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Take Charge of Your Health

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The desire to help people get well, or stay well, is a prime motivator for those who choose a career in health care.  Why then is it that those of us in health care ignore our own health?  It is often stated that doctors, nurses and health care workers make the worst patients.  Many of …Read More

Celebrating National Nurses Week

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As we start into National Nurses Week, I have been reflecting on some of the many talented nurses I have known over the years, and I want to thank ALL our nursing colleagues in every corner of Fletcher Allen—for their superb skills, their daily pursuit of excellence, and their commitment to the highest quality care …Read More

An Organizational Culture of Quality

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My thinking about Fletcher Allen’s culture of quality was spurred by the Tenth Annual Quality Forum in early April, which highlighted the quality of the work we do and how we strive every day to improve.  An essential element of our organizational culture is that most of us come to work every day with the …Read More

Right Care, Right Place, Right Time

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When we speak of ideal health care that we want to receive or that providers aim to deliver, the phrase that jumps to mind is: “the right care, the right place, the right time.”  This phrase in this context is so ubiquitous that tracing its origin is nearly impossible, but it does roll off the …Read More

Community, Commitment, and Collaboration: It’s in our DNA

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Editor’s Note: The following is excerpted from remarks given by Dr. Brumsted at Fletcher Allen’s Annual Community Stakeholder Meeting on Thursday, February 21, 2013. Lately, I find myself reflecting on the word, and the concept, of community.  It occurs to me that the commitment to community that exists here at Fletcher Allen, with our partners …Read More

Achieving a Sustainable Health Care Future: Delivering Value to Vermonters

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Editor’s Note: The following article has also run as an op-ed in several local papers. Amidst the current gloomy national headlines about health care reform, there’s a great story in Vermont about what is right and what’s working. We’ve made great progress on the goals that are shared by all: right care, right time, close …Read More

Defining the “Accountable” in ACO

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What does accountable mean?  The Oxford Universal Dictionary gives us a straightforward definition—“accountable: liable to be called to account, responsible; also, simply to be counted on.”  As a physician, and consistent with this definition, I have always believed I am accountable for any advice given to a patient or action taken on their behalf.  By …Read More

Giving Credit Where Credit is Due

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Folks cite lots of reasons for enjoying life in Vermont, especially in the summer – relatively cool temperatures (most summers), ready access to many forms of recreation and the absence of crowds of people, to name a few.  The latter is a big one for me.  I bristle at a “traffic jam” when it takes …Read More

Prepping for Accountable Care

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Change is afoot in health care and is assured now that the Supreme Court has upheld the Affordable Care Act.  A critical component will be modifications in the way we are reimbursed for services, with the obituary of fee-for-service payments now written and published.  Change is always challenging and frequently involves risks, so the question …Read More

Comparing Apples and Oranges: Thoughts on the Recent Consumer Reports Hospital Survey

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I am a self-professed data geek.  Math, comparing data sets, the mechanics of how to draw valid conclusions, statistics – all were early interests of mine.  As my education progressed through college, medical school, residency and fellowship, the variety of data available, the process of deciding what was relevant and valid and which elements should …Read More

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