The Hot Spotters by Atul Gawande. Posted on May 24, by Jesus Click here to read the rest of the New Yorker article. This entry was posted in News. New Yorker. Jan The hot spotters: can we lower medical costs by giving the neediest patients better care? Gawande A. PMID: ; [Indexed . In the January 24, , New Yorker, physician-author Atul Gawande, M.D., featured Brenner in an article titled, “The Hot Spotters.”.

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The Hot Spotters | News | SHNNY

The New YorkerJun 23, Your email address will not be published. Gawande, please email atul atulgawande. Brenner began the chest compressions and rescue breathing that should have been started long before. SlateApr 20, The man was alive. Because most coordinators had caseloads of well under patients, they were able to contact their assigned patients frequently — often several times a month or more.

But the young man, who turned out to be a Rutgers student, died soon afterward. The New YorkerApr 30, And he does it so well…. Witnesses told the local newspaper that he was the first person to lay hands on the man. After an initial intake visit, the team contacts enrolled patients at a minimum of twice monthly.


You can listen to the interview at: Gawande also describes a visit he made to the Special Care Center, a clinic in Atlantic City, an experimental approach to primary care.

Most programs in the demonstration focused on patients with chronic conditions who had been hospitalized within the previous year and assigned them to a care coordinator typically a registered nurse who assessed them and developed a plan of care.

Articles | Atul Gawande

SlateNov 6, The New YorkerJan 28, In response ned Camden’s initial purported success, healthcare systems around the nation scrambled to develop similar approaches of their own. The controlled analysis of this program, unlike most of the others in the demonstration, showed not only reductions in avoidable emergency room and hospital visits but also reduced mortality among those enrolled.

But when independent researchers conducted a pre-planned evaluation of the program in which they compared enrolled patients with similar controls, the data told a different story. Commencement AddressJun 11, Can we lower medical costs by giving the neediest patients better care? The New YorkerMay 5, The patients were also markedly healthier.

By providing follow-up consultation and care to such patients before they might otherwise seek further in-hospital care, “hot-spotting” aims not only to cut healthcare costs associated with repeated hospitalizations, but ultimately to improve the health of those most in need. SlateJul 22, SlateMar 19, The New York TimesDec 30, SlateSep 11, SlateJul yorer, Very few of these programs have reached the level [of success] I would consider convincing,” he said. SlateSep 25, With this in mind, the dramatic results reported about programs like the Camden Coalition seem much less impressive.


SlateNov 20, What do we have in complex care?

The Hot Spotters

SlateJan 28, Yet it is clear these efforts are falling short of expectations, and much more work — and rigorous evaluation — will be needed to deliver on the yorler of better, s;otters efficient care for this population.

It turns out that we easily can be tricked by simple analyses of programs targeting high-risk populations because of a well-established — but counter-intuitive — statistical principle known as regression to the mean.

SlateAug 14, The New YorkerSep 14, The New York TimesMay 10,