Assignments Week 2

Syllabus

Monday
Tuesday
Wednesday
Thursday
Friday
VBHC: Mod 4 (1˚10')
Class (2 hrs)
VBHC: Mod 5 (1˚)
Class (2 hrs)
Mini-Reflection
Mini-Pres*: PCMH vs IPU
​
​Intro to Choosing Wisely * (2˚)
Click here for May 2020 recorded talk with Dr. Alice Ma​
Peruse "WellMed" website, TeamSTEPPS (15')
​
CW Society Guidelines: American Society of Hematology​
Learn more about the
​FWGBD​
​
​"Overkill" by Atul Gawande (1˚) (PDF below)
​
Read about another affiliate clinic (PDF below)
​
​"The Strategy that will Fix Healthcare" (1˚) (PDF below)
​
​
​
​
​
​
​
​
Opt: Reflecting on Hotspotting and Value Stewardship
​
​
​
​

Required Readings (PDFs)

OverKill - Atul Gawande.pdf
2MB
PDF
Monday Reading 1
The Strategy That Will Fix Health Care.pdf
218KB
PDF
Monday Reading 2

Further Instructions & Resources:

    Mini-Pres: PCMH vs. IPU
    Opt: Reflecting on Hotspotting and Value Stewardship
      Optionally review the two other Atul Gawande pieces mentioned (and heavily critiqued) in the article, What the Healthcare Debate Still Gets Wrong. Facilitators can choose to assign all or some of these articles and decide whether to compare/contrast the arguments made by Gawande vs. Gaffney. Essentially, Gawande's articles discuss how "overdiagnosis and overtesting" (argued in OverKill & Cost Conundrum) and "super utilizers," (argued in The Hot Spotters) are huge contributors to healthcare waste and gross overspending in the U.S. whereas Gaffney, in review of Uwe Reinhardt's book, suggests that healthcare pricing and policy are principally responsible. By the way, a recent NYT piece (also included) highlights how recent research into hotspotting programs shows they are not as effective at reducing healthcare costs as everyone hoped.
    ​
The Cost Conundrum _ The New Yorker.pdf
1MB
PDF
Cost Conundrum
Finding Medicine’s Hot Spots _ The New Yorker.pdf
3MB
PDF
Hotspotters - Who are the Pts?
These Patients Are Hard to Treat - The New York Times.pdf
5MB
PDF
Hotspotting
    Intro to the Choosing Wisely campaign:
      Facilitators can decide which society guidelines to recommend to students. In the May 2020 elective's Thursday discussion section, UNC students heard from Dr. Alice Ma (renowned hematologist), so we chose hematology society guidelines (also because she contributed to their development). In her talk, she discussed the innovative, IPU-like Bleeding Disorders clinic that she helps run at UNC. It is an affiliate clinic with the Foundation for Women & Girls with Bleeding Disorders, and multiple institutions across the country boast such institutions. Further reading has been provided, as well as the link to Dr. Ma's talk.
Multidiscp. Bleeding Disorders Clinic.pdf
587KB
PDF
More info on Bleeding Disorders Clinics
​
Last modified 1yr ago