The Curbsiders Internal Medicine Podcast17 Sep 2018

#114 High Value Care: Assess Quality, Mitigate Diagnostic Uncertainty, Overcome Barriers

Kick up the quality of your care with tips and tactics from Caitlin Clancy MD, coauthor of ACP’s High Value Care Curriculum. We learn to define quality and value in healthcare; the most common barriers to high value care; use of probability and likelihood ratios to boost clinical reasoning and combat diagnostic uncertainty; some useful tools to estimate cost; sources of healthcare waste; and some general pearls on how the healthcare system works...or doesn’t. ACP members can claim free CME-MOC at acponline.com/curbsiders (goes live 0900 EST on podcast release date).

Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits:

Written & Produced by: Matthew Watto MD
Hosts: Paul Williams MD, Stuart Brigham MD, Matthew Watto MD
Guest: Caitlin Clancy MD

Time Stamps

00:00 Disclaimer, intro and guest bio
03:50 Guest one-liner, some discussion on non traditional paths, and picks of the week
12:10 Case 1: Defining value, cost, quality; sources of healthcare waste; and how to avoid the waste of daily labs
23:00 Case 2: An uninsured patient who needs major surgery; costs for uninsured versus insured patients
28:35 Do insured patients have better outcomes?
31:15 How to determine cost and “fair market price”
36:29 Case 3: Clinical case of suspected heart failure
45:45 Case 4: Clinical case of patient requesting antibiotics; barriers to high value care and how to overcome them
57:05 Outro

Tags: high, value, care, quality, cost, diagnostic, uncertainty, likelihood, ratio, testing, treatment, consumer, acp, college, american, insured, uninsured, bill, charge, reimbursement,

Det här avsnittet är hämtat från ett öppet RSS-flöde och publiceras inte av Podme. Det kan innehålla reklam.

Avsnitt(500)

#519 Mild Autonomous Cortisol Secretion

Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina B...

30 Mars 1h 13min

518: Cardiology Meets Longevity

Metabolic Health, Advanced Lipidology, and Preventing ASCVDLevel up your primary prevention game. Learn when ApoB, Lp(a), and CAC actually change management, how to spot cardiometabolic risk before di...

23 Mars 1h 31min

#517 DIGEST: Weight regain after weight loss medications, GLP1/GIP comparisons, valacyclovir for Alzheimer’s, and nudges to encourage deprescribing

Join us as we review and appraise recent practice-changing articles. In this episode, we cover the latest in GLP-1s and GIP agonists for CVD, Type 2 Diabetes, and Obesity, valacyclovir to treat Alzhei...

16 Mars 1h 5min

REBOOT: #481 Prediabetes and Diabetes Prevention with Dr. Scott Isaacs

We have a classic episode for you. Conquer prediabetes and diabetes prevention! We’re joined by Dr. Scott Isaacs, who provides essential pearls on navigating screening tests for diabetes and prediabe...

9 Mars 1h 33min

#516 Lyme Disease Primer featuring Dr. Sophie Woolston

Stop getting TICK’ed off by LymeMaster Lyme disease — from recognizing erythema migrans and avoiding unnecessary testing to managing disseminated Lyme and post-exposure prophylaxis. Learn practical, e...

2 Mars 1h 18min

#515 Primary Aldosteronism, A Deep Dive with Anand Vaidya, MD

Helping you diagnose a common cause of hypertension!Hypertension is a growing disease globally, affecting millions of individuals and increasing the risk of heart disease and stroke. Along with the ex...

23 Feb 1h 26min

#514 Hotcakes: Oral Semaglutide, Fish Oil in ESRD, IV Iron During Infection, New US Dietary Guidelines, & Anticoagulation after Ablation in AFib

Join us as we review and appraise recent practice-changing articles on oral semaglutide for obesity, fish oil in ESRD, IV iron during infection, the new US Dietary Guidelines, & anticoagulation after ...

16 Feb 1h 10min

REBOOT: #469 Inpatient Heart Failure

We have another classic episode for you. Master inpatient heart failure management! Learn key tips for initiating guideline-directed medical therapy, diuretic therapy pearls, and ensuring smooth trans...

9 Feb 1h 32min