Book Club — Noise: A Flaw in Human Judgement

Noise – A Flaw in Human Judgement by Daniel Kahneman, Oliver Sibony, and Cass Sunstein, is long, so it sat on my bookshelf for awhile. But it’s worth the time. Noise is the variation in judgements that shouldn’t vary. Judges should give similar sentences in similar cases, underwriters should find the same expected risks from…

Read More

CT hospitals losing ground on social responsibility

Eight Connecticut hospitals received A grades this year for social responsibility from the Lown Institute, down from twelve last year. No Connecticut hospitals were in Lown’s or US News’ top 20 hospitals in the US. Griffin Hospital ranked #157 in Lown’s composite ranking this year among 3606 US hospitals, the best in Connecticut. Last year…

Read More

CT ranks 3rd in health system performance, but there’s lots of work to do

Connecticut’s health system performance is the third best in the nation, according to the latest Commonwealth Fund State Scorecard. COVID strongly influenced state’s performance; Connecticut ranked tenth among states on seven measures including COVID mortality, health system stress, and vaccination rates. There is a lot of room for improvement in Connecticut’s health system. Sadly, Connecticut…

Read More

CT hospital ownership change rate among highest in US

Over 10% of hospitals in Connecticut changed ownership between 2016 and 2021, according to a federal report using new CMS data. Connecticut and just three other states had hospital ownership change rates over 10%. Most states had rates of 4% or less. Understanding hospital ownership changes and rates of change to identify consolidation in healthcare…

Read More

DSS’s new patient survey has little to say

DSS’s consultants reported on the results from their new patient experience/satisfaction survey for PCMH Plus members at this month’s MAPOC Care Management Committee meeting. The survey is important as the experimental PCMH Plus payment model risks inappropriately denying needed care and cherry-picking more lucrative patients. The main result, revealed in answer to a question, is…

Read More

Why is healthcare like this?

Healthcare is complicated. It often doesn’t make sense – to consumers, patients, students, policymakers, providers, administrators, and everyone else. The lack of understanding has discouraged people from engaging and slowed progress toward real reform. We’ve heard from people across the continuum that there is no place to find balanced, comprehensive answers that is understandable and…

Read More

Sign up for daily tips on the Art and Craft of Advocacy

You want to make a difference, but advocacy can be confusing, frustrating, and time-consuming. We can help. Sign up for Today’s Advocacy Tool – a month of inspiration, tips, and practical tools. Every weekday for a month, we’ll send an email with insight, best practices, and lessons we’ve learned from the updated CT Health Advocacy…

Read More

Health equity state scorecard finds CT compares well, but needs improvement

Connecticut ranks fifth best among states on overall health equity according to the Commonwealth Fund’s latest state scorecard, but every state has a lot of room for improvement. While whites in Connecticut scored in the 97th percentile for health system performance nationally, Latinx/Hispanic state residents scored at the 68th percentile, and Blacks in Connecticut scored…

Read More

CT ranks 15th among states in healthcare affordability, but that’s not saying much

Connecticut has implemented many policies to make healthcare affordable; unfortunately, they aren’t working. According to Altarum’s new Healthcare Affordability State Policy Scorecard, Connecticut earned 43.1 out of 80 possible points. There is a lot of room for improvement. Altarum ranked states on adoption of policies that can impact affordability and on outcomes, whether care is…

Read More

Connecticut hospital systems vary in reducing low-value care

A new report published in JAMA Internal Medicine on low-value care provided to Medicare beneficiaries at the health system level offers actionable tools to improve effective care on the ground. Healthcare services that provide little or no health benefit, may harm patients, increase costs, and waste resources are low-value. Examples include prostate specific antigen testing…

Read More