This standard of care thinking is a main reason why stroke survivors are still screwed by their lack of recovery. That thinking gave us Get With the Guidelines and Joint Commission certification. Neither of which does anything to improve stroke recovery on a continuing basis. Get with the results would be able to rachet up the solutions by adjusting the results percentage. Since todays tPA full recovery is only 12%, we could increase that goal to 15% in one year and continually increase the goal annually. Actually even that is the wrong goal because it assumes a solution rather than stating what the real requirement is. The real requirement should be: Full recovery from stroke by interventions in the ambulance/emergency room. That way tPA is not assumed to be in the mix.
http://medcitynews.com/2016/05/population-based-standards-of-care/?
In his recent book, “The Finest Traditions of My Calling,” Dr.
Abraham Nussbaum, 41, makes the case that doctors and patients alike are
being shortchanged by current medical practices that emphasize
population-based standards of care rather than individual patient needs
and experiences.
Nussbaum, a psychiatrist, is the chief education officer at Denver
Health Medical Center and practices on the adult inpatient psychiatric
unit there. I recently spoke with him and this is an edited transcript
of our conversation.
Q&A at the link.
No comments:
Post a Comment