Health Information Technology
- Texting while Doctoring: A Patient Safety Hazard
- e-Nirvana: Are We There Yet?
- HIT and Patient Safety
- Usability (Testimony Meaningful Use)
- Care Coordination (Testimony Meaningful Use)
- Congressional Briefing re: Meaningful Use
Payment Reform
- Payment gap between primary and secondary care specialties (JAMA Intern Med 2013)
Medical Education Reform
- Train family physicians and general internists for future health needs (J Grad Med Ed 2013)
Practice Model Reform
- A new model of primary care (JGIM 2007)
The new AMA
Not your grandfather's AMA
Rand-AMA Study: Quality drives MD satisfaction; EHRs detract
CEO James Madara on 3 core initiatives of AMA: better outcomes for patients, students and physicians. Minutes 7-10:
“Physicians want desperately to be able to deliver high quality care to their patients. Indeed this is our greatest satisfier. When able to provide such care physicians are fulfilled.”
“Physicians are frustrated by the increasing number clerical and administrative tasks that detract them from their calling—patient care.”
“If I describe the effect of the current state of EHRs on satisfaction as dismal, I fear might be insulting dismal.”
“Let’s be frank. EHRs as they exist today are to optimize two things: claims billing and risk mitigation. They are not optimized for the efficient entry and extraction of clinical data needed by physicians to help their patients. And this needs to change.
“EHRs must serve to enhance the physician-patient interface. Other functions should be retrofitted and subservient to this higher clinical need.”