CONTENTS
DECEMBER 2012 Volume XXVI, No. 9
FEATURES Brain research Keys to healthy aging
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MINNESOTA HEALTH CARE ROUNDTABLE
By Apostolos P. Georgopoulos, MD, PhD, and Margaret Y. Mahan
Preserving the safety net Why it’s important
1
By John Tschida
T H I R T Y- N I N T H
DEPARTMENTS CAPSULES
4
MEDICUS
7
INTERVIEW
8
POINT OF VIEW Policies, politics, and physicians
16
By Robert W. Geist, MD
NEONATOLOGY Development of a young specialty
Timothy Henry, MD, FACC
28
By Mark Bergeron, MD, MPH
Minneapolis Heart Institute Foundation
DIABETES “Cheetos are not vegetables”
PATIENT SAFETY Creating a culture of patient safety
14
32
By Lori Wilcox, MD, and Mary Martinie, MD
By Janelle Shearer, RN, BSN, MA
SPECIAL FOCUS: SENIOR AND LONG-TERM CARE HELP for hospitalized elders
Design innovation 20
By Paula Duncan, RN, and Kasey Paulus, RN, CPHQ
Seniors and addiction Elder abuse
22
24
By Alanna Carter, Assoc. AIA, LEED-AP
26
By Steve Tschida, BES, LADC
By Julie Switzer, MD, and Avery Michienzi
The Independent Medical Business Newspaper
SESSION
Background and focus: The next step in health care reform involves the patient becoming more actively engaged with staying healthy. New physician reimbursement models reward improved population health but bring new dynamics into the exam room. Incorporating patient attitude and lifestyle Creating measures that work choices into health care delivery is Thursday, April 25, 2013 necessary, but how 1:00 – 4:00 PM • Duluth Room Downtown Mpls. Hilton and Towers should it be done? Creating conceptual and empirical clarity around this question may be best addressed by the term Patient Activation Measure (PAM).
Patient engagement
Objectives: We will examine the development of PAM, what it means and how it works. We will explore patient engagement methods that have been successful and the role of health insurance companies and employers in this process. We will explore how PAM may be used across the continuum of care and whose job it will be to implement and track these measures. We will discuss the challenges that are inherent within the concept of PAM and how it may realize its best potential.
www.mppub.com PUBLISHER Mike Starnes mstarnes@mppub.com EDITOR Donna Ahrens dahrens@mppub.com
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Minnesota Physician is published once a month by Minnesota Physician Publishing, Inc. Our address is 2812 East 26th Street, Minneapolis, MN 55406; phone (612) 728-8600; fax (612) 728-8601; email mpp@mppub.com. We welcome the submission of manuscripts and letters for possible publication. All views and opinions expressed by authors of published articles are solely those of the authors and do not necessarily represent or express the views of Minnesota Physician Publishing, Inc., or this publication. The contents herein are believed accurate but are not intended to replace legal, tax, business or other professional advice and counsel. No part of this publication may be reprinted or reproduced without written permission of the publisher. Annual subscriptions (12 issues) are $48.00. Individual issues are $5.00.
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DECEMBER 2012 MINNESOTA PHYSICIAN
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