ACO | Governance

The Chicken and the Pig and the ACO

I recently heard it said that while it takes both a chicken and a pig to make a ham and egg breakfast, the chicken is merely involved while the pig is fully committed. How different is this from the relationship between hospital administrators on the one hand, and physicians on the other, in connection with […]

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Hospital-Centric Healthcare

Are You Infected with a Hospital-Centric Meme?

Physicians are certainly well acquainted with the concept of nosocomial infections, infections acquired by patients during the course of hospitalization and infections acquired by hospital personnel. But physicians are for the most part unaware of another type of infection relating to hospitals: the meme, or mind virus, an accepted cultural idea or paradigm, infecting physicians in […]

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Philosophy

Who Asked the Patient if She Wants a Hospitalist?

Sally hired Beth, the most sought after wedding planner in Centerville to coordinate her wedding at the Community House, a high-end hotel.  Beth planned the flowers, the menu and every other aspect of the ceremony and reception. You see, Sally had hired Beth for her expertise; the Community House was just the place, a nice place, where the event would occur.

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