Monthly Archives: July 2015

  • HIPAA and the Dark Side of Patient Privacy

    Patient Privacy, while both righteous and regulated, is not all wonderful in all of its forms. Indeed, there is another side to patient privacy when HIPAA becomes a barrier to the social support critical for patients and families. Historically, privacy did not exist in our society. For the sake of survival, village leaders assumed knowledge of every member of

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  • When Less is More and More is Not Enough at a Healthcare Conference

    TED talks have effectively identified a time limit on our attention span. We are good for 18 minutes — well, maybe 20. And, if you have ever watched a TED talk, they are so tight, so compelling, so to-the-point, that if they were any longer, their effectiveness may decrease. Healthcare conference organizers often try to “TED” their format, offering breakout sessions

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  • The Patient Experience: Coming Out of the Shadows

    We are a reductionist culture. Whatever the words are, we come up with an acronym. Whatever the catastrophe, we love headlines. Whatever the issue, we reduce to the shortest most minimal understanding. And, when it comes to the story of what happens to a patient, we translate the whole experience into six letters: HCAHPS. I

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  • When Medicare Pays for End-of-Life Consultation

    This week, there was a profound policy change by the Centers for Medicare & Medicaid Services (CMS) that would allow reimbursements for end-of-life consultations between patients and their physicians. This is a welcome change from the “death panel” talks that stopped all forward movement on a critical issue of importance to all of us. The

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  • Palliative Care and Hospice: All About Living

    Palliative care and hospice are often talked about together. So often, in fact,  that many of us are confused as to whether they are the same. Well, not so. Clearing up this confusion may increase the ways in which we take care of the chronically ill and aged. Hospice predates palliative care by about 30

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