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Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout

by jmiller on January 16, 2017

“The health care field is experiencing unprecedented changes that threaten the survival of many health care organizations.   To successfully navigate these challenges, health care executives need committed and productive physicians working in collaboration with organization leaders.  Unfortunately, national studies suggest that at least 50% of US physicians are experiencing professional burnout, indicating that most executives fact this challenge with a disillusioned physician workforce.  This article (Mayo Clin Proc, Jan) suggests nine organizational strategies to promote physician engagement and describe how we have operationalized some of these approaches at the Mayo Clinic.”  Click here to read full article.

Statin use for the primary prevention of cardiovasular disease in adults: USPTF Recommendation Statement

by jmiller on January 16, 2017

“The USPSTF recommends initiating use of low-to-moderate dose statins in adults aged 40 to 75 years without a history of CVD who have 1 or more CVD risk factors ((dyslipidemia, diabetes, hypertension, or smoking) and a calculated 10-year CVD event risk of 10% or greater (B recommendation).  The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of initiating statin use in adults 76 years and older.”  Click here to read full text.

Consumer preferences and online comparison toos used to select a surgeon

by jmiller on January 16, 2017

“The public reporting of physician quality is mandated by the US federal government and made accessible through the website Physician Compare.  However, this is only one of several that provide physician ratings to consumers. Despite the widespread availability of this information, little is known about how consumers use it to make decisions regarding health care, particularly when selecting a surgeon.  Overall, individual ratings websites were used infrequently by respondents.  However a crowdsourcing website ( that contains only patient reviews, but not outcome data, was the site most visited by respondents.”  (JAMA Surg, Jan)    Click here to read full article.

Key prinicples in quality and safety in radiology

by jmiller on January 16, 2017

“Concepts are introduced that re keys to identifying, understanding, and utilizing certain quality tools with the aim of making process improvements.  Challenges, opportunities, and change drivers can be mapped from the radiology quality perspective.  Best practices, informatics, and benchmarks can profoundly affect the outcome of quality improvement initiative.”      (AJR, March 2017)   Click here to read full text.



Review of childhood obesity: from epidemiology, etiology, and comoribiditis to clinical assessment and treatment

by jmiller on January 16, 2017

“Most obese children do not have an underlying endocrine or single genetic cause for their weight gain.  Family-based lifestyle interventions, including dietary modifications and increased physical activity, are the cornerstone of weight management in children.”  (Mayo Clin Proc, Jan)  Click here to read full text.

Providing appropriate end-of-life care to religious and ethnic minorities

by jmiller on January 16, 2017

“There is overwhelming evidence that racial and ethnic minorities face multiple health care disparities.  Recognizing and addressing cultural and religious/spiritual (RS) values is a critical aspect of providing goal-concordant care for patients facing a serious illness, especially at the end of life.  Failure to address a patient’s cultural and RS needs can lead to diminished quality of care and worse health outcomes.  Given the multitude of cultural and RS values, we believe that a framework of cultural and RS curiosity along with a willingness to engage patients in discussions about these elements of their care within an interdisciplinary team should be the goal of all providers who are discussing goals, preferences, and values with patients facing advanced terminal illness.  (Mayo Clin Proc, Jan)  Click here to read full text.

Guidelines for family-centered care in the neonatal, pediatric, and adult ICU

by jmiller on January 11, 2017

These guidelines (Crit Care Med, Jan) “identify the evidence base for best practices for family-centered care in the ICU.”  The original guidelines published in 2007 have been one of the most widely cited documents on family-centered care.  However, the prior guidelines were developed using what is now an outdated evidence analysis. The new guidelines described in this work are not an update of the prior guidelines, but instead are the result of a completely new and more rigorous analysis.  These new guidelines represent the current state of international science in family-centered care and family support for family members of critically ill patients across the lifespan. “  Click here to read full text.

Your health care in 2017: what you must know

by jmiller on December 29, 2016

Frank Lalli, once a long serving editor of Money Magazine, wrote this piece for last Sunday’s (Dec 25th) newspapers.  He gives a very analytical picture of what the future will likely be in respect to Obamacare; purchasing health insurance across state lines; drug prices; changes to Medicare and Medicaid; insurance changes through employers; etc.  It’s a fascinating read with thoughtful analysis.  To read full text, click here.

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