Category Archives: Care Delivery Innovations

Left Behind: Why Excluding Residents from Delivery System Reform Hurts Us All

Several weeks ago, I was fortunate enough to attend a meeting at the Association of American Medical Colleges (AAMC) on a new mandatory payment model for joint replacement. I was the only resident physician among the more than 70 health professionals at the meeting. What I learned is that for most trainees in medical school and residency, little time is spent understanding the nuances of health care finance or practice management. Continue reading Left Behind: Why Excluding Residents from Delivery System Reform Hurts Us All

Activating Patients to Achieve Better Health Outcomes: Spotlight on NYU School of Medicine

Highly activated patients take proactive, collaborative roles in maintaining their health. They are more likely to engage in healthy and preventive behaviors than their less activated counterparts, and incur lower health care costs. Higher activation often corresponds with improved health outcomes and greater patient satisfaction. However, increasing patient activation can be difficult, especially when patients face such additional challenges as low literacy, language and cultural barriers, and physical disabilities.

Patient activation is a fundamental component of the Patient-Centered Medical Home (PCMH), a care model that increases patient engagement with a team of health care providers through coordinated care and the use of technology. A clinical education and research project team led by Adina Kalet, MD, MPH at the NYU School of Medicine, Division of General Internal Medicine, part of the NYU Langone Medical Center (NYU Langone) is developing and testing an innovative Patient Empowerment Program (PEP) within NYU’s PCMH and linking it to the training of primary care residents. This work was supported by a Clinical Care Innovation Challenge Award from the Association of American Medical Colleges. Continue reading Activating Patients to Achieve Better Health Outcomes: Spotlight on NYU School of Medicine

Helping Babies Breathe: Resident Spotlight at Cincinnati Children’s Hospital Medical Center

Part two of a five part series on the 2014 AAMC Clinical Care Innovation Challenge Pilot Award Winners
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Several years ago in Brazil, medical student Anatalia Labilloy witnessed a newborn die in the delivery room when the care team could not properly perform neonatal resuscitation. The experience left an indelible memory with her. She was early in her medical training and she was anxious about encountering other occasions to resuscitate babies knowing what could happen. Now as a resident at Cincinnati Children’s Hospital Medical Center, Labilloy is practicing vital resuscitation skills to help babies breathe.

Continue reading Helping Babies Breathe: Resident Spotlight at Cincinnati Children’s Hospital Medical Center

At Stanford #MedX | ED, Breakthroughs and a Prescription for Change

By Jennifer J. Salopek

As editor of Wing of Zock for the past four years, I have had the honor of learning about hundreds, perhaps thousands, of innovative ideas to reimaging medical education. On the first day of the inaugural Stanford Medicine X | ED conference Wednesday, I got enough new ideas to fuel a year’s worth of posts. A diverse lineup of presenters—educators, students, and patients—collectively created, through words, images, videos, and music, a vision of a possible future for medical education. They reported on promising innovations in medical education that aim to better prepare the doctors of tomorrow. Accompanied by colored lights, diffuse video backgrounds, and a varied soundtrack, the high-energy atmosphere that is the hallmark of Stanford Medicine X pervaded a conference on medical education. Continue reading At Stanford #MedX | ED, Breakthroughs and a Prescription for Change

MU Walks the Talk with New Patient-Centered Care Learning Center

By Jennifer J. Salopek

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Last month, the University of Missouri Medical School broke ground on an innovative new facility at its main campus in Columbia: the Patient-Centered Care Learning Center (PCCLC). From name to design to construction materials, the building will reflect MU’s mission to educate future physicians to provide effective, patient-centered care. Continue reading MU Walks the Talk with New Patient-Centered Care Learning Center

Hospitals Are Learning All the Wrong Lessons from Hotels – And Totally Missing the Right Ones

By Jayson Marwaha

Ever since Medicare started using patient satisfaction surveys in 2012 to calculate hospital reimbursements, the health care system has been looking to the hospitality industry to learn how to improve that metric. Hotels do have the answer; but hospitals are looking in all the wrong places.

What hospitals are doing wrong

The concept behind Medicare’s HCAHPS survey, a short questionnaire asking patients what they thought of their stay, is simple: Hospitals can earn more money by keeping their patients happy. Continue reading Hospitals Are Learning All the Wrong Lessons from Hotels – And Totally Missing the Right Ones

Inhabiting Graphic Medicine’s “Spaces of Care”

By Lorenzo Servitje

As I sat and typed my notes on a presentation at the 6th International Comics and Medicine Conference, I looked around to observe other attendees’ note-taking. What is perhaps most striking about attending this conference as contrasted with most other academic and professional conferences, is how people are taking notes. Continue reading Inhabiting Graphic Medicine’s “Spaces of Care”

What Academic Medical Centers Can Learn from Lippi

By James McDeavitt, MD

Originally posted July 7, 2015

512px-fra_filippo_lippi_-_madonna_with_the_child_and_two_angels_-_wga13307What does this 15th century Renaissance painting have to do with a 21st century academic medical center?

Painted by Fra’ Filippo Lippi (a monk of some questionable repute) in about 1465, I selected this image as an analogy for our two broad challenges in building a successful academic medical enterprise in the rapidly changing healthcare environment.

The first challenge is the need to innovate.

At first blush, Lippi’s Madonna With Child and Two Angels may not scream innovation. However, in its time it included a number of groundbreaking techniques. Continue reading What Academic Medical Centers Can Learn from Lippi