Discover and read the best of Twitter Threads about #healthsystemsscience
Most recents (2)
At #SHMConverge23 Dr. Aziz Ansari from @LoyolaMedMD and I presented this talk.
We were expecting *maybe* 100 attendees.
Instead, we had SRO (350+) in the room, and others turned away at the door.
Why??? A reflective 🧵 (1/11)
We were expecting *maybe* 100 attendees.
Instead, we had SRO (350+) in the room, and others turned away at the door.
Why??? A reflective 🧵 (1/11)
2/ In conversation with our audience, LOS (or, if you prefer, “LOS O:E”) is going up everywhere. Exasperation was palpable.
More to the point: people are TIRED…tired of their performance being judged by this antiquated metric.
And, tired of being asked to “fix” it.
More to the point: people are TIRED…tired of their performance being judged by this antiquated metric.
And, tired of being asked to “fix” it.
3/ This is the Iceberg Model of Systems Thinking.
LOS is an “event.” Therefore, measuring hospitalist performance based on LOS is superficial.
Any hospitalist will tell you it’s the “stuff” beneath the surface that drives LOS
LOS is an “event.” Therefore, measuring hospitalist performance based on LOS is superficial.
Any hospitalist will tell you it’s the “stuff” beneath the surface that drives LOS
1/ So, today was a big day for @DrJRMarcelin and I. We've been developing curricula on "Structural Challenges & Inequities in Healthcare Delivery" for the @UNMCCOM M1 students as part of the Health Systems Science coil.
Thread on this #MedEd project + today's capstone 👇🏾
Thread on this #MedEd project + today's capstone 👇🏾
2/ With inspiration from @JonathanMetzl & Dr. Helena Hanson's work on #StructuralCompetency, we wanted to assemble a pilot set of experiences that would give @UNMC students a glimpse into local health inequities, from historical & community perspectives:
3/ We gave the M1s several introductory lectures & assignments focused on big-picture issues like #SDoH & disparities, creating a "structural DDx" for patients, unconscious #bias & #microaggressions, developing structural humility, and #racism in medicine...
