Monthly Archives: July 2011

Fiduciary Irresponsibility

Forgive what promises to be lousy formatting, but I wanted to post balance sheets below.  I plan to refer back to them over the next few weeks as I explore a couple points (see the last paragraph).  The first column … Continue reading

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The World Does Not End

When a hospital closes, the patients are moved in an orderly transition to other facilities. Walter Reed Closing After More Than 100 Years

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Random Questions

1.  Are my fellow Board members so wealthy (all are considerably above Alameda’s median family income and net worth) that a wasted $298/year means nothing? 2.  Is there a bridge between “closing the hospital” and “keeping it open” that can … Continue reading

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Bedside Manner

Lauren Do writes about the Hospital Board this AM.  I wanted to make sure that I had something up for any visitors so here is a post I wrote after June’s meeting where the District budget was approved. Should the … Continue reading

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Quick Notes for Board Meeting 7/11

1.  Closed session agenda meets the criteria set out in the Brown Act.  Hope that continues in the future, but unlikely. 2.  Consent agenda.  I pulled nothing. Yes, May was dismal with another 816k of losses, but the Board majority … Continue reading

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Perhaps it is a Distinction WIthout a Difference

A letter suggesting I have insulted the medical staff of Alameda Hospital has been circulated. I have always tried to carefully couch my issues with Alameda Hospital in terms of outcomes.  I have pointed to numerous studies published in this … Continue reading

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The Joint Commission’s Quality Report

TJC does issue quality reports.  The one for Alameda Hospital can be found here.  Before anyone tries to tell me that the Hospital does a better than average job on 30 day mortality for heart attacks, realize that Alameda Hospital … Continue reading

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Callous

The idea that there is a relationship between higher volumes and better outcomes in healthcare is completely uncontroversial.  The exact nature of the relationship, thresholds, and areas where it is strongest is the reason that all these studies are published.  … Continue reading

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Denialists

There are numerous people in this country who do not believe in global warming.  Some of them reject the science.  Some believe that it might be happening, but it is not caused by human activity.  A vast majority just do … Continue reading

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People who say it better than I can – NEJM edition

“Admission to higher-volume hospitals was associated with a reduction in mortalityfor acute myocardial infarction, heart failure, and pneumonia, although there was avolume threshold above which an increased condition-specific hospital volume wasno longer significantly associated with reduced mortality.”The thresholds in the … Continue reading

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