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What Is Clinical Integration and Why Is It Important?

by Medical Staff Office on January 9, 2017

In the days of “no questions asked,” fee-for-service payment, our medical community thrived as a cottage industry, each of us humming along independently, minding our own business. But now with state and national initiatives tying our payment to outcomes, our … learn more

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 … learn more

Higher mortality in weekend admissions to the hospital: true, false, or uncertain?

by jmiller on December 28, 2016

This “Viewpoint” article (JAMA, Dec 27) concludes, “recent studies suggest that patients admitted during weekends are at no greater risk of dying than those admitted during the week.  Policy makers need to avoid unjustified claims about an increased risk of … learn more

Cardiovascular safety of Celecoxib, Naproxen, or Ibuprofen for arthritis

by jmiller on December 27, 2016

Both  the NEJM  (Nov 13, epub) and The Medical Letter (Dec. 19) reported on the cardiovascular safety of Celebrex.  The NEJM publication  concludes:  “At moderate doses, celecoxib was found to be noninferior to ibuprofen or naproxen with regard to cardiovascular … learn more

Partnering with nurses to transform primary care – JAMA forum

by jmiller on December 27, 2016

This is a very interesting piece about developing skill mix with registered nurses to transform primary care.  The author cites the many challenges to making it work, but as one physician explains t “I’m able to actually see more patients … learn more

Teens of the week: Where are they now? Featuring Helen Selonick, daughter of Dr. Stu Selonick and wife of AAMC’s emergency room doc, James Prevas

by jmiller on December 27, 2016

This is a beautiful piece, published December 26th in the Capital,  revisiting a 2003 Teen of the week:  Helen Selonick, daughter of Dr. Stu Selonick, who also became (and married) a physician.  This is a delightful piece to share.  To … learn more

Meaning and the nature of physicians’ work by Abraham Verghese, M.D.

by jmiller on December 8, 2016

This excellent Perspective from the Nov.10th issue of NEJM, written by Dr. Abraham Verghese, author of Cutting For Stone, is a very insightful piece on the timeline of where we are now in medicine, versus where we were.  He poignantly … learn more

The Collaborative Care Network: Promoting the Success of Our Members through Payment Transformation and Care Redesign

by Medical Staff Office on November 25, 2016

In recent months, the Collaborative Care Network (CCN) has sponsored two events to provide updates to our medical community on MACRA, MIPS and Advanced Alternative Payment Models, and how these programs affect Maryland providers. We learned that we can expect … learn more

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