Letters to the Editor

Safer care

Re: “Improving Care — 3 Success Stories,” March 2011.

These examples demonstrate that focusing on care improvement as a primary goal can lead to both safer care and meaningful savings.

This is important to health plans for two key reasons: It shows how plans can accomplish the triple aim of health care reform as voiced by Donald Berwick, MD (“better care, better quality, lower cost”), and it also provides a basis for how plans and accountable care organizations will be able to align their goals to benefit stakeholders.

Derek VanAmerongen, MD
Cincinnati, Ohio

No rapid antidote

Re: “Next Generation Anticoagulants,” February 2011.

Coumadin is, of course, cheaper, and with the home self-testing INR devices, we have seen an improvement in compliance. My main concern is that there is no rapid antidote to these new drugs in cases of emergency, as there is with Coumadin and heparin.

Analysis takes time and often the circumstances cannot wait. The cost will be a definite drawback for the utilization of these newer agents.

Kenneth Allen, MD
Saint Clairsville, Ohio


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