| By Haydn Bush | August 03, 2011 |
| Readers' takes on recent articles and videos. | |
In this week's mailbag, readers sound off on recent H&HN Daily articles and videos, including an interview with Atul Gawande, M.D,, a recent piece on how hospitals are rethinking their food offerings in favor of healthier options and lingering provider skepticism about accountable care organizations.
First off, reader Frank Nicolai weighs in on H&HN senior editor Matthew Weinstock's interview with Atul Gawande, M.D. at the Health Forum-AHA Leadership Summit, where Gawande stressed the importance of teamwork in health care:
"Atul Gawande ought to provide us with his suggestions for how to build the incentives to inculcate the values (humility, discipline and teamwork) he espouses. How to recognize that we can fail/err while fostering the discipline to do better?� How to protect honest efforts to report errors from the forces in society that seek to penalize each and every failure? Doing so will take courageous leadership; but will also require checks and balances so that those who strive to behave constructively will not find themselves thrown to the wolves."
Next up, H&HN Daily contributor David Ellis comments on a recent blog Weinstock wrote on the correlation between commercially prepared food and childhood obesity, and efforts by hospitals to offer patients and visitors healthier food:
I agree, but I would go further. I would ban all foods containing suspect ingredients such as high fructose corn syrup. I happened to be admitted to one of our hospitals over the weekend and was appalled to be served many prepackaged items (cartons of fruit juice, etc.) containing such gunk. The first hospital to announce the banning of such foods would garner lots of positive press and gain some volume, I would bet?
And finally, reader Frank Poggio of the Kelzon Group replies to my recent blog, The Fear of ACO Commitment: It's All in the Details, which explored hospital skepticism about joining ACOs:
"Next you should survey the docs. Other�than hitting him/her in the head with a baseball bat, how do you convince an anesthesiologist that makes�$450,000 a year to work for $300,000? Or how do you get an academic faculty surgeon�at Hopkins to reduce his�dual source income and platinum fringe�benefits by 50 percent? These are very big sticks! Unfortunately, the system we have has been in existence since 1939 when AHA started Blue Cross and AMA started Blue Shield. Then it was�'legalized' in 1966 with Medicare Part A & B,�and solidified by the Stark amendment of 1993. For fifty years the government has told docs they must be separate, now almost overnight they want to change the rules (and cut lucrative incomes) for the key players. It's going to be a lot easier to�get hospitals on the ACO wagon than MDs."
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