Well, Bill. The only way I know how is to start my own personal journey to create Multifunction Cardiogram Technology Platform to advance our knowledge and diagnostic performance.
They have endorsed failed treatments, procedures, pharmaceuticals by believing in the failed systemic peer review publishing/allowing 90% of the published material flawed, fraud, tainted with preordianed, cherry-picked data/narratives paid by the paymsters of the Wall- Street corrupt medical industry bosses.
One has to ask why we stopped on the near bank and never crossed the quality chasm. During the ensuing decades, the chasm has only widened and our resolve narrowed. Deming used to say something like “God may bring his opinion, all others bring data.” But we stopped caring about data, being completely overtaken by the desire to make money. And we now have a culture that doesn’t know how to even begin the task of holding doctors, hospitals, and pharmaceutical companies accountable for the quality of care they practice and deliver. Corrupt systems don’t give a damn about quality.
In the early 1990s most hospitals had cost accounting systems. They were not very accurate, but at least they allowed administrators and doctors to look not only at the quality of outcomes, e.g. time from admit to gastric scoping for GI bleeding, but to correlate those outcomes with costs to the hospital (as opposed to charges). Every industry except health care looks at both cost and quality of its products and services. What happened was that the insurance companies won the battle through lobbying, assuring that they would be paid what they charged, regardless of actual cost or quality of the outcome. Hospitals abandoned cost accounting systems like a hot potato! There became no need to bother with accounting for cost, and we saw a steady and continuing inflation of the pricing of health care to the point we pay over twice as much as other industrialized nations as a percentage of GDP, and we attain lower levels of overall and specific health status.
I agree 100%. Our primary is planning on retiring in the near future. He gets OMT and has us on a good path. Im worried about the new string coming in and not being taught in Medical school about OMT. Correct me if I am wrong but what I witnessed during my 30 year career was that insurance providers dictated how physicians cared for their patients as well as the systems they worked for as well. Here Prisma health care are dictators to the physicians. Back when I started my career physician's owned their own practice and had a say. Now the system owns the physicians and dictates to them how they will act, which is to bring in more money. It now is all about the bottom line not what is in the best interest of the patient. It is time for the physician's to take back control being taught in medical school how it really should be working. This is just my thoughts based on what I have witnessed over the years.
Tnank you Jean. You have experienced the failure of our system to set up the processes and teams needed to manage heart disease more effectively and you are a healthcare professional yourself. Thank you for your personal story and your professional input.
Well, Bill. The only way I know how is to start my own personal journey to create Multifunction Cardiogram Technology Platform to advance our knowledge and diagnostic performance.
You are making a difference but we need a lot more help to implement what the National Academy recommended.
They have endorsed failed treatments, procedures, pharmaceuticals by believing in the failed systemic peer review publishing/allowing 90% of the published material flawed, fraud, tainted with preordianed, cherry-picked data/narratives paid by the paymsters of the Wall- Street corrupt medical industry bosses.
I am NOT holding my breath and will NEVER pay them for thriy endorsements.
One has to ask why we stopped on the near bank and never crossed the quality chasm. During the ensuing decades, the chasm has only widened and our resolve narrowed. Deming used to say something like “God may bring his opinion, all others bring data.” But we stopped caring about data, being completely overtaken by the desire to make money. And we now have a culture that doesn’t know how to even begin the task of holding doctors, hospitals, and pharmaceutical companies accountable for the quality of care they practice and deliver. Corrupt systems don’t give a damn about quality.
Thanks David. You are a national leader on information technology and data. You know as much about this topic as anyone and thanks for commenting.
In the early 1990s most hospitals had cost accounting systems. They were not very accurate, but at least they allowed administrators and doctors to look not only at the quality of outcomes, e.g. time from admit to gastric scoping for GI bleeding, but to correlate those outcomes with costs to the hospital (as opposed to charges). Every industry except health care looks at both cost and quality of its products and services. What happened was that the insurance companies won the battle through lobbying, assuring that they would be paid what they charged, regardless of actual cost or quality of the outcome. Hospitals abandoned cost accounting systems like a hot potato! There became no need to bother with accounting for cost, and we saw a steady and continuing inflation of the pricing of health care to the point we pay over twice as much as other industrialized nations as a percentage of GDP, and we attain lower levels of overall and specific health status.
Thanks for helping us understand that better
I agree 100%. Our primary is planning on retiring in the near future. He gets OMT and has us on a good path. Im worried about the new string coming in and not being taught in Medical school about OMT. Correct me if I am wrong but what I witnessed during my 30 year career was that insurance providers dictated how physicians cared for their patients as well as the systems they worked for as well. Here Prisma health care are dictators to the physicians. Back when I started my career physician's owned their own practice and had a say. Now the system owns the physicians and dictates to them how they will act, which is to bring in more money. It now is all about the bottom line not what is in the best interest of the patient. It is time for the physician's to take back control being taught in medical school how it really should be working. This is just my thoughts based on what I have witnessed over the years.
Tnank you Jean. You have experienced the failure of our system to set up the processes and teams needed to manage heart disease more effectively and you are a healthcare professional yourself. Thank you for your personal story and your professional input.