January Physician Focus: Wound Care

While the human body has a natural and wonderful ability to heal from  wounds or injuries, an estimated eight million Americans suffer from chronic or non-healing wounds. Many of those are patients with diabetes, injuries from radiation, venous disease, and spinal cord injuries, and in many cases these patients require specialized care. The January edition [...]

Despite Travails, Internist’s Practice Stays Open to New Patients

Richard Dupee, M.D., a Wellesley-based internist and geriatrician whose practice has about 10,000 patients, is among a dwindling segment of primary care physicians accepting new patients. “It’s a matter of business survival,” explained Dr. Dupee, whose practice accepts several new patients every week, including MassHealth enrollees. “I need to keep [patient] volume up to stay [...]

Through the Lens: PBS Looks at Mass. Health Reform, Four Years Later

Public Broadcasting television’s PBS NewsHour returned to Massachusetts last week to examine how the state, physicians, and residents are faring under the state’s health reform law, four years after it was established in the Commonwealth, and to see what lessons it may offer for national reform.  PBS reporters visited Franklin County, a rural area in Western Massachusetts, and spoke with patients, families, [...]

A Day in the Life of a Physician: Part 4

By Robin Dasilva and Therese Fitzgerald This is the final in a series of four posts about a day in the life of Barry Izenstein, MD, an endocrinologist and internal medicine physician who practices in Springfield and Holyoke, Mass. Read Part 1, Part 2 and Part 3. Devotion to Patients – From Physician and Staff [...]

A Day in the Life of a Physician: Part 3

By Robin Dasilva and Therese Fitzgerald This is the third in a series of four posts about a day in the life of Barry Izenstein, MD, an endocrinologist and internal medicine physician who practices in Springfield and Holyoke, Mass. Read Part 1 and Part 2. Why I Am a Physician Noon/Lunch Dr. Barry Izenstein’s dedication [...]

A Day in the Life of a Physician: Part 2

By Robin Dasilva and Therese Fitzgerald This is the second in a series of four posts about a day in the life of Barry Izenstein, MD, an endocrinologist and internal medicine physician who practices in Springfield and Holyoke, Mass. Read Part 1 here. The Challenges of Practicing Medicine in Massachusetts Mid Morning Dr. Izenstein’s next [...]

A Day in the Life of a Physician: Part 1

By Robin Dasilva and Therese Fitzgerald This is the first in a series of four posts about a day in the life of Barry Izenstein, MD, an endocrinologist and internal medicine physician who practices in Springfield and Holyoke, Mass. A Specialty in Crisis Early Morning Barry Izenstein, MD, FACP, begins his busy day at 8:00 [...]

Mass. Medical Home Project is About to Begin: Apply Now

The Commonwealth of Massachusetts is about to start a project that could transform the practice of primary care medicine, if it’s successful. This week the state announced that it’s accepting applications for its three-year Patient Centered Medical Home Initiative. The project will test the proposition that medical homes can improve quality and efficiency, and perhaps [...]

Mass. Practice Environment Dips Again

Make it 16 down years out of 18.  The MMS Physician Practice Environment, a statistical reading of nine measures affecting the practice climate for physicians in the state, took yet another dip in 2009 and hit a record low. Four factors led the decline in 2009: professional liability rates, the increasing use of emergency rooms by patients, [...]

MHQP: Using Quality Measurement to Improve Patient-Centered Care

By Barbara Spivak, M.D., President, Mount Auburn Cambridge IPA, and Edward Westrick, M.D., Vice President, Medical Management, UMass Memorial Health Care With the turmoil surrounding health care issues nationally, it can be easy to forget that, besides taking the lead on expanding access through insurance reform, Massachusetts has been a pioneer in forging consensus around [...]