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Doctor-Patient Relationships: Solutions for Healthcare, Summer14

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Resources chosen by Summer 14 class on subject of Solutions for Health Care.
NOTE: These articles do not necessarily reflect the views of NUHS, Dr. Draus, the class as a whole, or the student who selected them.

They were chosen by students as examples of solutions to current issues in the field of medicine. Tarek: Universal Coverage Is Not "Single Payer" Healthcare. Ryan: 18 Ideas to Reform Health Care Now. Our team interviewed dozens of experts dedicated to making America (and its health care system) healthier.

Ryan: 18 Ideas to Reform Health Care Now

Here, the best examples and how to make it happen. Photographed by Erik ButlerSteve Burd motivated his employees to practice what he preaches. Everyone agrees that we need cheaper, better, easier care for everyone. You know it. The guy heading to the White House knows it. Alex E: Why French Kids Don't Have ADHD.

Doug: Health Care Costs And How You Could Be Overspending. There's no way around it: Health care costs a fortune.

Doug: Health Care Costs And How You Could Be Overspending

Insurance premiums, drug prices, the cost of doctor visits and hospital bills are getting bigger. Last year, Americans spent $2.6 trillion on health care, or $8,402 per person. Though it often seems we have no control over these costs, there are some things that can stanch the bleeding. Shaon: Include Licensed Naturopathic Physicians as primary care providers in the Federal Healthcare Law (Obamacare). Don: John Mackey: The Whole Foods Alternative to ObamaCare - WSJ. Jeremy: HealthPAC » Health Care Solutions. Universal Health Care It is time to reform the health care system in the United States – time to make it affordable, portable, and accessible to all Americans.

Jeremy: HealthPAC » Health Care Solutions

Camara: Researchers Offer Solutions to Looming Health Care Provider Shortage. The United States faces a severe shortage of primary health care providers, due to a wave of aging baby boomers, epidemics of diabetes and obesity, and the Affordable Care Act, which aims to bring health care coverage to millions more Americans.

Camara: Researchers Offer Solutions to Looming Health Care Provider Shortage

In a series of papers published in the November 2013 issue of Health Affairs, researchers at UC San Francisco advocated a number of potential solutions to the problem. Maggie: Improving Quality and Value in the U.S. Health Care System. Executive Summary The U.S. health care system faces significant challenges that clearly indicate the urgent need for reform.

Maggie: Improving Quality and Value in the U.S. Health Care System

Attention has rightly focused on the approximately 46 million Americans who are uninsured, and on the many insured Americans who face rapid increases in premiums and out-of-pocket costs. As Congress and the Obama administration consider ways to invest new funds to reduce the number of Americans without insurance coverage, we must simultaneously address shortfalls in the quality and efficiency of care that lead to higher costs and to poor health outcomes. To do otherwise casts doubt on the feasibility and sustainability of coverage expansions and also ensures that our current health care system will continue to have large gaps — even for those with access to insurance coverage. Jena: Top 10 Methods, Ideas, Techniques for Lowering Lowering Health Care Costs. Alex K: Five Imperatives for Improving Health Care. Innovation in health care treatment seems to far outpace innovation in health care business management.

Alex K: Five Imperatives for Improving Health Care

Just ask President Obama—two weeks ago he delayed enactment of a key provision of the new health care law for fear its requirements would swamp small-business owners. So results of a recent conference and survey from Harvard's business and medical schools may prove particularly timely. Delivered by the Forum on Healthcare Innovation, which was formed last year with encouragement from the respective deans of the two institutions, the report makes five recommendations for how to improve quality, reduce costs, and, consequently, increase value in the American health care industry. To kick off its work, the Forum in November 2012 hosted its inaugural conference, entitled "Healing Ourselves: Addressing Healthcare Innovation Challenge," which brought together some 125 health care experts including executives, policy makers, and academics.

Other committee members include William W. Charlie: Solving The American Health Care Crisis. Solving The American Health Care Crisis * This summary was written in 2007.

Charlie: Solving The American Health Care Crisis

Contents, figures, data, and events have been updated in the published book. The fundamental premise of Solving the American Health Care Crisis is that most American decision makers are in a state of denial. Jen T: Societal Supernova — The US Healthcare Problem: Causes and Solutions - Mark Silverman. The healthcare problem in the United States is complex, but not necessarily complicated.

Jen T: Societal Supernova — The US Healthcare Problem: Causes and Solutions - Mark Silverman

By that, I mean there are numerous facets to the problem, but each is straightforward to understand and is remediable. Although discussions to date have focused nearly exclusively on the cost and availability of health insurance, that is really only a small part of more basic issues. And only when the real substance of a problem is understood can a viable solution be found. Here, then, is my perspective as a physicist and chemist on the linked issues that make healthcare complex and what can be done about it.

Justin A.: Home Health Care www.ilhomecare.org/documents/ihhcrecommendations-121010kr_000.pdf. Justin J.: A singular solution for healthcare. A single-payer healthcare system would more effectively control costs than any other plan that Congress is considering as it moves toward a reform bill.

Justin J.: A singular solution for healthcare

And by controlling costs, existing resources could be allocated more equitably, especially for the benefit of women. First, single-payer plans eliminate the $300 billion to $400 billion that insurance companies spend annually in administrative overhead and waste. Second, single-payer plans are best positioned to take on the enormous challenge of reducing or eliminating the financial incentives that have led to so much overtreatment and undertreatment. Maternity care illustrates this phenomenon: We spend far more per capita than any other industrialized country and yet do worse on most birth outcome measures than most of these other countries. For example, nearly one-third of all US women deliver their babies by caesarean section, a rate that is far higher than medically necessary. Nate: How To Solve Health Care. Any organization can take immediate steps to tame the hyperinflation of health care costs and premiums.

