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Issue Date: November 2003


Group Learns Lessons From Ancillary Services
This article discusses the difficulties a multispecialty group in Florida encountered when it began offering ancillary services.


Hospitals Struggle When Specialists Depart
This editorial discusses the problem that arises--for general hospitals as well as for their patients--when specialists pull out of general hospitals to form specialty hospitals.


California Slow to Adopt New Plans
This article discusses the status of consumer-directed health care in California, based on a report by the California HealthCare Foundation. The report says that California has been slow to adopt consumer-directed plans and that many insurers view these plans either as a threat or an opportunity.


GAO Calls for Malpractice Study
This article discusses a report by the General Accounting Office on the rising medical malpractice insurance rates. In the report, the GAO discusses causes for the rate increases, as well how rising rates are affecting the quality of care physicians provide.


Six Sigma Helps System Improve Care
This article discusses how Six Sigma, a management program developed at Motorola Corp. in the early 1980s, is being used by health plans to improve efficiency and patient care, while lowering costs.


For Practices Seeking Technology Solutions, Expert Offers Advice
In this interview, David Koeller, president and CEO of InteGreat, Inc., a health care information technology firm that provides an electronic medical record system, discusses how physicians are using technology to improve patient care.


Health Center Aims to Meet Its Quality Goals
This article discusses how CareSouth Carolina, a 22-physician community health center, is taking steps to improve the quality of care it delivers. These steps include practice reorganization whereby treatment teams (called clinical microsystems) are formed to help the practice achieve certain goals.


New Systems Needed to Improve Use of Guidelines
This editorial discusses the difficulty physicians have in keeping up with the torrent of data and recommendations on best practice medicine and the need for economic support from the federal government to help them implement the systems they need to provide best practice medicine.


MaineHealth Helps Physicians Improve Chronic Disease Care
In this interview, Larry Anderson, MD, director of quality improvement for MaineHealth, a nonprofit health care system in Portland, discusses MaineHealth's efforts to improve quality.


Report: Crisis Does Not Affect Access
This article discusses a controversial report by the General Accounting Office in which GAO researchers contradict many widely publicized reports about the effect escalating medical malpractice is having on access to care.


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