Topic
Quality and Risk
955 articles
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The Market Forces Quietly Adding Thousands to Patient Bills
This article examines how vertical integration in healthcare drives up costs and limits patient choice. It highlights examples of hospitals and insurers consolidating power, impacting affordability and care quality.
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Healing from the Inside Out: How Medicine Must Learn to Share Its Power
Dr. Rana Awdish shares her transformative journey from patient to physician leader, emphasizing the importance of vulnerability, communication, and collaborative healing in medicine.
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Medical Staff Governance & Leadership
This article discusses hospital medical staff structures, emphasizing self-regulation, credentialing, privileging, and quality assurance. It explores peer review processes like FPPE/OPPE, professionalism policies, and...
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A NY Hospital Tried To Close Its Birthing Center. This City United To Fight Back.
When Trinity Health planned to close Troy's last birthing center, the community united across political and social lines to save it. Residents, officials, and advocates rallied against corporate healthcare priorities,...
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Uninsured but Undaunted, a Surgical Patient Searched the Globe for a Deal
A 63-year-old uninsured patient shopped for affordable hernia surgery after receiving a $23,000 hospital quote. He paid $4,700 total, including travel, by opting for an outpatient center in Maryland, saving thousands.
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Rethinking Reform: Ken Terry on Primary Care, Cost, and the Future of U.S. Healthcare
Ken Terry talks with Mike Sacopulos about primary care, healthcare costs, and practical reform ideas from his new book, Beyond Medicare for All. They provide insight into how physician-led care and new payment models ...
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How Can I Increase Patient Loyalty in My Practice?
Discover how healthcare practices can build patient loyalty through trust, empathy, strong communication, and patient-centered care to thrive in a competitive market.
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From Volatility to Value: How Healthcare Leaders Can Fortify Supply Chain Strategy in 2026
Healthcare supply chains face growing challenges like regulatory shifts, tariffs, and inflation. This article explores strategies for resilience, leadership's role, and a forward-looking framework for 2026 and beyond.
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Disruptive Physician Behavior as a Leadership, Governance, and Patient Safety Challenge
This article reframes disruptive physician behavior as a leadership, governance, and patient safety issue. It proposes a five-step framework for addressing harmful conduct while ensuring fairness and accountability.
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Beyond the Pandemic: Crisis Management in Healthcare in an Era of Complexity, Uncertainty, and Misinformation
This article explores a leadership framework for tackling future healthcare crises, emphasizing trust, communication, adaptability, and decision-making to address challenges like misinformation, cyber threats, and cli...
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Cyclospora Boosts Fears That Worse Foodborne Outbreaks Are Ahead
Federal cuts to food safety programs like CDC FoodNet and FDA inspections are reducing outbreak detection and prevention. Experts warn of deadlier foodborne illnesses as public health resources dwindle.
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Model the Transformation You Expect Employees to Deliver
Leaders must model the transformation they expect others to deliver. Yet many leadership teams undermine their own ambitions by promoting agility, experimentation, and innovation while continuing to govern through leg...
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Communications at a City Hospital with Media Relations Director Dan Collins
Dan Collins shares insights from nearly 30 years of experience on how effective media strategy shapes reputation, drives patient growth, attracts top talent, and supports staff retention. He explores the evolving role...
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Medicare’s AI Push Snarls Patients and Doctors in Errors and Delays
A new Medicare pilot program called WISeR, aimed at reducing fraud and misuse through AI-driven prior authorization, is causing delays, errors, and frustration for patients and doctors.
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Trouble Getting Weight Loss Drugs Covered by Insurance? Here’s What To Know
A caregiver lost insurance coverage for Zepbound, a GLP-1 obesity drug. She faced hurdles navigating appeals, discounts, and alternative options to access the medication.
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Between Heartbeats and Algorithms: One CMO’s Call to Reclaim the Human Side of Medicine
As medicine increasingly relies on algorithms and data, genuine healing still depends on human connection. Preserving humanity in healthcare amid artificial intelligence calls for humility, curiosity, grit, and rememb...
