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Good Judgment Comes From Experience…

Good Judgment Comes From Experience…

…and Experience Comes from Bad Judgment In Tuesday's post, I gave full rein to my fears about the possible faults and flaws with current federal Medicare quality improvement demonstrations. While I stand by what I wrote, I felt the immediate guilt of being caught stones in hand in a pretty…

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Groundhog Day

Groundhog Day

In case you hadn’t noticed the coincidence, Groundhog Day and the conclusion of the Centers for Medicare and Medicaid Innovation’s Innovation Challenge grant program are both coming very soon. While it might not be readily apparent, I think this is a sign. For those of you who don’t favor…

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Advancing Delirium Science

Advancing Delirium Science

Delirium is acute brain failure, characterized by disorientation and confusion. Occurring in approximately 25% of older hospitalized patients, up to 50% of older surgical patients, and up to 75% of older intensive care unit patients, delirium is all too common. When it occurs, delirium is bad for patients during the…

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Should Life Expectancy Affect Treatment?

Should Life Expectancy Affect Treatment?

Consider this: a woman is hospitalized for pneumonia and her admission chest x-ray shows an “incidental pulmonary nodule,” or a growth in the lungs. Should she receive serial follow-up imaging to determine the presence of cancer? Of course! She may have cancer, and who wouldn’t want to know for sure…

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Another Terrifying—but Enlightening--Study

Another Terrifying—but Enlightening--Study

At least once a week for the last 10 years, I have probably said or written that our fragmented and myopic, episodically focused system of care doesn’t meet the needs of older adults with complex, chronic health problems. And if there is one growing aging issue that throws even more…

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Aging Doesn’t Have to Be a Pain

Aging Doesn’t Have to Be a Pain

Shortly before the holidays, I had the privilege of speaking with geropsychiatrist and researcher Dr. Stephen Thielke, a recipient of the Paul B. Beeson Award, which is funded in part by the John A. Hartford Foundation. I was excited to hear about the work that he and his colleagues are…

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The Outlook for 2012 - The End of the Beginning

The Outlook for 2012 - The End of the Beginning

Happy New Year! The New Year brings us to the 30th anniversary of the Foundation's Aging and Health program and a transition to its future. In 1982, the Foundation began a project, as a small part of its overall work in Health Care Cost and Quality, to recruit physician faculty…

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Hitchhiking with Dr. Archbold

Hitchhiking with Dr. Archbold

It seems like only yesterday that I met Dr. Pat Archbold, and it is not without a pang of sadness that I must here announce that as of December 31, 2011, she will be stepping down as the director of our Hartford Building Academic Geriatric Nursing Capacity (BAGNC) Initiative housed…

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