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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande Apr 6

    The proliferation of health system mergers, acquisitions, and affiliations can increase risks to patient safety: Read our new @JAMA_current article on how and what systems can do to reduce these risks. http://bit.ly/2IyrmYH  @Susan_Haas_MD @CRICOtweet

    10:59 AM - 6 Apr 2018
    • 146 Retweets
    • 232 Likes
    • Guayacan Chiquito Lil Mema Leanne Summers S/P surgery Proto Wellness Systems Jess Irv Krishnaprasad Karnad Rita #VoteBlue 🇺🇸🌊 Adam Beckman
    12 replies 146 retweets 232 likes
      1. Atul Gawande‏Verified account @Atul_Gawande Apr 6

        pic.twitter.com/arDWEyvlGq

        1 reply 8 retweets 20 likes
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      1. Dan Evans‏ @devans_at_NUmed Apr 6
        Replying to @Atul_Gawande @JAMA_current and

        I’m living this article right next now. A large health system merger causing the need for major EHR transitions. I feel like each & every day in clinic i’m walking in a patient safety minefield trying to avoid med errors & quality deficits. It’s exhausting and no end in sight.

        0 replies 1 retweet 6 likes
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      2. Deepti‏ @MdDeepti Apr 7
        Replying to @Atul_Gawande @JAMA_current and

        Great article,I would add from Physician standpoint disruption of established collegial reference networks is a big disruption to patient care and Clinician satisfaction.

        1 reply 1 retweet 6 likes
      3. 1 more reply
      1. Nikhil Gupta‏ @Nikvana Apr 13
        Replying to @Atul_Gawande @JAMA_current and

        if only M&As were influenced by patient safety/ public health perspective.

        0 replies 1 retweet 2 likes
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      1. Seppo Rinne‏ @seppo_rinne Apr 7
        Replying to @Atul_Gawande @GavinPrestonMD and

        It is also notable that mergers have been associated with increased costs. Economies of scale do not apply in the absence of competition. http://www.healthcarepricingproject.org/sites/default/files/pricing_variation_manuscript_0.pdf …

        0 replies 0 retweets 3 likes
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      1. Lizzie Barrett‏ @eliztbarrett Apr 18
        Replying to @Atul_Gawande @JAMA_current and

        @CoherenceMed @nathanwtierney thoughts?

        0 replies 0 retweets 1 like
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      2. Dan Levis‏ @danielalevis Apr 6
        Replying to @Atul_Gawande @JAMA_current and

        One common argument is that expansion can enhance quality because acquiring hosps often have more advanced quality programs than acquired (often community) hosps and because larger scales enables more robust analysis of quality data (greater n). Did you see any evidence of that?

        1 reply 0 retweets 0 likes
      3. Susan Haas MD‏ @Susan_Haas_MD Apr 7
        Replying to @danielalevis @Atul_Gawande and

        Although we did not look at that in this work I have certainly observed the difference between the "haves" and "have nots" hospitals. Have seen latter look forward to affiliation specifically to get resources to measure/manage quality.

        0 replies 0 retweets 1 like
      4. End of conversation
      1. Ravikumar Chockalingam MD., MPH‏ @Chockalingam_Ra Apr 10
        Replying to @Atul_Gawande @JAMA_current and

        The story in India is even more glaring! A systematic explosion of the private sector in Health accompanied by diminishing Government spending is costing rural sector, which is close to 70% of India. Wonder, what would happen if private sector mergers and expansion occurs??!!

        0 replies 0 retweets 0 likes
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      1. Troy D McCann‏ @troydnvgl Apr 7
        Replying to @Atul_Gawande @JAMA_current and

        @DNVGLHealthcare offers a practical solution based on Accreditation and a Quality Management System. Our program for certifying health systems requires planning, management, and control of change, and application of risk-based thinking to ensure safety and quality. #ISO9001

        0 replies 0 retweets 0 likes
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      1. Marvin Berkowitz‏ @MarvinBerkowitz Apr 7
        Replying to @Atul_Gawande @JAMA_current and

        This is excellent review of merger challenges. Financial integration often overshadows clinical integration. Hope that proposed BIDMC-Lahey merger understands these issues.

        0 replies 0 retweets 0 likes
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      1. Tarak Trivedi, MD MS‏ @TarakTrivedi Apr 7
        Replying to @Atul_Gawande @JAMA_current and

        Very Interesting perspective. I've always been concerned about the potential effects on increased prices... https://www.ncbi.nlm.nih.gov/m/pubmed/27284126/ …

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      2. Don Mackie‏ @mackie_don Apr 6
        Replying to @Atul_Gawande @JAMA_current and

        And this . @grant_phelps @DrTobyGilbert

        1 reply 0 retweets 0 likes
      3. Toby Gilbert‏ @DrTobyGilbert Apr 6
        Replying to @mackie_don @Atul_Gawande and

        That all rings true.

        0 replies 0 retweets 0 likes
      4. End of conversation

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