NEJM: For-Profit Medical Schools — Concerns about Quality and Oversight

The nonprofit-governance requirement for medical schools was a core component of U.S. medical care’s transformation. But recently, several for-profit schools have been provisionally or fully accredited. Here is the link to the New England Journal of Medicine article: For-Profit Medical Schools — Concerns about Quality and Oversight

Something In Our Bloodstream

Ten years ago, 12-year-old Rory Staunton dove for a ball in gym class and scraped his arm. He woke up the next day with a 104-degree Fahrenheit fever, so his parents took him to the pediatrician and eventually the emergency room. It was just the stomach flu, they were told. Three days later, Rory died […]

Hey, Pharma: What if cholesterol is not related to serious heart disease? Would you even tell us?

A BMJ study published in 2015 concluded that High LDL-C is inversely associated with mortality in most people over 60 years. This finding is inconsistent with the cholesterol hypothesis. You can find the BMJ study here: Lack of an association or an inverse association between low-density-lipoprotein cholesterol and mortality in the elderly: a systematic review While […]

Patient-Care Satisfaction Centered Modeling? Really?

When I represented hospitals, my boss used to stress bedside manner as the most effective risk management. It’s been forty years and the industry is still trying to figure out a way to make that stick. Healthcare is fully embracing the concept of consumerism, and with that comes the need for consumer and patient satisfaction—and […]

More Opioid Settlements

From New Hampshire’s DOJ: In 2018, the state filed a complaint against J&J, alleging the company misrepresented their opioids as safer than other alternatives in their aggressive marketing campaign to prescribers and patients in New Hampshire. The state further alleged that J&J misrepresented their opioids as rarely addictive, negligently promoted the concept of pseudoaddiction, and […]

Unnecessary Medical Tests Are #QualityFraud

DOJ pursues billing fraud cases. In some cases, the patients did not know what they were being tested for. TRICARE beneficiaries were enticed to provide urine or saliva specimens in exchange for $50 gift cards. Evidence at trial demonstrated that Rao was paid in exchange for signing off on medically unnecessary and repetitive toxicology and […]

Peer Review (still) doesn’t work

I’ve been writing about how peer review privilege encourages medical error for years now. But it keeps coming up in the news. It’s almost like nobody in charge listens to trial lawyers. lol. The false premise that secrecy encourages patient safety measures at any level of hospital administration is a myth that should not be […]

One Doctor’s $355M #QualityFraud: Lap Band Surgeries

Prosecutors say Omidi incentivized employees to make sure patients received sleep studies and then falsified the results to show that patients had obstructive sleep apnea. Here is the story in the LA Times on what started with a billboard campaign across Los Angeles. Former doctor, company behind 1-800-GET-THIN found guilty of fraud