Stories

Fragmented Care Can Drive up Medical Costs

Posted by on May 25, 2015 in Blog, Stories | 2 comments

Fragmented Care Can Drive up Medical Costs

By Amit Vashist, MD, MBA   “Dr. Vashist, I’m sorry to bother but you really need to look at this medication being taken by our patient.”  My hospital pharmacist gently prodded me as he handed over the patient’s medication list along with cost information and side-effects of the offending medication. The issue with the list was a subcutaneous injectable form of calcitonin, Miacalcin costing approximately $11,300 per day of treatment. The patient had been admitted about 11 days back for respiratory distress and also had primary hyperparathyroidism, which we prescribed...

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Transforming Value

Posted by on May 18, 2015 in Blog, News, Stories | 0 comments

Transforming Value

By Jordan Harmon If you haven’t noticed, our health system is extremely complex.  There are hundreds of surgical and non-surgical sub-specialties, thousands of hospital systems, and billions of medications prescribed each year.  Physicians have more treatment options than even just a few years ago and patients today have an overwhelming amount of care information available; yet, we struggle to provide holistic, coordinated care.  As a patient, you can now get various hospital quality data online, compare a hospital to those in other cities, and rate a physician on both quality as well as...

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Improving Pediatric Healthcare Cost & Quality at Your Fingertips

Posted by on May 11, 2015 in Blog, Stories | 1 comment

Improving Pediatric Healthcare Cost & Quality at Your Fingertips

By Maya Dewan, MD, MPH In today’s world, a simple online search yields endless information about the quality and cost of restaurants, retail shops, even pets, but finding information on both the cost and the quality of a particular test is nearly impossible.  Our team, which is composed of multiple physicians, including myself, Dr. Bimal Desai, and Dr. Evan Fieldston, as well as undergraduate computer scientist students under Professor Chris Murphy from The University of Pennsylvania, are working to develop a smartphone application to tackle this very problem for pediatric healthcare...

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Why do a Study Like That?

Posted by on May 4, 2015 in Blog, Stories | 3 comments

Why do a Study Like That?

By Ramesh Nathan, MD I recently was invited to participate in a research study, looking at the economic impact of a new drug for the treatment of Clostridium difficile infection.  The new drug, called Fidaxomicin, has been available for a few years and has proven efficacy in thousands of patients but is generally very expensive.  The study will follow patients after their hospitalization and delve into analyzing the monetary costs associated with the medicine, the disease, and the lost productivity that often ensues- I was excited to participate.   I mentioned the study to a colleague and...

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Improving the value of the End-of-life care in the Emergency Department through the Conversation Facilitation

Posted by on Apr 27, 2015 in Blog, News, Stories | 3 comments

Improving the value of the End-of-life care in the Emergency Department through the Conversation Facilitation

By Kei Ouchi, MD “I need a doctor in here!” As I walk into the resuscitation room in the emergency department (ED), I see Mr. G, a cachectic elderly gentleman barely holding onto his breath. After a rapid assessment, it is clear that he is tiring and cannot maintain breathing on his own for much longer. “We need to secure his airway” – with my command, the resident applies an oxygen mask, cracks open the airway box and prepares to intubate Mr. G, a respiratory therapist rushes in to assist the resident, and two nurses insert IV lines and gather medication. As the team gets ready...

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