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	<title>Comments on: CXO</title>
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	<description>Demystifying Medicine One Week at a Time</description>
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		<title>By: California Dreamin&#8217; &#187; GlassHospital</title>
		<link>http://glasshospital.com/2010/02/02/cxo/comment-page-1/#comment-3486</link>
		<dc:creator>California Dreamin&#8217; &#187; GlassHospital</dc:creator>
		<pubDate>Mon, 21 Mar 2011 00:47:45 +0000</pubDate>
		<guid isPermaLink="false">http://glasshospital.com/?p=154#comment-3486</guid>
		<description>[...] you may find some similarities with what Dr. Chen found and posts that you&#8217;ve read here, here, and here.       No Comments Posted by glasshospital in [...]</description>
		<content:encoded><![CDATA[<p>[...] you may find some similarities with what Dr. Chen found and posts that you&#8217;ve read here, here, and here.       No Comments Posted by glasshospital in [...]</p>
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		<title>By: olga o.</title>
		<link>http://glasshospital.com/2010/02/02/cxo/comment-page-1/#comment-34</link>
		<dc:creator>olga o.</dc:creator>
		<pubDate>Sat, 20 Feb 2010 05:54:09 +0000</pubDate>
		<guid isPermaLink="false">http://glasshospital.com/?p=154#comment-34</guid>
		<description>fantastic! now, to export that idea further. i just finished an 18-month medical odyssey with my second child (started at 2 months of age). the children&#039;s hospital here has it&#039;s lovely points, and some gaping holes on the &quot;experience&quot; side of things. i&#039;m tempted to forward this piece to them! actually, i&#039;m meeting with their COO next week to discuss process improvements for kiddos like mine; we&#039;ll see how far we get. kudos to your friend. the fact that he has responsibility coupled with resources and *power to act* is key. the family relations staff here has to hear everything but they can&#039;t make decisions that could actually change things. 

nice blog (got here by way of your comment in the NYT).</description>
		<content:encoded><![CDATA[<p>fantastic! now, to export that idea further. i just finished an 18-month medical odyssey with my second child (started at 2 months of age). the children&#8217;s hospital here has it&#8217;s lovely points, and some gaping holes on the &#8220;experience&#8221; side of things. i&#8217;m tempted to forward this piece to them! actually, i&#8217;m meeting with their COO next week to discuss process improvements for kiddos like mine; we&#8217;ll see how far we get. kudos to your friend. the fact that he has responsibility coupled with resources and *power to act* is key. the family relations staff here has to hear everything but they can&#8217;t make decisions that could actually change things. </p>
<p>nice blog (got here by way of your comment in the NYT).</p>
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	<item>
		<title>By: edwinleap.com &#124; Grand Rounds is up!</title>
		<link>http://glasshospital.com/2010/02/02/cxo/comment-page-1/#comment-27</link>
		<dc:creator>edwinleap.com &#124; Grand Rounds is up!</dc:creator>
		<pubDate>Wed, 10 Feb 2010 13:58:24 +0000</pubDate>
		<guid isPermaLink="false">http://glasshospital.com/?p=154#comment-27</guid>
		<description>[...] http://glasshospital.com/2010/02/02/cxo/ [...]</description>
		<content:encoded><![CDATA[<p>[...] <a href="http://glasshospital.com/2010/02/02/cxo/" rel="nofollow">http://glasshospital.com/2010/02/02/cxo/</a> [...]</p>
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		<title>By: glasshospital</title>
		<link>http://glasshospital.com/2010/02/02/cxo/comment-page-1/#comment-17</link>
		<dc:creator>glasshospital</dc:creator>
		<pubDate>Mon, 08 Feb 2010 04:10:52 +0000</pubDate>
		<guid isPermaLink="false">http://glasshospital.com/?p=154#comment-17</guid>
		<description>As long as we hold records hostage, it makes the energy of activation for switching all the higher.  Of course, third party insurance dictates which docs are in network, and which are not--which also makes changing that much riskier.  Seems like a practice that got out in front and provided records to their patients and at least some transparency about costs could use that to stake out a better &#039;market position.&#039;  Not that anyone where I work feels incentivized in that direction.

