Tag Archives: IDEAS

Brian Goldman: Doctors make mistakes. Can we talk about that?

12 Jul


How much do medical mistakes cost? 19.5 Billion per year study-puts-cost-of-medical-errors-at-195-billion This linkw will lead you to an interesting article on the costs of medical errors.

How can we fix a problem that is systemic.?

I have worked with many practices that have put no thought into prevention of errors and find that talking to physicians and medical staff about mistakes is like talking about abortion or politics. NO ONE WANTS TALK ABOUT IT! As if somehow the mere mention of errors would somehow make them happen.

I have seen investigations into medical errors and they are not singular in nature meaning that multiple parties are involved in most mistakes and a recurring theme always comes up: Not listening to patients and caregivers.

How can we change the mindset that the patient does not know what they are talking about when it comes to their own health?

It is more than treating symptoms

12 Jul

The reality of aging

Is regenerative medicine a real answer?

Day 7 Care Plan Oversight

2 Jul

I have been paying attention to the recent discussions on The Affordable Care Act and the medias coverage of the supreme court ruling. One thing strikes me as odd in all these talks, whose actually talking about the impact on patient care?

Just look over there while I do it.

I wonder if somewhere someone sits twisting their mustache, while laughing maniacally. Every moment spent talking about the act and not talking about patient care is a wasted moment.

I want to hear and read lively conversation on how to improve patient care.  Thats what this is all about, right ? How can I get better when I’m sick?   While Homer Simpson was studying not hitting his thumb he accidentally bashed himself in the eye instead.

Who is talking about primary care?

Who is talking about Care Plans much less Care Plan Oversight/CPO?

In my mind the only way to effectively control cost is to effectively treat patients.  Care plan Oversight/ CPO is the key.

care plan,

n strategies designed to guide health care professionals involved with patient care. Such plans are patient specific and are meant to address the total status of the patient. Care plans are intended to ensure optimal outcomes for patients during the course of their care.
I found this definition in a medical dictionary and thought I would share. When we talk about Care Plans we have to talk about managing Care Plans which is called Care Plan Oversight.
A good way to understand CPO is to think along these lines. Your Doctor orders blood work and then lets you know of the results and gives you options on how to treat any condition indicated,, that is care plan oversight/CPO. Now lets say you have an indication of Cardio Vascular issues, your Primary care Doctor refers you to a Cardiologist and then they work you up and the same scenario as before plays out, except this time your Primary care Doctor and the specialist should work up a Plan of Care together. Because ultimately there needs to be somewhere there to direct things medically and advise you on your options and it should be your Family doctor. Don’t get me wrong they do not tell the specialist what to do they help you implement what the specialist is indicating and fit that treatment into an existing Care plan.
Would you do a core part of your job if no one paid you for it?
Well guess what no one pays for it and the few like Medicare that do, Doctors are either afraid to bill for it or know if they bill for it they will have to be accountable.  When the accountability for Care Plan Oversight could be the easiest part of CPO. We could say billions if we could foster Care Plan Oversight and heres the good news !
We have the Technology and Design we just have to have an #IDEAWORTHSHARING
#helpmegettoTed so many medical applications for design and technology that already exist.

Day 3 Who Is TED and whats this all about

27 Jun

Ladies and Gentlemen the number 1 asked question among my followers is what is TED closely followed by whats this all about. I have come to find out just how important these questions are and an opportunity for me to let people know more about TED Talks http://www.ted.com/

I also find my loved ones asking why would U want to do this. As if some how my lack of advanced education,  would disqualify me or any one else being involved in important discussions about this small planet we live on. I wonder how many people feel they are not important enough or smart enough  to talk with thought leaders in any given field?

I recently watched a Ted Talk given by Amy Tan #AMYTAN :  ) http://www.amytan.net/ on the subject of how we create  http://www.ted.com/talks/amy_tan_on_creativity.html   Amy mentions something important, in a playful manner, that childhood Trauma leads to creativity and I completely agree. I also think that she is more serious about this then she lets the audience know.

I grew up with braces on my legs, a lack of ability to talk appropriately, and a home life filled with rage and insecurity. I have always had to learn to do things in different ways and to actively apply action to my ideas. When I had to learn how to think differently in order to play Baseball, or to learn or to write or to speak to others or to not get a beating. or to help another family member not get beat up, I honestly think my wiring is different.

I have always carried a question with me from my childhood, Why couldn’t I?, and it has defined me and although that sense sometimes is very distant. it is always there. I firmly believe that there was a reason that I came across my first TED Talk and that I immediately thought I had to get to TED talks. I just had to find a way.

So here I sit banging away at this keyboard!

and by the way WHY CAN’T I ? an TY Amy :  )