Moving Intelligent Change Forward
February, 2018 Vol. 1 - In This Issue:
Disruption is the latest buzzword in healthcare, but what does it really mean? In the technology context, it seems to mean new therapies or new ways of doing old work ("I have an app for that"). Too often, what is coined as disruption is just noise. Real disruption is about new thinking, new priorities, and new drivers. Real disruption means real risk-taking. It means doing the right thing when no one is looking (or because no one is looking). Disruptive change can have an equal opportunity impact if we dare to ask better questions of the people who really matter. Who is disruptive enough to stop tinkering in the name of improvement, and instead insist that we ask the questions "what should we have?" and "how can we make it happen?"

Why Glaring Quality Gaps Among Nursing Homes Are Likely To Grow If Medicaid Is Cut

Nursing homes that rely the most on Medicaid tend to provide the worst care for their residents - not just the people covered by the program but also those who pay privately or have Medicare coverage.
Despite the collapse of the latest Senate effort to repeal the Affordable Care Act, congressional Republicans are still keen on shrinking the amount of Medicaid money Washington sends states.  
The Things We Say

Gwynne's Grammar is my favorite writing guide. In it, he advocates for precision in the use of language, which is the machine for thinking and necessary for clear judgment and good decisions. Gwynne creates a nine-step argument for the importance of words, even suggesting: "If enough societies in the world crumble as a result of bad decisions taken because of bad thinking, yes, the whole of world civilisation faces collapse, with consequences for each individual that are literally incalculable."  
Unnecessary medical care is more common than you think

It's one of the intractable financial boondoggles of the U.S. healthcare system: Lots and lots of patients get lots and lots of tests and procedures that they don't need.
Women still get annual cervical cancer testing even when it's recommended every three to five years for most women. Healthy patients are subjected to slates of unnecessary lab work before elective procedures. Doctors routinely order annual electrocardiograms and other heart tests for people who don't need them.
Strong partnerships crucial to community health initiatives, hospital executives say

Hospitals are engaged in improving community health out of a commitment to their organizational missions and are entering into partnerships-including with competitors-to do so, according to a new report. 
Patient, Provider, and Practice Characteristics Associated with Inappropriate Antimicrobial Prescribing in Ambulatory Practices

To reduce inappropriate antimicrobial prescribing across ambulatory care, understanding the patient-, provider-, and practice-level characteristics associated with antibiotic prescribing is essential. In this study, we aimed to elucidate factors associated with inappropriate antimicrobial prescribing across urgent care, family medicine, and pediatric and internal medicine ambulatory practices.  
Learnings from a Large-Scale Emergency Department Care Management Program in New York City

NYC Health + Hospitals is responsible for more than 1 million emergency department visits annually - roughly one-third of all ED visits throughout the city, with 30% of visits by uninsured patients. Through a Center for Medicare & Medicaid Innovation (CMMI) Award, we tested an interdisciplinary care management model in six of some of the busiest EDs in the country.  
What Do Patients with Diabetes Think of Health Coaching?

In this brief, we examine the health coaching model of Harlem-based City Health Works. City Health Works coaches use an evidence-based curriculum and motivational interviewing to educate clients about their chronic disease and help them improve their nutrition, medication adherence, physical activity, stress management, and engagement with primary care providers.  
Five major psychiatric disorders have overlapping patterns of genetic activity, new study shows 

Certain patterns of genetic activity appear to be common among five distinct psychiatric disorders - autism, schizophrenia, bipolar disorder, depression and alcoholism - according to a new study. The paper, appearing in the journal Science, was released Thursday. 
Don't overhype the new health care venture

Even if Jeff Bezos, Jamie Dimon and Warren Buffett come up with ways to lower their own corporate health care costs, it's highly unlikely their new health care venture will move the needle on overall health spending or other dimensions of the health cost problem.  
Passion + Quality = Change That Matters
I embrace the powerful opportunities in our evolving health care landscape. I founded Momentum Health Strategies to be a catalyst for change through continuous learning, diverse engagement and thoughtful policy and practice initiatives. I deliver innovative, strategic thinking and a passion for improving the patient experience. My personal drive and dedication to high-quality results will help you navigate the competitive terrain you face and convert your vision to action.

Momentum Health Strategies

Jennifer L Bright, MPA
(703) 628 - 0534