health department

A. The Present Moment. I've started this piece a whole bunch of times. So in fairness to you, reader, you have a few paths through it. If you don't feel like starting by sharing some navel-staring about today's bizarre predicament, please skip to 'D.' Or 'B,' or 'C.' Wouldn't blame you in the least. I've still got my dander up about what's happening in the many troubled reaches of health care

Introduction: Confidentiality Clauses, Non-Disclosure Agreements, Non-Disparagement Clauses In 2016, Dr Wally Smith and I published an article on how contracts employed physicians sign may threaten their patients and professionalism.(1)  At the time, we wrote, clauses in the contracts that physicians sign with their employers or that their employers sign with third parties may be part of a

I received this today. I have been writing on healthcare information technology problems for 20 years, on this site since 2004 and others since the late 1990s. This eClinicalWorks EHR story is the worst-case scenario: bad health IT, and vendor cheating in the (already weak) "certification" process to get the EHR to market without consideration of the severe harms that could result, Ford

Introduction:  An Old Public Health Menace This is somewhat personal.  In the early 1980s, as a general internal medicine fellow, I gave a series of talks about important medical problems that generalist physicians often missed.  One was asbestos related disease.  Although asbestos had been heavily regulated since 1973, there were stilll large numbers of people exposed to it alive in the 1980s.

Introduction - What Has Gone Wrong with the Leadership of Health Care Organizations A major focus of Health Care Renewal has been problems in leadership and governance of health care organizations, which we believe became major causes of health care dysfunction.  For example, we have discussed how leadership is often ill-informed.  More and more people leading non-profit, for-profit and

While we were distracted by the daily onslaught of news, it appears that the revolving door continues to spin. This month there has been a flurry of transitions from big health care and health care related corporations to the federal government.  So it appeared to be time for another revolving door update. We start with a transition from a few months ago that we had not previously

Background: the Quiet Announcement of the Death of the Clearinghouse On June 1, 2018, we wrote: Apparently as of late April, a terse announcement appeared on the website of the US AHRQ National Guideline Clearinghouse: The AHRQ National Guideline Clearinghouse (NGC, guideline.gov) Web site will not be available after July 16, 2018 because federal funding through AHRQ will no longer be