Word: bypass
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Dates: during 2000-2009
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...another Notre Dame season is gone, and so is another coach. In Weis' last game, on Saturday night, Notre Dame lost to Stanford, 45-38. Outlined against a black November sky, Weis, who'd had a botched gastric bypass procedure and hobbles on bad knees, seemed broken - another man who couldn't bring salvation to the Irish...
Online outreach by the Obama Administration is designed in part to bypass such censorship, and increase direct communications with the Chinese people. Secretary of State Hillary Clinton, for one, has been particularly aggressive on the issue since taking office. During her first trip to Asia, she participated in a webchat interview on climate change in Beijing, hosted by the China Daily, during which she responded to questions submitted online. According to the state-owned newspaper, the chat drew more than 10.2 million page views, 50,000 comments and 7,000 questions...
...manner of fixes have been proposed to the health-care system, from small tweaks to wholesale overhauls. There's pay-for-performance: compensation depending on doctors' success in keeping costs down and getting patients well. There's episode care: a fixed price for a procedure like a heart bypass that covers everything from pre-op to surgery to full recuperation. Most broadly, there's global care, which provides access to a diverse team of caregivers who cover all of a patient's needs for a single premium over the length of a policy - essentially episode care writ large...
...Steele decided to fix this, switching Geisinger over to a prix fixe, episode-care model for surgery, starting with the heart bypass. Under the new system, a closely coordinated team of caregivers would be responsible for every stage of a bypass patient's treatment and recovery. The hospital would submit a single bill for all work and include a 90-day warranty. If a patient checked back in with a complication like a postsurgical infection, that work would be on Geisinger's dime. "We'll do it right, or we won't send a bill" was how Steele...
Casale was charged with implementing the new plan. The first thing he and his team did was take 20 general steps all surgeons follow throughout a bypass episode and try to sharpen them in a way that would remove as much chance and variability as possible, going so far as to spell out the specific drugs and dosages doctors would use. The result was an expanded 40-step list that some surgeons balked at initially, deriding what they called "cookbook medicine." Once doctors began following the expanded checklist, however, they grew to like it. After the first 200 operations...