To support efforts at the recently opened Martin Luther King, Jr. Community Hospital in Los Angeles to develop a culture of quality, a team of scholars identified best practices based on interviews with high-performing hospital systems.
Health system leaders should view regular and detailed assessment of physician professional satisfaction as an invaluable early warning system for potential threats to quality and safety. But simply surveying doctors on their overall levels of job satisfaction isn't enough.
The policy challenges associated with coverage, licensure, scope of practice, institutional privileges, and research may prevent complementary and alternative medicine professionals from practicing to the full extent of their capabilities.
Process improvement stresses the importance of engaging frontline staff in implementing new processes and methods. Yet questions remain on how to incorporate these activities into the workday of hospital staff or how to create and maintain its commitment.
Increasing the number of physicians who can prescribe buprenorphine for opioid abuse and supporting their ability to treat more patients may be the fastest approach to enhancing capacity for treatment, particularly in less populated counties.
This Perspective revisits an earlier critique of ProPublica's Surgeon Scorecard and explains in detail why ProPublica's subsequent rebuttal of our work fails to address our methodological concerns about the Surgeon Scorecard.
Inspections have become more prominent in England's approach to health service regulation as a way to identify problems before they occur. But the evidence of regulation contributing to better quality of care in different systems is scarce.
There is no tradeoff between recognizing the serious methodological problems in the ProPublica Surgeon Scorecard, improving the Scorecard, and encouraging providers to release their own data. All three can and should be done simultaneously.
Complementary and alternative medicine (CAM) treats the whole person, but political definitions of CAM have focused only on treatment methods. Policies that impact patient access and care need to consider the full scope of CAM professions.