Promoting and Implementing Size Inclusivity in Health Care

By Jamie M. Marchetti, MS, RDN, LD
March 14, 2019

Beth was obese. She had been bigger her whole life, so this was not news as she reached her late-twenties. Beth ( her name has been changed to protect her privacy) was getting married and ready to start a family, so she went to her obstetrician/gynecologist to have her intrauterine device (IUD) removed and to discuss the implications of her polycystic ovarian syndrome (PCOS) on fertility. The doctor scoffed and stated, “I don’t know how we’re going to get it out. At your size, I’m not even sure how they managed to get the IUD into you.” Further, it was discovered that Beth had grapefruit-sized cysts on both ovaries, and the doctor told her that neither he nor any doctor would do surgery to remove the cysts given her body size. Beth was desperate, so through her hurt and anger, she chose a crash diet to follow, which resulted in acute renal failure within weeks. Heartbroken and at the end of her rope, Beth found herself crying in a dietitian’s office, convinced that the well-balanced diet she was already eating must be harming her since doctors insisted she must not be nourishing herself properly if she wasn’t losing weight. Beth explained that she was content with her body, but that she was tired of seeking medical care and being treated poorly because of her size. Continue reading “Promoting and Implementing Size Inclusivity in Health Care”

Creating a High-Performance Health Care Organization

By Ted A James, MD, MHCM
June 28, 2018

“The goal in health care really needs to be zero preventable harm.”
—Lucien Leape

Modern health care has been described as one of the most complex industries in the world. Advances in biotechnology, data analytics, and genomic medicine alone have enabled greater capabilities and more sophisticated care than any other time in history. The problem with complexity is that human beings are imperfect and fallible, leading to the potential for medical error and fragmented care. With greater complexity comes a greater risk of failure, making it challenging to deliver on the promise of safe, reliable, and effective health care. Continue reading “Creating a High-Performance Health Care Organization”

Improving Health Outcomes by Healing Our Communities

By Ted A James, MD, MHCM, FACS
May 31, 2018

The Paradox of U.S. Health Care

We are not as good as we should be. Despite incredible technological advances and high-levels of spending, compared to other countries, the U.S. health care system fails to achieve superior outcomes on many key health indicators including life expectancy, infant mortality, and preventable disease. Although we are capable of delivering some of the most exceptional care in the world, we do not do so reliably or in a well-coordinated manner. According to recent studies from the Commonwealth Fund, the U.S. tends to excel in doctor–patient relationships, wellness counseling, shared decision making, and chronic disease management. However, we operate in a system plagued with major disparities in access to primary care and gross social inequities. Innovations in our approach to health care are required in order to address these challenges and remove the barriers they present to providing reliable and sustainable care for all patients.  Continue reading “Improving Health Outcomes by Healing Our Communities”

Transforming the Patient Experience of Health Care

By Ted A James, MD, MHCM, FACS
April 27, 2018

Leaders of health care organizations facing mounting administrative challenges and diminishing resources may question the importance of focusing on the patient experience of care. Improving patient interactions not only speaks to the inherent values of our profession in health care, but a growing body of evidence correlates improved patient experience with improved clinical outcomes and organizational performance, making patient experience a key strategic priority. I can also attest from my efforts developing patient-centered care models, as well as from my own journey as a patient, just how important the care experience is to overall well-being and satisfaction with treatment. Continue reading “Transforming the Patient Experience of Health Care”

Addressing Physician Burnout as a Health Care Systems Issue

By Ted A James, MD, MHCM, FACS
March 29, 2018

Burnout is an all too common phenomenon that needs to be on the radar of all health care leaders. In addition to serious personal consequences, burnout poses a significant threat to patient care and negatively impacts organizational performance. Continue reading “Addressing Physician Burnout as a Health Care Systems Issue”