacology Slides [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

November 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] 2017 BP Guidelines – JAMA Editorial Diuretic Use in Heart Failure Early Oral Anticoagulation in Afib May Protect Against Dementia Immunotherapy for Unresectable Lung Cancer Perioperative Aspirin – Editorial [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

November 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] PoliticoEconomic Articles – Hurricane Damage To Manufacturers In Puerto Rico Affects Mainland Hospitals, Too – Medicare for All – Primary Care Spending Rate – The Impending Death of PCMH – CPC+ and Saving Primary Care Work Flow Articles – Low Rates of Communication Between Inpatient, Primary Care Teams […]

November 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Functional Impairment and Decline in Middle Age – Editorial – Testing Not Better Than Clinical Evaluation of Chest Pain – Trends in Use of IFC Filters – Stopping Eating in Advanced Illness – Choosing Wisely – Next 5 Years – Comparison of Falls Intervention Programs in Older […]

Critical Care Update – Dr. Thomas Brewer

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_video _builder_version=”3.0.62″ src=”/wp-content/uploads/2017/11/Critical-Care-Update-Dr.-Thomas-Brewer.mp4″ /][/et_pb_column][/et_pb_row][/et_pb_section]

October 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Anticholinergics and dementia – Blood transfusion guidelines and adverse effects – Delirium in hospitalized older adults – Intensive BP control beneficial in CKD – editorial – Risks of short courses of steroids – Anticaogulation in CAD – NEJM Braunwald editorial [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

October 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Can the EHR Be Our Friend_ – CMS wants docs to spend more time on patients, less on paperwork – How to Make Electronic Health Records an Asset Instead of a Burden – Patients Before Paperwork – Capitation – Financial Implications for Practices – High Deductibe Plans […]

October 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – ICU Admission May Not Reduce Mortality at 6 Months in Critically Ill Elderly Patients – Lipid Testing in Patients on Statins – The More Lavish the Gifts to Doctors, the Costlier the Drugs They Prescribe – The New York Times – Updated Telemetry Guidelines – Virginia Study […]

September 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Parkinson Management – Cannabis for Pain and PTSD – Celiac Disease and Gluten Sensitivity – Precision Diagnosis and Treatment of Lung Cancer – Noninvasive Treatment Of Back Pain – New Chapter In Diabetic Kidney Disease [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

September 2017

– Cost-Effectiveness of Intensive Versus Standard Blood-Pressure Control – Measuring the Cost of Quality Measurement. A Missing Link in Quality Strategy – Screening with Flexible Sigmoidoscopy Reduces Mortality Risk, Reanalysis Concludes – Managed Care Companies Should Publish Lessons Learned From Studying Their Own Big Data – Thrombophilia Testing in Provoked Venous Thromboembolism

September 2017

– How Donald Trump is Driving Up Health Insurance Premiums – Hospitals’ Use of Contract Doctors Soars Amid Physician Shortage

August 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – GI Rates Letter – Paid Family Leave – Sorian Provider Update – ACP and ABIM Sign Memorandum of Understanding [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

Peer Review Precedents

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] Each month the Quality Committee reviews a number of Peer Review issues from each of our 5 sites. The focus of this process is education and improvement, not citing individuals as in the old days. Along those lines we have established an ever-expanding library of “Precedents”. Once an […]

August 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Better Patient Outcomes When Stopping Opioids for Chronic Pain – Gabapentin – May Be Overprescribed for Pain – Higher mortality with PPI’s – Management of Acute Diverticulitis – Antibiotics Not Always Needed – Review – Diagnosis and Management of Asthma in Adults [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

August 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Causes and Costs and Locations of Death by Country – How to Control Medicaid Costs – How to Fix the Turmoil in the Individual Insurance Market – The Financial Burdens Of High-Deductible Plans – Why Drug Prices are Lower in Canada [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

August 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Do People Need to Discard Old Pills – Tai Chi May Help Prevent Falls – Ways to Discuss with Patients When Screening No Longer Indicated – Surveillance Instead of Treatment for Low Risk Cancers – The Statin Denial Cult [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

July 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Adverse Events from Inpatient Antibiotics . 20% Rate – Antiplatelet Therapy in Stent Patients Undergoing Elective Surgery – Augmentation in Refractory Depression – Use of PPIs – Shingles May Increase Risk of Heart Attack and Stroke [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

Contact Us

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid” header_text_color=”#1c223a”] Department of Medicine [/et_pb_text][/et_pb_column][/et_pb_row][et_pb_row _builder_version=”3.0.62″ background_position_1=”top_left” background_repeat_1=”no-repeat” background_position_2=”top_left” background_repeat_2=”no-repeat” background_position_3=”top_left” background_repeat_3=”no-repeat” background_position_4=”top_left” background_repeat_4=”no-repeat” use_custom_gutter=”on” gutter_width=”2″][et_pb_column type=”1_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] Department of Medicine Edward Stehlik, MD, MACP Chairman of the Department of Medicine at Kenmore Mercy Hospital 716-123-4567 email@chsbuffalo.org [/et_pb_text][/et_pb_column][et_pb_column type=”1_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid” disabled=”on” disabled_on=”on|on|on”] […]

July 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Health Insurance Associated with Lower Mortality – Air Pollution Still Kills – Actuarial Value and Importance of Bipartisanship in HCR – A Health Care War on The Poor – Measuring Cervical Cancer Screening [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

July 2017

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] – Value Based Articles. Data graphics on End of life – Value Based Articles. Glucose Self-Monitoring – Value Based Article. Decision Aids and Joint Replacement Surgery – Value Based Articles. Multitasking & Silent EHR Use During Visits – Value Based Articles. Home to Home Time [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

Quality & Patient Safety Update – Medicine Business Conference

[et_pb_section bb_built=”1″][et_pb_row][et_pb_column type=”4_4″][et_pb_text _builder_version=”3.0.62″ background_layout=”light” text_orientation=”left” border_style=”solid”] Quality & Patient Safety Update – Medical Business Conference – 6/20/17 [/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]