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The Magic of Shared Storytelling
Narrative medicine emphasizes storytelling to bridge gaps between doctors and patients, fostering empathy and humane care. Pioneered by Rita Charon, it humanizes healthcare through shared narratives.
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Fulfilling Oaths and Following Conscience: Catholic Hospitals
Catholic hospitals often withhold certain medical services based on religious beliefs, creating conflicts between professional oaths and institutional mandates. This impacts physician training and patient care, raisin...
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The Market for Physician-Researchers’ Labor: Unpaid Work, Paid Access
Academic publishing drives medical progress but relies on unpaid physician-researchers while imposing financial barriers and limiting access. This article critiques systemic flaws and proposes ethical reforms.
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Reducing Clinical Variation Through Interdisciplinary Leadership: A Field Report from a Large Academic Medical Center
In 2025, Jersey Shore University Medical Center implemented a clinical variation reduction (CVR) model, improving length-of-stay, discharge rates, patient experience, and fostering interdisciplinary collaboration thro...
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3 Medical Routines That Older People May Not Need
This article explores medical routines older adults may not need, like colonoscopies post-75, actinic keratosis removal, and lifelong levothyroxine for subclinical hypothyroidism, emphasizing risks vs. benefits.
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The Physician Leader’s Guide to Affiliation Options
The Physician Leader’s Guide to Affiliation Options explores evolving physician affiliation models, including private equity, PSAs, employment, mergers, and payer partnerships. It offers strategies, updates, and insig...
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Follow the Money: A Health Plan Insider’s Guide to Payer–Provider Contracting
In this conversation, Jacob Asher, MD, demystifies payer–provider contracting, explains who really holds pricing power in the negotiating room, and makes the case that understanding “the circle of money” is the prereq...
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In Your Medical Practice, Is Your “Nice” Quotient Too High?
Balancing empathy and authority is key for medical leaders. This article explores emotional intelligence, boundaries, and strategies for effective leadership.
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The Reform Nobody's Talking About: Universal Healthcare Without Single Payer
A proposed healthcare model balances universal access and existing structures by separating basic care from major medical coverage. It realigns financial incentives to reduce costs and improve outcomes.
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Where Will Doctors Train? Residency Applications, Abortion Restrictions, and the Coming Workforce Crisis
The Supreme Court’s 2022 Dobbs decision returned abortion policy to individual states, creating a patchwork of restrictions with far-reaching implications for the physician workforce. In this SoundPractice episode, ho...
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Clinical Characteristics and Discharge Planning for Inpatients Leaving Against Medical Advice — A Retrospective Chart Review
Discharges against medical advice (AMA) show high 30-day readmission rates. Provider practices, like capacity assessments and discharge planning, remain inconsistent.
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Ethics at the Edge: Bioethics, AI, and the Courage to Lead
Bioethicist Arthur Caplan, PhD, founding head of the Division of Medical Ethics at NYU Grossman School of Medicine, joins SoundPractice host Mike Sacopulos for a sweeping conversation about the past, present, and futu...
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What Operating Rooms Can Teach Leaders About Team Design
A study of surgeries at a hospital in Madrid and a subsequent pilot program there offers lessons for any organization that relies on fluid, high-pressure teams.
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Workforce Engagement and Employee Retention
Healthcare workforce retention hinges on clear communication, transparency, and trust, addressing misaligned expectations rather than relying solely on incentives.
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The Future Implications of AI and Experiential Learning Opportunities in Public Health and Health Administration
This article explores AI's transformative role in experiential education, especially in public health, highlighting adaptive learning, digital twins, and generative AI's impact.
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“I Felt Violated”: What One Patient Complaint Taught Me About AI in the Exam Room
Seanna Thompson, MD, shares a transformative experience involving an AI scribe in her OB-GYN practice. A patient felt violated by its presence during an exam, prompting reflection on AI's ethical, environmental, and t...
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Toxic Followership and Leadership: The Hidden Threat to Organizational Success
This article explores toxic followership, its causes, and its negative impact on leaders and organizations, offering strategies to address manipulative behaviors and foster healthier workplace dynamics.