Nate: How To Solve Health Care

Innovators in health care delivery in the private sector have paved the way to proven methods for cutting costs. Not surprisingly, managing costs and improving health go hand in hand. Here are the basic steps that managers can take to not just curtail costs, but to reduce them: 1. Adopt a consumer-driven health plan (CDHP). Alyssa: America's painful doctor shortage is threatening health care reform. FORTUNE — The new federal budget, unveiled on Tue., March 4, trumpets a major shift in America’s policy toward one of the most vexing problems in reforming our health care system: fixing the doctor shortage. Since 1997, the number of physicians entering the workforce each year has essentially been capped, while the demand for everything from hip replacements to treatments for diabetes to angioplasties has soared with our growing and aging population.

Now, the Obama administration proposes spending an additional $5.23 billion over the next decade to mint new physicians. That sounds like a lot of money, and the proposal sounds like a big deal, because it officially breaks the old bottleneck that limits the supply of manpower we desperately need. But it doesn’t go nearly far enough. Erica: A country doctor's proposal for health insurance reform. In the forty years since I started medical school, I have worked in socialized medicine, student health, a cash-only practice and a traditional fee for service small group practice.

The bulk of my experience has been in a government-sponsored rural health clinic, working for an underserved, underinsured rural population. Today, I will make a couple of concrete suggestions, borrowing from all the places I have worked and from the latest trends among the doctors who are revolting against the insurance companies by starting concierge medicine and direct primary care practices.

Nico: Nake M. Kamrany: An Optimal Solution to U.S. Health Care. U.S. health care is fraught with emotional prediction of ideologues including the Supreme Court. The combination of U.S. private and public health care cost, if unchecked, will exceed the budget of the federal government by the year 2027, leaving out 50+ million Americans who have no coverage, the poor and children who receive inadequate health care and the private policy holders who can no longer afford it.

The annual cost increase of private health care, which is ranging between five and eight percent, is no longer affordable by employers and private policy holders. Abstracting from ideological and constitutional constrains, it is time to redefine health care in the United States as a public good, as it is in Western European countries -- a public good like national defense, public education, public parks, public roads, etc., which are made available to all citizens.

We can also implement a U.S. Tom: Health Care Reform: Common Sense Solutions - Blog. Health Care Reform: Common Sense Solutions Health Care Reform is topical. But it need not cost an arm and a leg to do. Because I sit on the Board of Directors of NAV portfolio company Qliance, an innovative “Direct Practice” primary care solution that operates completely outside of the insurance system, I am often asked to comment on things that we might do to improve health care delivery in America. The debate in Washington DC is heated and confusing. We all wish that the proposed legislation was simpler and clearer, regardless of whether or not you support it. Grace: Shortcut solutions to health care problems. Take the headache out of dealing with doctors and insurance companies. These time-saving strategies will get you on the fast track. The Problem: You Can’t Afford to Waste Hours in the Waiting Room Time-Saving Solutions:See an open-access doctor.

Some physicians have started offering their patients same-day appointments instead of scheduling weeks or months in advance. This discourages double booking and unclogs wait time, said Davis Liu, the author of "Stay Healthy, Live Longer, Spend Wisely: Making Intelligent Choices in America’s Healthcare System" and a physician in Sacramento, California, who uses this system in his practice. Diana: How American Health Care Killed My Father - David Goldhill. After the needless death of his father, the author, a business executive, began a personal exploration of a health-care industry that for years has delivered poor service and irregular quality at astonishingly high cost.

It is a system, he argues, that is not worth preserving in anything like its current form. Mo: A Four-Step Healthcare Solution - Hans-Hermann Hoppe. It's true that the US health-care system is a mess, but this demonstrates not market but government failure. My Trinh: Improve The Patient Experience By Consulting Models Outside of Healthcare. Danielle: End-of-Life Care in the United States. Andrew: After Shinseki: How to Cure the VA's Dysfunctional Health Care System. Jessica: How Young Surgeons Can Gain The Trust Of Their Patients. The Just For Men commercials are playing on the human psyche.

Gray hair equates to experience while the hair color of a more youthful man must equate to vigor and enthusiasm. Is this true in medicine? There are obvious advantages to experience but there also must be advantages to youth, right? Chucky: Developing Physician Communication Skills For Patient-Centered Care. + Author Affiliations *Corresponding author Abstract. Leslie: Patient Experience Case Study - Regions Hospital - The Beryl Institute - Improving the Patient Experience. See the opportunities and challenges organizations face in addressing the patient experience. Case Studies provide real stories of current efforts, including programs being initiated, practices being implemented, and outcomes being targeted and/or achieved.

Case studies are presented as both an opportunity for learning from others as well as a spark for further ideas on how we work to improve the patient experience. If you have a case study to share please contact us. Damian: The Simple Solution to Obamacare's Employer Mandate Problems  Nhu: America’s Health Care Problems? The Solutions Exist. A Conversation with Mark D. Smith, MD, MBA. A new IOM report urges widespread adoption of innovations. The committee’s chair and the California HealthCare Foundation’s CEO, Mark Smith is working to make that happen. Dia: A Physician’s Solution to Healthcare. Whatever happened to Healthcare? Nyarai: Burnout among physicians. Jen M: Talking With a Doctor May Help Trim Costs - Patient Money. But how exactly should you approach these nerve-racking discussions? Do you bring it up when you book the appointment? Vanessa: Reducing Unnecessary Inpatient Lab Testing...ajcp.ascpjournals.org/content/126/2/200.full.pdf.