Steve Berkowitz

Overall, hospitals have done very well in reducing complications related to inserted medical devices such as catheter-associated UTIs (CAUTI’s), central line-associated blood stream infections (CLABSI’s), and ventilator-associated pneumonias (VAP’s).  After all, these are all considered hospital-acquired conditions and have been monitored publicly by CMS as part of the overall pay for performance programs for a… Continue Reading >>

Steve Berkowitz

Improving physician to physician communication

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Steve Berkowitz

Let’s get back to the basics and start talking again I must admit that I am getting more impressed with the ability of the various electronic medical record’s (EMR) ability to capture and transfer information.  Slowly but surely, the profession is integrating the individual EMRs that hospitals and physicians have independently acquired, and are gradually… Continue Reading >>

Steve Berkowitz

The Average Physician

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Steve Berkowitz

Speaking at a conference in Orlando today I was asked a question: “How does health care reform effect   the average physician?”.  As I travel around the country with my speaking and consulting engagements, I often hear the term “average physician”.  For example, does “the average physician” want to practice in a single-payor system?  Having… Continue Reading >>

Steve Berkowitz

From Health Literacy to Health Accountability

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Steve Berkowitz

A great cause that needs to go further We have seen a great deal of progress in getting the patient more involved with his/her health through the process of health literacy.  As defined by HHS almost ten years ago, health literacy is “the degree to which individuals have the capacity to obtain, process, and understand… Continue Reading >>

Steve Berkowitz

There is no doubt that more physician leadership is needed in health care.  In the past, there truly was a physician leadership void.  The vast majority of physicians were devoted to practicing excellent clinical medicine– certainly a noble and admirable goal.  But at the same time, by not assuming leadership positions and not exercising the… Continue Reading >>

Steve Berkowitz

Avoiding a leadership trap for physician executives

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Steve Berkowitz

The obligation to advocate the medical staff consensus Over the years in my chief medical officer advisory program, I have frequently encountered a participant getting caught in one of the most insidious traps that a physician executive can encounter… the obligation to advocate the consensus of the medical staff. At first this seems like a… Continue Reading >>

Steve Berkowitz

A call to action—We are all patients

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Steve Berkowitz

It has been frustrating to say the least, to watch the political process unfold regarding health care reform.  What was once an “immediate repeal and replace” mandate as campaigned by most Republicans has now disintegrated into multiple diverse factions, and these frustrations are reaching all time levels.  Watching the news, I hear one embarrassing comment… Continue Reading >>

Steve Berkowitz

The scene is all too familiar.  A physician in the Medical Group suddenly leaves or develops an extended illness.  An atmosphere of panic pervades the clinic.  Who will see that physician’s patients?  How quickly can we get another physician?  Where do we recruit?  What do we do in the mean time? All Medical Groups face… Continue Reading >>

Steve Berkowitz

Increasingly, the primary care physician is faced with the issue of better utilizing services and specialists that are in their own medical group or network.  Reasons to internalize care include the implementation of capitation or other risk products, payor-imposed narrower networks, and the need to maximally utilize physicians in one’s own medical group for practice… Continue Reading >>

Steve Berkowitz

Beware the Trap of Consensus in Health Care Reform

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Steve Berkowitz

I wrote a blog last January talking about the Consensus Trap and how a seemingly sound and preferred interactional process could yield unexpected and detrimental results.  As I stated, consensus is a political agreement.  It is not necessarily based upon the evidentiary process or scientific facts.  It is simply the result of a group of… Continue Reading >>