Monthly Archives: October 2014

Healthcare Horrors!

This Halloween we are launching the first in a series of blog posts about something really SCARY – Healthcare.

HEALTHCARE HORRORS!!

You may be surprised to learn that medical errors are the 3rd leading cause of death in the United States surpassed only by cardiovascular disease and cancer.
Hospitals can be scarier than any house of horror. It is estimated that more than 130,000 errors occur each month in the nation’s hospitals. Each month!!!

Deaths due to medical errors have increased to about 210,000-440,000 per year.
Some of the most common medical errors—and this is scary–

  • Medication errors-
  • Infections
  • Falls
  • Wrong site surgery
  • Misdiagnosis
  • Failure to identify the correct patient — Care provided to the wrong person

Unlike cardiovascular disease and cancer, there are few public campaigns aimed at preventing the occurrence of medical errors. Efforts to reduce medical errors are leaving out the most important stakeholders: PATIENTS!

Wilson-Stronks is changing how medical errors are being prevented. Learn more on our Advocacy Page and our Advocacy Blog.

Putting Patients in Patient Safety

It is time for us to become smarter about our healthcare! Many medical errors are preventable, and patients are a key element to creating systems of care to minimize error and improve safety.

A few tips for protecting yourself and those you care about:

  • Don’t go alone! Just as we don’t allow children to trick-or-treat alone, anyone receiving healthcare is by definition vulnerable and should have a care companion/support person with them. Learn more
  • Wash away the scary bugs! Make sure that all caregivers including your physician wash their hands before they touch you. Who knows what monster they were treating before they arrived to care for you! Learn more
  • Don’t be afraid to ask! If something doesn’t make sense, ask. Healthcare is complicated and confusing. Bring a list of questions and paper and pen to write down notes about your care. Learn more

Learn More: Our Patient Advocacy Program Continue reading

Have Soapbox; Will Travel

By Amy Wilson-Stronks

Last month I delivered the keynote address at the American Medical Association’s Fall 2014 Commission to End Health Care Disparities Meeting. I was flattered to be asked to speak to a room of accomplished healthcare professionals who are leading efforts to improve healthcare by addressing healthcare disparities. I envisioned this as an opportunity to share some observations made during the years that I have been working toward the same goal/directing efforts in the same direction.

Specifically, I saw this unassuming audience as an opportunity to get on my soapbox, a position I find myself on with increasing frequency as I continue to work in healthcare. The title of my talk was Putting Patients in Patient Safety: Lessons Learned.

When tasked with delivering the keynote, I was told to “ ‘ignite’ the audience; give them something provocative to consider, something that will keep them awake during this dinner time presentation”. Since the focus of this group is the reduction of health disparities with the ultimate goal of eliminating disparate care, I believed I could deliver.

Why? Because fundamentally, our current systems are so flawed that none of us will EVER be able to eliminate disparities for any vulnerable or underserved group. I envisioned this message: Give up, we are wasting our time!

No, that was not my opening line. But beneath my remarks, that sentiment muttered like a mantra; it was the gist of my talk, whether articulated or not.

Why am I so negative? Several reasons. And, yes, these are points I shared with my esteemed colleagues.

There is no such thing as racism, sexism, (Insert any “ism”) .
“Not in my backyard,” “We treat everybody the same.” It would be short sighted and inaccurate to blame healthcare organizations for racial, ethnic, and other healthcare disparities. However, since health care is received at healthcare organizations, they necessarily are essential to the solution. Yet, many do not believe that they are culpable, nor do they think it is a problem that they need to address as a priority.

If our care organizations are not interested in evaluating the care they provide to various population groups that have been identified at the national level as suffering from health and healthcare disparities, then how will we recognize when we are doing things right? I have found that many healthcare organization leaders are not aware what is happening across their organization during patient-provider interfaces. They may set expectations that all patients are treated with dignity and respect, but they aren’t told, nor do they observe the Emergency Department staff comment, “Oh no! Not another Ebonics. I wish my shift would end already!” They don’t realize how unconscious and conscious bias can create a chasm between providers and patients from different racial and ethnic groups. And the bias isn’t only between providers and patients, but also among employee groups, as one HR professional once confided to me when asked about the lack of racial diversity in his organization,

“You know, the blacks (employees) really need to get over (themselves); Slavery was over a hundred years ago.”

Yeah, I guess we all need to get over it. But that won’t eliminate disparities.

