Difference between revisions of "Patient Stories"
From Patient Determinants
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* [http://thehealthcareblog.com/blog/2013/02/23/how-much-are-misaligned-incentives-in-health-care-costing-tax-payers/ A patient suffering from an infected artificial shoulder] couldn't afford intravenous antibiotics three times a day for six weeks in home. Medicare spent an unnecessary $30,000 on hospitalization and care rather than reimbursing for home care. (2/23/13) | * [http://thehealthcareblog.com/blog/2013/02/23/how-much-are-misaligned-incentives-in-health-care-costing-tax-payers/ A patient suffering from an infected artificial shoulder] couldn't afford intravenous antibiotics three times a day for six weeks in home. Medicare spent an unnecessary $30,000 on hospitalization and care rather than reimbursing for home care. (2/23/13) | ||
* [http://www.kevinmd.com/blog/2014/02/medicare-cover-infusion-services-patients-homes.html Medicare would only pay for an 84-year-old man's infusion therapy at a nursing home ($15,000) rather than at his home ($1,200). (2/23/14)] | * [http://www.kevinmd.com/blog/2014/02/medicare-cover-infusion-services-patients-homes.html Medicare would only pay for an 84-year-old man's infusion therapy at a nursing home ($15,000) rather than at his home ($1,200). (2/23/14)] | ||
| + | * [http://www.kevinmd.com/blog/2015/12/fragmentation-is-behind-health-cares-biggest-problems.html A man suffers for a week in agony with kidney stones because of insurance access issues to physicians and services (12/11/15)] | ||
'''High-Need, High-Cost Patients''' | '''High-Need, High-Cost Patients''' | ||
Revision as of 12:12, 15 August 2016
To truly understand managing health, we need to hear first hand from patients to relate, emphathize and learn how to improve.
Addressing Non-Medical Determinants
- 78-year-old businessman with pain needed emotional needs addressed first (5/17/14)
- Mr. Jones had congestive heart failure, COPD, and a barrage of other chronic health problems. A visit to his home provided insight into why he was going to the ER each week (5/21/15)
Caregivers
End of Life
- A patient dying of cancer was denied home treatment that would have improved her quality of life over her last few days and saved tens of thousands of dollars. (2/11/13)
- A frail, 94-year old women with with advanced Alzheimer’s has hip fracture surgery during her dying days due to poor communications (3/10/13)
- A hospital CEO learns that the standard of care isn't always appropriate when her 94 mother sustained a fall
Health Insurance Issues
- A patient suffering from an infected artificial shoulder couldn't afford intravenous antibiotics three times a day for six weeks in home. Medicare spent an unnecessary $30,000 on hospitalization and care rather than reimbursing for home care. (2/23/13)
- Medicare would only pay for an 84-year-old man's infusion therapy at a nursing home ($15,000) rather than at his home ($1,200). (2/23/14)
- A man suffers for a week in agony with kidney stones because of insurance access issues to physicians and services (12/11/15)
High-Need, High-Cost Patients
- Rebecca Bryson has 10 different medical conditions and depends on 13 health care providers. Her life improved when a program funded a Clinical Care Specialist and the creation of a Shared Care Plan.
- Forty-year-old Jeremie Seals was assigned a care manager and a regular physician that helped reduced his 15 ER visits and 11 hospitals stays to 4 ER visits and 4 hospitals stays the following year. (7/10/13)
- Virginia Hunt's story illustrates the effectiveness and ineffectiveness of our healthcare system that addresses conditions and often lacks capability to treat the overall patient. (3/3/13)
Medical Decisions - Quality of Life vs. Aggressive Interventions
Patient Goals
- A doctor discovers an important question patients should be asked. “What are their goals?” (3/9/15)
- Patients become people through their social history (8/26/15)
Primary Care Physicians - Managing Health