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The ER as America’s Mirror: 37 Years on the Front Lines with Dr. Louis Profeta
Dr. Louis M. Profeta shares his journey in emergency medicine, reflections on societal challenges, writing career, and insights on physician resilience and medical education.
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Labor and Delivery Coverage Models in a Changing Coding Environment: Implications for Coverage Economics, Compensation Design, and Governance
The AMA's 2027 CPT maternity care changes will shift coding, affecting provider compensation, staffing, and governance, requiring system-wide adjustments.
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Burnout Looks Different Across the Org Chart. Watch for These Signs.
Burnout isn’t an individual problem—it’s a systemic design issue that shows up differently across the organization chart. To address burnout proactively before it takes root, leaders need to understand how it can show...
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Building Patient Loyalty Through Split-Second Kindness
Susan Baker shares strategies to boost patient loyalty, emphasizing personalized care, feedback, social media, and teamwork while addressing service failures to enhance experiences.
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‘Kind of Morbid’: Health Premiums Threaten Their Nest Egg. A Terminal Diagnosis May Spare It.
Unexpected health challenges and changes in policy can drastically impact financial stability, underscoring the importance of accessible healthcare and long-term financial planning.
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Signing Your Work and Signing Your Life
Every action and interaction reflects your values and shapes your persona, trust, authenticity, and brand. Strive to ensure every deed, word, and decision represents your best.
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Making SMART Goals Smarter for Physician Quality Incentive Compensation
Enhancing SMART goals with additional mnemonics ensures physician quality incentives are fair, achievable, and relevant, especially when compensation is at risk.
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Strategic Management in Clinical Gastroenterology: From Purpose to Value Creation
Strategic management in gastroenterology empowers physician leaders to tackle healthcare challenges like complexity and workforce demands. By aligning structured strategies with clinical goals, it enhances efficiency,...
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Lost in Transmission: Changes in Organ Donor Status Can Fall Through Cracks in the System
Raven Kinser’s tragic organ donation case highlights gaps in U.S. organ procurement policy, exposing the lack of a clear, binding system for opting out across state lines.
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A Comparison of Flourishing Questions and Healthy Days in Population Health
This study explored whether Flourishing Questions from The Human Flourishing Program align with Healthy Days, a population health measure. Using survey data, it found moderately negative but significant correlations, ...
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The 2026 Workflow Cliff and the Quiet Erosion of Primary Care
Primary care is under pressure as CMS expansions, Medicare Advantage requirements, and EMR demands overwhelm workflows, eroding trust, staff stability, and patient care. Redesign is vital for recovery.
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Maternal Health: A Strategic Imperative for Transforming U.S. Health Systems
Maternal mortality in the U.S. is rising, with Black women facing rates over three times higher than white women. This highlights systemic health failures and the need to prioritize maternal health as a core strategy....
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Inside the Battle for the Future of Addiction Medicine
Dr. Elyse Stevens, known for treating complex addiction cases, faced scrutiny for her flexible care approach, prioritizing patient-centered progress over abstinence. Her unconventional methods sparked debate about bal...
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From Exception to Excellence: Governing Primary Care Exception Clinics for Compliance and Performance
The Primary Care Exception clinic allows resident-led care billed to Medicare without constant teaching physician presence, ensuring education, access, and compliance.
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When the Doctor Needs a Checkup
As the U.S. physician workforce ages, late-career programs screen older doctors for cognitive and physical decline to ensure patient safety. Challenges include age discrimination concerns.
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Manage Your AI Investments Like a Portfolio
Companies should apply a step-by-step portfolio management approach when it comes to AI. They should view the connected portfolio through a dual lens: first, as an advancement pipeline with clear gates through which p...
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A Clinical Care Pathway to Provide Value-Based Care to Patients Hospitalized with CHF, COPD, and Pneumonia
Using data analytics and teamwork, a clinical care pathway improved alignment, reduced costs, and enhanced outcomes for CHF, COPD, and pneumonia patients.