Meaningful Use isn’t Meaningful
Meaningful Use is designed to establish a degree of data accessibility across the healthcare system to support care transitions, improve data access and communication, and improve systems for monitoring and evaluating quality by introducing uniformity and compatibility. This makes sense. And it is necessary for us to really understand how healthcare disparities present, what causes them, what removes/improves them, etc.

Unfortunately, the data necessary for us to address healthcare disparities are rarely captured, and if captured, they are rarely accurate.
“Only Press Ganey Data Matter”
“We have the data field right here.”

We need to incite collective action to incentivize the vendors of Electronic Health/Medical Record (EH/MR) systems to create adaptable programs for the collection of data on patient race, ethnicity, and preferred language. To the AMA, NMA, NHMA, AHA, and all others working to improve healthcare and advance equity– please join us on our soapbox.

If we still can’t get this right after more than 10 years, how are we ever going to effectively collect data on sexual orientation and gender identity?

Our Systems of Care Aren’t Designed by Patients
“If you listen to your patients CAREFULLY they will give you the diagnosis; if you listen a bit longer they will give you the treatment”

“Only physicians are capable of judging what is or is not good medical practice. Patients and hospital personnel may learn to recognize good practice but only the physician can accurately evaluate its quality.”-Explanatory Supplement to the 1965 Joint Commission Hospital Standards.

“Well, when I am in their room and they are all talking in another language I feel uncomfortable. I feel as if they are talking about me. I don’t like that.”

“Although my doctor knew all about me, each encounter with new people—with blood draws, ultrasound, breast x-ray, etc.—had the basic anxiety of the procedure and layered on to that, the possibility of homophobia and having to watch out for myself” ¹

If patients cannot communicate with their caregivers, then caregivers can’t do their job.

Unfortunately, many things complicate communication, such as trust, fear of hospitals, cultural beliefs and practices, conscious and unconscious bias as well as basic human assumptions. Healthcare professionals must involve the patient in every aspect of their care and not make any assumptions.

This drives the work we do at Wilson-Stronks. We want to Improve Healthcare. And we know that the only way to do so is to work collaboratively and act collectively. This collaboration and collective action must involve our patients. We were honored to be asked to share some of our experiences “in the world” with the AMA Commission to End Health Care Disparities.

¹ Margolies L, Scout NFN. LGBT Patient-Centered Outcomes: Cancer Survivors Teach Us How To Improve Care for All. April 2013.

Note: All other quotes are reflections of my thoughts from information that others have shared with me.

The Mock Medical School Interview

Posted by Kayana Marks

I could feel the nervous energy circulating around the room as each of us waited. Waited for the opportunity to get it right, to learn, to correct our mistakes before we could even make them. We were all silently, nervously waiting for our mock medical school interview to begin. This was the time for each of us to learn how to dazzle our future medical school interviewers and secure that spot that was almost in our grip.

As the intern at Wilson-Stronks, I was invited to attend the American Medical Association, Commission to End Health Care Disparities (CEHCD) meeting along with Amy Wilson-Stronks, MPP, CPHQ, who served as the keynote speaker at this event. I had the greatest opportunity, as an aspiring medical student, to round out the weekend by participating in the Mock Medical School Interview Program that the CEHCD conducts at their meetings. This program gives students “the opportunity…to experience what it takes to successfully prepare for a medical school interview…[by] meet[ing] with physicians and health care professionals”. I am so thankful that I was able to participate in this event because walking into an interview not knowing what to expect can always be a scary thing.

I was interviewed by Dr. Arthur Fleming and I believe my interview went well overall. Dr. Fleming was very personable and had a lot of insight on what to expect as I apply to medical school. He also had a lot of knowledge on the subject I was most interested about, the Medical College Admission Test (MCAT), the test that every student applying to medical school in the U.S. needs to take. With my second testing date around the corner he confirmed the score that I should be working towards and reassured me that it will come with hard work and perseverance.

At the close of the event the healthcare professionals that volunteered their time reminded us of a few key points: always ask questions, be sure to convey deep compassion, know about current events, know how to sell yourself, be ready to explain what is going to sustain you through your journey, and be able to explain what got you to where you are. With all these key points in mind I believe I’m ready to master those interviews.

Citation: “Meetings.” ama-assn.org. American Medical Association, Web. 11 Oct. 2014 <http://www.ama-assn.org/ama/pub/physician-resources/public-health/eliminating-health-disparities/commission-end-health-care-disparities/meetings.page?>