Thanks for your comments.</description>
		<content:encoded><![CDATA[<p>As long as we hold records hostage, it makes the energy of activation for switching all the higher.  Of course, third party insurance dictates which docs are in network, and which are not&#8211;which also makes changing that much riskier.  Seems like a practice that got out in front and provided records to their patients and at least some transparency about costs could use that to stake out a better &#8216;market position.&#8217;  Not that anyone where I work feels incentivized in that direction.</p>
<p>Thanks for your comments.</p>
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		<title>By: RobH</title>
		<link>http://glasshospital.com/2010/02/02/cxo/comment-page-1/#comment-16</link>
		<dc:creator>RobH</dc:creator>
		<pubDate>Mon, 08 Feb 2010 04:03:18 +0000</pubDate>
		<guid isPermaLink="false">http://glasshospital.com/?p=154#comment-16</guid>
		<description>I&#039;ve never understood why ALL patient records are treated as anything but the property of the patient.  Other professionals (law and accounting, for instance) treat their clients&#039; records as the clients&#039; property, and automatically provide them with copies.  Note how much easier it would be to switch doctors if patients had all their records.  And, working backwards up your list, if patients knew something about price before going to the doctor and receiving services, and if they actually had to pay out of pocket for some portion of the services, they might actually want to switch (or at least shop around).  Finally, if patients could more easily switch and were shopping around, that might actually encourage doctors to get closer to seeing patients at appointment times, and also to give patients greater control over scheduling.  A lawyer who concealed fees until billing and failed to keep appointments and was generally unreachable to clients wouldn&#039;t last a week in business.  In short, I&#039;m all for making the patient &quot;experience&quot; better, but it&#039;s hard to imagine any meaningful improvement without structural changes that shift power to patients.</description>
		<content:encoded><![CDATA[<p>I&#8217;ve never understood why ALL patient records are treated as anything but the property of the patient.  Other professionals (law and accounting, for instance) treat their clients&#8217; records as the clients&#8217; property, and automatically provide them with copies.  Note how much easier it would be to switch doctors if patients had all their records.  And, working backwards up your list, if patients knew something about price before going to the doctor and receiving services, and if they actually had to pay out of pocket for some portion of the services, they might actually want to switch (or at least shop around).  Finally, if patients could more easily switch and were shopping around, that might actually encourage doctors to get closer to seeing patients at appointment times, and also to give patients greater control over scheduling.  A lawyer who concealed fees until billing and failed to keep appointments and was generally unreachable to clients wouldn&#8217;t last a week in business.  In short, I&#8217;m all for making the patient &#8220;experience&#8221; better, but it&#8217;s hard to imagine any meaningful improvement without structural changes that shift power to patients.</p>
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		<title>By: glasshospital</title>
		<link>http://glasshospital.com/2010/02/02/cxo/comment-page-1/#comment-11</link>
		<dc:creator>glasshospital</dc:creator>
		<pubDate>Wed, 03 Feb 2010 17:54:17 +0000</pubDate>
		<guid isPermaLink="false">http://glasshospital.com/?p=154#comment-11</guid>
		<description>Thanks for the warm feedback!  Appreciate you spreading the good word.</description>
		<content:encoded><![CDATA[<p>Thanks for the warm feedback!  Appreciate you spreading the good word.</p>
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		<title>By: Beth O'Shea</title>
		<link>http://glasshospital.com/2010/02/02/cxo/comment-page-1/#comment-10</link>
		<dc:creator>Beth O'Shea</dc:creator>
		<pubDate>Wed, 03 Feb 2010 17:44:53 +0000</pubDate>
		<guid isPermaLink="false">http://glasshospital.com/?p=154#comment-10</guid>
		<description>Great articles. Love this website. Can&#039;t wait to share with my friends.</description>
		<content:encoded><![CDATA[<p>Great articles. Love this website. Can&#8217;t wait to share with my friends.</p>
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