Squeezed Between A Rock And A Hard Place

According to Forbes Magazine, the US will face a shortage of between 46,000 and 90,000 physicians by 2025. This fact was predicted in the early 1990’s due to the aging Baby Boomer generation and the high proportion of practicing physicians among the Baby Boomers. Currently, one in four US Physicians is an International Medical Graduate…
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What is ACHE Doing?

We found it incredible that the latest issue (November/December 2014) of Healthcare Executive Magazine, the flagship publication of the American College of Healthcare Executives (ACHE), had no mention of Ebola in the articles it ran. The biggest story on the planet, never mind healthcare, could not find room in the valuable real estate of the prestigious publication. Lack…
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Has Accreditation Failed to Keep HealthCare Safe?

This is the first of a three post series on the failure of external accreditation mechanisms to make the US Health Care Industry safer. The first post will serve as background and discuss the current state of Clinical Safety, while the next two will discuss All Hazards Natural Disasters and Biological Agents, while the third…
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Why Don’t Facility Safety and Security Count in Hospital Rankings?

There is a difference between clinical safety and physical safety and this difference is neither understood nor acknowledged by the trade publications that create lists – and run advertisements of- the “Best” hospitals. The lack of Clinical Safety and the shoddy survey methodology make us wonder why they produce the lists in the first place – they…
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How the U.S. Health Care System Compares Internationally

Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally Executive Summary from Mirror, Mirror “The United States health care system is the most expensive in the world, but this report and prior editions consistently show the U.S. underperforms relative to other countries on most dimensions of performance. Among the…
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VA Healthcare – Elephant in the Room – Enter the Enablers

As the VA scandal unfolds and we watch the talking heads go back and forth on how to minimize waiting times and improve continuity of care, the Congress is acting like this is all a big surprise. Watching the CSPAN hearings today and seeing what testimony was encouraged, and what was cut short unceremoniously, particularly…
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