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Assessing P4P's Performance
Elyas Bakhtiari, Managing Editor

The healthcare industry started with a theory: If payments to providers are tied to performance, overall quality of care will improve. From Medicare's Physician Quality Reporting Initiative and Physician Group Practice Demonstration to a variety of private-payer P4P plans, the idea has been tested plenty of times at this point. So how does it hold up against the initial goals? [Read More]
  September 11, 2008

Editor's Picks
Med students shunning primary care
Only 2% of fourth-year medical students now say they plan to work in primary care, bad news for an industry facing a major physician shortage. That figure has dropped from 9% in a similar survey in 1990. The problem, of course, is money. In other med-school-related news, a recent study found that medical students that attended diverse schools were better prepared to treat minority patients. [Read More]
Good and bad news for medical homes
Initial results suggest the medical home model of care may live up to its promise: A program at the privately-held Geisinger Health System in Pennsylvania cut hospital admissions by 20% and costs by 7%, according to a new report. The bad news, however, is that another study found many medical groups lack the essential elements (i.e., integration, EMR interoperability, patient access) needed to create a patient-centered medical home. [Read More]
Doctors sued for failing to disclose medication side effects
Keep an eye on this case, because it could set a precedent for future suits. The widow of a doctor killed when a woman crashed her car through a Brockton, MA, hospital entrance is suing the driver's five physicians for not informing the driver that the heavy pain killers she was taking made it unsafe to drive. In a similar case last December, a Massachusetts court ruled that a family had the right to sue a doctor based on a similar complaint. If this trend continues, it could significantly widen the scope of physician liability. [Read More]
Debating resident work hour restrictions
Beth Israel Deaconess of Boston could lose its Graduate Medical Education accreditation if it doesn't reduce resident work hours. The hospital was cited in January for violating restrictions that cap the number of hours a resident can work per week at 80. The rule has drawn criticism—some argue residents don't have enough time to receive proper training under the limitations. However, the restriction was enacted primarily to prevent burnout and fatigue. A recent survey by Merritt, Hawkins & Associates of final-year residents found that nearly one-in-five would choose a field other than medicine if given the chance again—in part because of burnout and poor reimbursement. [Read More]
Business Rx
Understand, Accommodate Generational Differences:
To maintain a solid partnership in a practice with the potential for a generational divide, develop a structure in which everyone is on the same team, whether that is welcoming the new physician or communicating a conflict. [Read More]
Physician News
Healing the doctor-patient divide
New York Times - September 11, 2008
For companies courting surgeons, how far is too far?
Minneapolis Star Tribune - September 8, 2008
CT scans can be better medicine for doctors than for patients
Los Angeles Times - September 8, 2008
Commentary: Chronic disease battle requires better tools
Wall Street Journal (subscription required) - September 4, 2008
October 7, 2008: Physician Compensation Planning: Key Techniques for End-of-Year Evaluations
On Demand: Recruiting Today's Physician: Competitive Compensation Packages and Practice Structures
On Demand: OR Overhaul: 5 Surgical Site Improvements Every Leader Should Make Today
From HealthLeaders Magazine
Help the Uninsured (Without Going Broke)
HealthLeaders August 2008
The number of people who can't pay much—or anything—for their care just keeps rising. Some hospitals have found new ways to help them while still protecting the financial health of the hospital. [Read More]
PhysicianLeaders Forum

Informed Consent: More Than a Signature: Attorney Alan G. Williams, author of Physician, Protect Thyself: 7 Simple Ways NOT to Get Sued for Medical Malpractice, discusses the importance of informed consent and offers tips for improving the patient education process. [Read More]
Audio Feature

ICD-10 Woes: Robert Tennant, senior policy advisor with MGMA, discusses the CMS proposed timeline for implementing the ICD-10 code set and explains the administrative burden it could place on medical practices. [Listen Now]
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Resources From HealthLeaders Media

Learn how to harness the power of a large organization, either by expanding the practice or partnering with hospitals, private investors, or other physician groups, with Physician Entrepreneurs: Strength in Numbers.
Read about the latest business strategies to help you grow beyond traditional practice models in Physician Entrepreneurs: Going Retail.
Start marketing your practice or refine your existing marketing program with Physician Entrepreneurs: Marketing Toolkit, a new HealthLeaders Media book that combines expert tips with marketing samples, tools, forms, and checklists that will help grow your practice.
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