How I Feel About Health Reform: The ACA and HITECH Acts

Recently I completed the Commonwealth Fund’s 2015 International Survey of Primary Care Doctors. They wanted to know what I thought about our health system, if fundamentally it worked or needed to be better. They asked questions about my satisfaction with practicing medicine, the quality of care my patients receive, and my experiences with electronic medical records.…

How doctors feel about electronic medical records: Not good

Have I mentioned how frustrated I get by my clinic’s EMR? Totally slow, inefficient, I apologize on a regular basis to patients, “I’m sorry, my mind can only work on one thing at a time, I need to put this order in then I’ll talk to you again.” I find myself banging the keyboard when the…

The Health Costs of Inequality

The word is out–according to economists from Standard & Poor, the stalled economic recovery in America after the Great Recession could be due to our staggering income inequality. The rich get richer, and they already have everything they need, so they do not buy any additional goods and services, but instead put their money into…

“Right Size” hospitals as care transforms

“Where have all the inpatients gone?” ask Robert York, Kenneth Kaufman and Mark Grube in this fascinating blog on the Health Affairs website examining shifts in inpatient admissions at Chicago hospitals. “Where have all the inpatients gone? A regional study with national implications” includes data from the fee-for-value Advocate system, where I am officially credentialed, affiliated…

Got Coverage?

Chicago Family Health Center has busily been signing up patients for health insurance. Each Saturday, we’ve been hosting Affordable Care Act Enrollment Fairs. The first one was November 16. After seeing my patients in clinic that morning—including two who had previously been uninsured, now covered through the Cook County early Medicaid expansion called County Care—I…