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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

Most medical practices are still stuck doing piecework. Even the required operational framework for Patient Centered Medical Home recognition is completely top-down. Since we basically don’t have a clue, let alone agreement, about what Quality really is ( see my 2009 post “ Quality or Conformity?

Patients 130
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Kaiser Permanente study shows screening efforts cut colorectal cancer deaths in half

Permanente Medicine

Early screening helps erase racial health disparities The study showed a significant reduction of colorectal cancer deaths among Black patients, which decreased from 52 per 100,000 in 2009 to 23.5 Levin, MD , a Kaiser Permanente Division of Research scientist and gastroenterologist with The Permanente Medical Group.

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Reducing cancer deaths, one test at a time

Permanente Medicine

When a patient visits any physician for any reason, they are reminded that it is time for their screening, flagged by our integrated electronic health record. per 100,000 in 2009 to 23.5 The approach was simple: consistently alert patients that it’s time to get screened and make getting screened as easy as possible. in 2000 to 79.8%

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

Corita 09:39 Yeah, so we used the electronic health record, I think, in support. And so we did a similar intervention but using electronic means. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? What does that mean? Like in sort of practice?