Hotel-like hospitals: One view ...
Re: "Will Hospitals One Day Resemble Hotels?" by Marty Stempniak in H&HN Daily, Sept. 17
This concept of hospital care seems a very indulgent and very expensive one considering that much of the world has no access to basic hospital or health care.
Is this approach going to bring health care costs down and improve access? Will it help restore equity to health care and reduce disparities? I wonder.
... And another
When I had my knees replaced, I got to order my meals off a "room service" menu and have them delivered within a window of a couple of hours. Having this amount of control during a painful though routine hospitalization is what I think of first when I think back to these two hospitalizations. And it really helped that the menu included very tasty options.
Too far on patient satisfaction
Re: "Fine Whine: The Dark Side of Patient Satisfaction," Haydn Bush in H&HN Daily, Sept. 19
I, too, believe we are going too far with our drive for patient satisfaction. Yes, I know that CMS is requiring patient satisfaction data in relation to reimbursement, but this is akin to tying teacher competence to student performance. Both are erroneous measures.
The purpose of a hospital is not that of a hotel and quality of care must trump satisfaction in all instances. I would submit that placing satisfaction over care is ethically incorrect.
Put onus on patients for cost of care
Re: "Medicare ACOs: Not the Best Way to Start" Nathan Kaufman in H&HN Daily, Aug. 29
"The patients have no skin in the game. Medicare ACOs have no power to encourage the patient to stay within the ACO network and comply with recommended medical protocols."
So, once again, we prove the economic maxim that people who spend other peoples' money don't care enough to control costs. The only way to avoid government rationing is to have the patients accountable for the costs they generate.
Laws can prevent sickness
Re: "Can Laws Make Us Healthier?" by Bill Santamour in H&HN Daily, Sept. 4
It just follows that countries that enjoy nationalized health care create legislation that prohibits things that make the populace sick rather than paying for treatment after the fact.
For example, France doesn't allow toys tainted with poisons from China, but we do, if retailers want them. European countries would rather be cautious about what they allow in, such as GMOs [genetically modified organisms] rather than pay for treatment of the long-term effects.
How will data follow the patient?
Re: "Demand Surges for Retail Health Care Clinics," by Marty Stempniak in H&HN Daily, Aug. 20
One immediate concern for me as a health care IT professional would be how are they going to integrate the clinical/quality data collected on the patient status and treatments performed so the next doctor (emergency room/primary care physician/surgeon/specialist/admitting) knows what happened?
Is the responsibility of the patients to then take that data with them?
Beyond the shame and blame game
Re: "Health Care's Costliest 1%" by Haydn Bush, H&HN September cover story:
This is a must-read article for everyone who works in public policy and health care. It is this systemic approach to change that will be successful vs. the shame and blame style we so often see with this vulnerable underserved population.