August 01, 2013 | Bob Wachter, MD | Policy and Legislation
There are tens of thousands of policies in Medicare's policy manual, which makes for stiff competition for the "Most Maddening" award. But my vote goes to the... More
May 30, 2013 | Bob Wachter, MD | Quality and Safety
I sometimes explain to medical students that they are entering a profession being transformed, like coal to diamonds, under the pressure of a new mandate. "The world is going... More
April 03, 2013 | Bob Wachter, MD | Quality and Safety
In the past, neither hospitals nor practicing physicians were accustomed to being measured and judged. Aside from periodic inspections by the Joint Commission, hospitals did not... More
February 18, 2013 | Bob Wachter, MD | Quality and Safety, Strategic Planning
These should be the best of times for the patient safety movement. After all, it was concerns over medical mistakes that launched the transformation of our delivery and payment... More
January 22, 2013 | Bob Wachter, MD | Quality and Safety
I was recently speaking to the clinical leaders of a mid-sized hospital, and a senior administrator posed the question, “should we require our doctors and nurses to get flu shots... More
December 11, 2012 | Bob Wachter, MD | Quality and Safety
The debate over pay for performance in healthcare gets progressively more interesting, and confusing. And, with Medicare’s recent launch of its value-based purchasing and... More
November 26, 2012 | Bob Wachter, MD | Quality and Safety
Emerging evidence suggests that patients and their surrogates frequently engage in massive denial when it comes to prognosis near the end of life. While understandable – denial... More
October 03, 2012 | Bob Wachter, MD | Quality and Safety, Workforce Management
Senior attendings like to quip that the medical students seem to be getting younger every year. They’re not. But the attendings on the wards of American teaching hospitals... More
June 19, 2012 | Bob Wachter, MD | Policy and Legislation
Like waiting outside the Vatican for the puff of white smoke, the nation sits on edge awaiting the Supreme Court’s ruling on the Affordable Care Act. More
March 14, 2011 | Bob Wachter, MD | Policy and Legislation
Two cover stories in this week’s Time magazine debate a provocative question: Is America in decline? More