Blog

ROI on Annual Wellness Visits: Have Your Cake and Eat it Too?

ROI from worksite wellness programs is difficult to measure, is generally positive, and varies widely by type of program. Most authorities quote a range of saving $3.50 - $5.00 for each dollar spent. A great buy, but employers tend to follow the...

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Evidence-Based Medicine and the Individualization of Care

When I was in training, I was often advised to individualize care. This admonition was troubling, because it was inevitably the last comment and there were almost never any details on exactly how to...

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Of Apple Watches and Dreams

This week, Apple announced their forthcoming watch. I'm skeptical that this new wearable tool will be the 'next big thing' in health, in part because of the pricetag - $349 and a new iPhone 6 (a minimum of another $200 and a 2-year...

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Exercise is the Antidote

Diabetes is one of America’s biggest lurking health system catastrophes, which concerns us greatly at Sustainable Health Systems.

Here is the CDC (Centers for Disease Control) map of diabetes in 2011, about 95% of which is type 2 diabetes...

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Will We Go Broke Over Health Care?

Americans are getting heavier and more sedentary, with an ever increasing prevalance of pre-diabetes and type 2 diabetes, with subsequent development of vascular and kidney disease.

A...

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Choosing Wisely?

Today I was asked why I recommend that PCPs do Wellness Visits, when the Choosing Wisely initiative of the American Board of Internal Medicine...

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Gait Speed and Dysmobility - a Vital Sign or Sign of Vitality?

This week, I welcome as co-authors three colleagues and dear friends who have worked with me on all 4 editions of the American College of Sports Medicine's textbook - ACSM's Exercise Management for Persons with Chronic Disease and...

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Disparities in Health Care: Accountable Care, Quality Reporting and Engagement

In this week's issue of JAMA, Jha and Zaslavsky discuss the issue on outcome quality reporting on physicians and health care networks, concerning the problem that lower...

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Modifiable Actual Risks for Cause of Death

Health Ecology as the Actual Cause of Chronic Disease and Mortality

A recent headline in the Times of London (England) stated, “One in Three Now at Risk as Diabetes Levels Soar”. One public health official quoted in the article said "If a doctor sits you down and says 'If you carry on they way you are...

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On Paths: Using Group Visits to Improve Health Ecology

In my last blog, we considered a lesson from my college calculus professor, that paths are more interesting than function graphs....

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