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...checkups, and on and on. Care itself can be similarly fragmented, with patients finding themselves in the hands of whoever happens to be on duty at any point in the day and a doctor on the night shift knowing little about a patient whose surgeon worked the day shift. Dr. Alfred Casale, Geisinger's chief of cardiothoracic surgery, tells stories of surgeons who don't even conform to the same rules for color-coding wires in a heart device, making it awfully hard for an intensive-care technician to do repairs if something goes wrong. "When there's a complication...
...Technology has also helped Geisinger hold down costs while making doctors' lives easier. Geisinger began installing electronic health-records systems in 1996 and since then has invested about $120 million in wiring its sites. On a recent morning, Dr. Nancy Grauso-Eby, a pediatrician working on the Danville campus, opened the record of a 4-year-old boy coming in because of an earache, and his entire history, from birth, popped up on her screen. So did a yellow alert that recommended the boy participate in a study called Garden Gang, a pilot program designed to teach kids...
...rating. But part of that is due to the similar solidity of its patient base - a homogeneous population with a predictable range of ills. The financial team prefers things this way and has resisted any calls for expansion. "We've purposely stuck to our knitting in central Pennsylvania," says Dr. Duane Davis, chief medical officer of Geisinger Health Plans. But larger plans trying to serve more-diverse communities don't have the same luxury. What's more, while Geisinger's electronic health records may be an impressive showpiece, not every provider has a loose $120 million to plow into such...
...would give others a new opportunity to practice medicine in an almost forgotten way: getting to know their patients and keeping them healthy so they can avoid a surgeon or a hospital. "It's a chance for a primary-care doctor to be a hero again," says Dr. Thomas Graf, chairman of Geisinger's community-practice team. That's not the stuff of AA bond ratings or billion-dollar revenue streams, but it just might be worth more than both...
Drinking four glasses of alcoholic beverages a week can significantly reduce a woman’s chances of becoming pregnant through in vitro fertilization, a recent study conducted by researchers at the Harvard Medical School suggests. The study was headed by Dr. Brooke V. Rossi, a clinical fellow in the Department of Obstetrics, Gynecology, and Reproductive Biology at Brigham and Women’s Hospital...