Health Policy

  • Quality Improvement or Human Research? Ethics in the Gray Zone

    By Marjorie Stiegler on March 1, 2017
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    Medical research on human subjects has substantial institutional oversight and regulatory assurances to protect patients. However, research is expensive and the insights gained from human research often takes many years to permeate clinical practice. In this modern age of healthcare focused on enhancing quality, value, and patient safety, a new paradigm has emerged - the 'quality improvement' project. These projects are subject to a much lower level of oversight, and enjoy more loosely defined protocols. The intent is to be able to rapidly implement better and safer processes for the benefit of patients. However, some projects share considerable similarities with traditional human research. Are their champions simply trying to circumvent regulatory hurdles by calling their experiments 'quality improvement'?
  • 4 big mistakes doctors make on social media and how to avoid them

    By Marjorie Stiegler on September 21, 2016
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    This video emphasizes the importance of a few simple best practices for doctors on social media, and healthcare social media in general. Specifically, we discuss a few things you should NOT do! 1) You should obviously not disclose or discuss the personal health information of patients online, even in a "private" or "physician only" forum. Your words or images may be construed as a violation of (HIPPA) - the Health Insurance Portability and Accountability Act - EVEN if you do not explicitly reveal the patient's identity...
  • Make your online reputation audit accurate and actionable!

    By Marjorie Stiegler on September 12, 2016
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    It is SO worth the time invested to get this right! Your digital footprint is your online reputation, and much of it IS within your control. Be sure you know what Google says about you, so you can influence the internet to serve up more of what you like and less of what you don't (errors, out of date, same name but not you, etc). Every professional, doctors included, needs to do this. This video will walk you through the exact process of performing a thorough, accurate online self-audit so you'll...
  • Should doctors use social media professionally?

    By Marjorie Stiegler on August 25, 2016
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    Click "keep reading" below to access my video - a special announcement about a free Facebook LIVE video series on healthcare and social media! Whether you are in private practice, academics, or even administration, there's something for you in this new series that breaks down how, why, when, and where healthcare professionals and organizations can and should be leveraging social media.
  • Why are kids dying at the dentist?

    By Marjorie Stiegler on July 21, 2016
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    Is pediatric dental anesthesia safe? Right on the homepage of the ADSA is a big box: “getting sedated at the dentist: there’s nothing to worry about”. Recent news, however, seems to contradict that statement. In Texas alone, there are at least 85 reported deaths of patients who died following dental procedures between 2010 and 2015. In these cases, anesthesia was reportedly administered by dentists with anesthesia training. But what is a 'dentist anesthesiologist'? In the FAQ section of the ADSA website, they state “Anesthesia is administered by a licensed anesthesiologist, who was trained in a formal anesthesia residency program.” No wonder people are confused...
  • Why is everyone so upset about the VA APRN proposed rule?

    By Marjorie Stiegler on May 28, 2016
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    The best outcome of research in healthcare quality and safety would be to make the practice of medicine and healthcare systems so safe and so good that we essentially make ourselves obsolete. Are we there yet? Some think so. Within the VA system, a new rule has been proposed: "expanding the pool of qualified health care professionals who are authorized to provide health care... without the clinical supervision of physicians" and "to exercise Federal preemption of State nursing licensure laws...regardless of individual State restrictions that limit such full practice authority". Let's look at the details...
  • What Dr. Laura knows about why doctors should be active online

    By Marjorie Stiegler on February 22, 2016
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    “The reason I do this show on the radio is so that other people can benefit from what I’m saying. I don’t have a fix for you, but I’m glad you called, so that other women out there listening to this can avoid the decisions and mistakes you made.” I believe that healthcare leaders and medical experts have a professional obligation to be present on the internet, so that they can...
  • “Bad Things Happen in Medicine – Deal With It”

    By Marjorie Stiegler on October 18, 2015
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    Those are the words of a physician responding to a survey about the extent to which doctors are affected by death and other bad outcomes of their patients. I have another point of view to share, sent to me via email from a doctor I've never met, who has been haunted by one particular patient's death for 25 years.
  • Stanford MedicineX Live Tweeting – Good or Bad?

    By Marjorie Stiegler on September 29, 2015
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    Cast your vote! According to symplur.com, Stanford's Medicine X conference #MedX had an incredible reach of nearly 219 million impressions and over 56,000 tweets in the past ten days. But, controversy remains about whether it is OK to tweet a speaker's slides without proper attribution. Many attendees snap photos of slides and live tweet the content, but without knowing speaker's twitter names, and without express consent to disseminate the actual intellectual creation, the question remains...
  • BX2015 Highlights: The 2015 International Behavioural Exchange Conference

    By Marjorie Stiegler on September 6, 2015
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    Did you know? The relentless stress caused by poverty has the same effect as reducing your IQ by about 15 points. And if you look even a little bit poor, you are also perceived as incompetent – so things are only looking worse for you tomorrow. Most people lie and cheat a little; few lie and cheat a lot. Very few people actually steal…unless it’s for a good cause. Want someone to do something for you? Follow this formula...
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