Healthcare Quality is Diligence, Thoroughness and Attention to Detail... Learn How to Find It.
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- เผยแพร่เมื่อ 20 ม.ค. 2024
- Healthcare Quality is Diligence, Thoroughness and Attention to Detail... Learn How to Find It.
Over 100 years ago, Dr. William Osler was the founding doctor of the Department of Medicine for the Johns Hopkins School of Medicine in Baltimore.
Osler said the greatest shortcoming of doctors is Apathy, Complacency, Indifference.
Conversely, high quality healthcare is defined by just the opposite... Diligence, Thoroughness, Attention to Detail.
Compensation should be structured in a way to promote diligence.
Fee-for-Service promotes rushing... potentially at the expense of diligence.
Highly complex medical situations like major surgery, cancer, cardiovascular disease and high-risk obstetrics should be treated by diligent healthcare providers.
Seeing a primary care physician first or using a healthcare navigation service may be good ways to identify diligent doctors in advance.
Similarly, a patient can judge a doctor's quality and diligence themselves by 1) how well the doctors listens, 2) how well the doctor explains things and 3) if they wash their hands in front of the patient.
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As always, simple explanation with powerful meaning. Thanks for sharing
Thank you for watching and for your feedback.
Wow, it is interesting to observe the focus on the term 'diligence' in response to common healthcare externalities when using other metrics; It puts a finger on the strange incentives that can arise in the healthcare sector, which is not something I often think about.
Thank you for watching and for your comment.
My new fav TH-camr ✨
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Favorite channel.
Thank you for your support.
I share @AhealthcareZ content with clinicians and the general public. This video is a PSA.
Thank you for doing so.
Hi Nice video, But why do you have low reach or views based on sub? Do you know what the missing piece is?
Thank you for watching.
From a care navigation perspective, how would one measure dilligence? It seems like outcomes (mortality, readmissions, complications, etc.) and the volume of a particular procedure a physician performs compared to her/his peers are the metrics correlated with quality that are accessible. Thoughts?
There are scientifically studied best practices of things to do and things to not do for each specialty. You can measure those… that’s largely what NCQA does with its HEDIS measures.
Dr. Osler, is there any authoritative / trustworthy source of data, either from CMS or private source, for us to measure a provider’s quality?
The data is there… the problem is that it usually is at the hospital-level and instead it needs to be at the individual physician-level. Something I’m working on now.
Thanks Dr. Bricker for the prompt reply. I am interested in further discussion in this area. If you could give another video about the data sets (a lot of healthcare data set are hard to understand the purpose and trustworthiness) in quality side, it would be fantastic
Specifically, zocdoc has a “star” rating on doctors, like Yelp did to restaurant - but we know healthcare is much complex than hotel or restaurants.
I wonder if we can has a more transparent/trustworthy quality measure to doctors in front of patients.