May 20, 2013, 12:59 PM, Posted by
Steve Downs
In a post this week on the Kevin MD blog, Jon Darer, chief innovation officer for the Division of Clinical Innovation at Geisinger Health System, discussed Geisinger's decision to roll out OpenNotes to most of its physicians and patients.
Geisinger's approach highlights the choices that will be facing many health systems: The results of the OpenNotes study, published last fall, provide compelling evidence to go forward in general, but there is a need to be careful and thoughtful about how to do so. Different specialties and different patient populations have special circumstances that need careful consideration. And each institution has its own culture to be navigated. As more early adopters like Geisinger move forward, we'll learn more about how best to implement this practice and through that learning, make it more widely available. — Steve Downs
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May 16, 2013, 8:00 AM, Posted by
Steve Downs
New York State Commissioner of Health Nirav Shah is the Billy Beane of health care.
Let me explain.
Billy Beane—the general manager and minority owner of the Oakland Athletics—and made famous in the book Moneyball: The Art of Winning an Unfair Game by Michael Lewis, was made even more famous when Brad Pitt portrayed him in the movie adaptation. (Generally speaking, having Brad Pitt portray you is a good way to get famous.)
For those who aren’t familiar, Moneyball is about how, under Beane’s unconventional leadership, “the Oakland Athletics achieved an amazing winning streak while having the smallest player payroll in Major League Baseball. (Short answer: creative use of data.)” (Thank you, New York Times.)
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May 15, 2013, 2:15 PM, Posted by
Brian C. Quinn
One of the best things about our jobs at Pioneer is that we get to have conversations with interesting people doing interesting things. As we network with these visionary thinkers, we want to share some of the great stuff we’re learning and hearing with you—to bring value to the work you’re doing. That’s why I’m pleased to introduce What's Next Health: Conversations with Pioneers, a new series here at RWJF that explores the future of health and health care, asks the big questions, and looks to the cutting-edge for solutions.
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May 9, 2013, 8:00 AM, Posted by
Lori Melichar
As I prepared for a recent visit from the RWJF Board of Trustees, I reviewed our portfolio of grants that apply behavioral economics to perplexing health and health care challenges and reflected on what is pioneering about this batch.
These projects are all well-designed studies that, when completed, can inform policy development and result in behavior change. In the near future, policymakers, leaders of health care institutions, program officers, and clinicians will benefit from these nuanced findings about the applications of behavioral economics to health and health care.
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May 8, 2013, 8:00 AM, Posted by
Steve Downs
“Today, Geisinger Health System, one of the nation’s premier health systems, is taking an important step to expand OpenNotes. We hope other systems follow Geisinger’s lead to share doctors’ notes with patients, giving them information they can use to participate more meaningfully in their care." – Steve Downs
This excerpted post by Geisinger CEO Glenn Steele, MD, first appeared in October 2012, when results from the OpenNotes pilot were released. Geisinger was one of three health systems that participated in the study.
…As a health system CEO who also is a doctor, I believe it is an ethical imperative that our patients at Geisinger know everything that we know about them. And, I think it’s a logical imperative that if we can open up our medical visit notes to our patients, we’ll find out what they understand and what they don’t, so we can answer questions and work as partners to chart a path to better health.
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