Medical Quality Improvement Suggestions
Staff Reporters

A new report from the Institute of Medicine [IOM recommends 20 specific health indicators that can be used to help policy-makers, the media and the public measure Americans’ overall health and well-being and track the nation’s progress in improving public health and care systems.
Link: AHA News Now: http://www.rwjf.org/qualityequality/digest.jsp?id=9220
Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com or Bio: www.stpub.com/pubs/authors/MARCINKO.htm
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Filed under: Ethics, Quality Initiatives | Tagged: health indicators, IOM |














Unmet Needs [Teaching Physicians to Provide Safe Patient Care]
Ten years after the Institute of Medicine’s landmark 1999 report To Err Is Human, the Lucian Leape Institute at the National Patient Safety Foundation has released a white paper finding that US medical schools are not doing an adequate job of facilitating student understanding of basic knowledge and the development of skills required for the provision of safe patient care.
Unmet Needs: Teaching Physicians to Provide Safe Patient Care is the culmination of three LLI Roundtable discussions and makes key recommendations for reforming medical education in order to improve patient safety.
The paper is the first in a planned series of such reports on issues that the Lucian Leape Institute has identified as top priorities in ongoing efforts to improve patient safety.
You may download and read the full paper here:
http://www.npsf.org/LLI-Unmet-Needs-Report/
Dr. Daivd E. Marcinko, MBA
[Editor-in-Chief]
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We’re all adults here. Let’s accept ownership of our unshaven history: Practicing dentists are dental patients’ ONLY representatives, and the fact that dentists have no presence on the board of the Institute of Medicine [IOM] – which reports to the Department of Health and Human Services [DHHS] – is undeniable proof that meaningful negotiations for dental patients’ rights in the US failed long ago. But, I’m here to tell you that there is hope.
The history of struggle proves that intimidation from a grassroots-empowered few often succeeds when civilized negotiations between huge organized entities fall apart. Not coincidentally, it didn’t take many dissatisfied consumers to initiate the downfall of the feudal system a few hundred years ago. That was huge. This is even bigger… Well, for dentists it is.
At this time, only a handful of the ADA’s most invested HIT stakeholders remain as hold-outs. Unfortunately, they are destined to lose big and they know it. I or almost anyone can hit them any of many directions even before the ADA opens ADA.org – the official national Website that took more than 18 months to put together and will take me only days to take apart.
Good morning, @ADANews
Before 2003, ADA members could depend on the veracity of information found in ADA publications on all subjects. Then Gingrich visited HQ.
Years ago, I warned the ADA about the deceptive HIT claim still posted on the “Advocacy” page. I never heard from ANYONE in the ADA.
At what point will ADA leadership reveal that eDRs do not now, nor have they ever in the past saved money in dental care. Don’t bullshit us.
Proots
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Social networks make it easy as well as fun for born troublemakers like me to “quietly” silence good ol’ boys who still haven’t accepted the reality that overwhelming Internet transparency always cuts their lines of communication – thereby rendering ineffective their bulky WWII-era command and control business models.
You may still choose not to believe someone who actually enjoys getting his hands messy. Many others with an aversion to confrontation unwittingly protect a preoccupation with an unrealistic image of “professional behavior” – an obsolete social invention based on a tradition of stoicism in an environment of fair competition.
I apologize far using too many words to share breaking news from the event-horizon notreally. I may be unbearable, but you cannot deny the fact that I am providing real time information describing how loyalists are justifiably losing their power, and sometimes careers, in a bloodless revolution – the very best kind.
Now that Dr. Lorne Lavine and Dr. Larry Emmott – two of the most popular dental technology consultants in the business – no longer contend that eDRs save money in dentistry, I haven’t noticed anyone else still shopping the myth … except the ADA on its new Advocacy page under “National Oral Health Agenda.”
http://www.ada.org/2035.aspx
That’s right, sports fans. The ADA’s HIT stakeholders remain determined to use members’ dues to pay a lobbyist in Washington to tell lawmakers exactly what they want to hear – that eDRs not only provide jobs in the nation, but they also save money on dentistry. Why do our leaders blatantly evade the truth? Didn’t the ADA learn anything from members’ criticism of Dr. Robert Ahlstrom’s alleged controversial HIPAA testimony to the HHS? (See: “Dr. Robert H. Ahlstrom’s controversial HIPAA testimony.”)
http://community.pennwelldentalgroup.com/forum/topics/dr-robert-h-ahlstroms
And about the professional image thing: In March 2007, the then president of the Texas Dental Association, accompanied by a Fort Worth District Dental Society officer, were sitting in my office – not ten feet from where I’m sitting right now – listening to me describe reasons for my suspicions about HIPAA. In the end, I was unable to interest either of them in my suspicion of malfeasance by the ADA Department of Dental Informatics brought about by evasion of my questions. The president, who has a wonderfully charming personality, told me that he didn’t want any part of the controversy. So what else could I do? I assured both of the officers that I intend to become only as loud as it takes to change the ADA’s policy of disregard for the welfare of members and their patients.
Evidently, I still haven’t been loud enough, so expect me to turn up the volume about the time the ADA opens its long-awaited Website. I’m ready.
Slow-moving, heavily protected traditional leaders are only beginning to lose control – not just in the field of dentistry. They’ve had a long, prosperous run, so good ol’ boys are ubiquitous as well as defensive. They’re also still being re-elected. Fortunately, we’re nimble enough, and strong enough to stop tyranny. Aren’t we?
ADA Trustees and hangers-on are retreating quickly now that even vendors of eDRs can’t get away with lying to ADA members. Soon those remaining will be fighting out of a basement at 211 East Chicago Ave., Chicago, IL 60611-2678… or ADA.org.
D. Kellus Pruitt; DDS
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