Frontline Doc Scripts

The great things about patient-centered care in America

By Suneel Dhand | Blog

As part of the increasing push for healthcare quality improvement, a lot of energy is being focused on improving our communication with patients and making sure that patient-centered care is more than just a buzz phrase. Gone are the days when the doctor-patient interaction was a wholly paternalistic one, where the doctor’s word was taken as final

3 things all patients should do when discharged from hospital

By Suneel Dhand | Blog

The world of healthcare has made tremendous progress in the last several years in raising the quality and safety of clinical medicine. Yet despite this, the discharge process (when patients are discharged from hospital) is still fraught with potential pitfalls and opportunities for things to “slip through the net”. If you ask most patients who

A New Year’s Wish List for Hospitals

By Suneel Dhand | Blog

Happy 2015! Healthcare in the United States continues to change faster than any of us can keep pace with and this shows no signs of slowing down. Having written a lot in 2014 on a variety of different topics, I wanted to focus on my own 5 wishes for hospital care this New Year. A

Keep Calm and Carry On: A very British response to Ebola

By Suneel Dhand | Blog

As 2014 draws to a close, one of the biggest and most followed stories of the year was the devastating Ebola outbreak in West Africa. The possibility of this outbreak spreading to the United States generated widespread concern and panic, and dominated cable news networks (across the spectrum, left and right-wing, no names mentioned) for

If you spend more than 80% of your day on the computer, you are no longer a doctor or nurse

By Suneel Dhand | Blog

The use of healthcare information technology has increased exponentially over the last five years, and as a frontline physician I have seen this change at close quarters. In most of the hospitals I’ve worked in up and down the East coast, it’s been interesting to observe this transformation. The process has usually started with nurses

3 highly effective ways to reduce readmissions

By Suneel Dhand | Blog

The enormous push continues to reduce readmissions, due in no small part to stiff financial penalties from CMS for the worst performing hospitals. The most commonly cited statistic is that about 1 in 5, or 20 percent, of Medicare patients are readmitted within 30 days. A staggeringly high number when you think about it. Having

How information technology has made healthcare (just a little bit) better

By Suneel Dhand | Blog

Healthcare information technology really has a long way to go before it lives up to its promise of truly improving healthcare. Having written a lot about the pitfalls (which I will continue to do, because it’s important we address them) including reduced efficiency, less thoughtful medicine, and worst of all decreased human contact with our

Pareto’s Principle in Hospital Medicine

By Suneel Dhand | Blog

There are certain universal laws that appear to govern the broader workings of the world around us. For those of you unfamiliar with Pareto’s Principle, it’s a concept that was first applied in economics and then found to be a governing rule in a whole host of different arenas. It’s no understatement to say that

The real world dichotomies for improving the hospital experience

By Suneel Dhand | Blog

A large number of physicians and administrators involved in healthcare right now are working hard on improving the hospital experience and giving our patients a more pleasant time in hospital. As I’ve written about previously, I don’t believe the solutions are necessarily complex or particularly difficult. They rest with basic common sense and humanity. Like

Hospital physicians: Do we miss opportunities to talk about healthy habits and preventive medicine with our patients?

By Suneel Dhand | Blog

As hospital doctors, we are extremely busy people. Our days whizz by, often without a moment to rest or take a deep breath. We are in “the zone” and rightly completely focused on getting our patients better and in a position when they can hopefully leave the hospital. We have chosen a specialty which is