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Re: 66% Induction Rate From: Eberhard Lisse (el@ac.lisse.na) Tue May 29 09:56:37 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: 66% Induction Rate" Previous message: Eberhard Lisse: "Re: Within or outside the standard of care - Long" In reply to: Dr Don Miller: "Re: 66% Induction Rate" Reply: Richard Chudacoff, MD: "Re: 66% Induction Rate" Don In message <200105291247.HAA06117@mail.medispecialty.com>, Dr Don Miller writes : > >i am starting to do more work in an l & d where one lone ob - so far - has > >a 66% induction rate this year - > >i am going to ask for prospective induction reviews > > Unless you are the department chair, your request will probably not be > well-received as the practice and political dynamics at the L&D have > allowed this rate to occur in the first place. It's likely that there > is some unspoken agreement among those that have worked there longer > than you. Exactly. Anyway, what's his concern with someone else's (induction) rates? Patients usually vote with their feet. Though I think that this rate of inductions is enourmous, leading into the question, you have all been waiting for, what car is this guy driving? > IMHO, if you get the dept chair to agree, retrospective (?monthly) > bar charts of all providers' rates distributed every month can do a > lot to lower such rates especially when there is one outlier. I mentioned before, the nationwide "Quality Assurance Program" in Germany. One should not pick out one single variable, but look at the whole picture, if there is one outlier who on the other hand as better outcomes? > Be careful, you may be perceived as a sanctimonius (like a lot of us > on this list) outsider and the docs already there may turn their > sights on someone who doesn't fit into their view of normal (e.g. a > doc who wears black leather jackets, has piercings or wears chrome > jewelery, or rides a Harley!) I learned a new word the other day, "team player". Cool :-)-O el Next message: Richard Chudacoff, MD: "Re: 66% Induction Rate" Previous message: Eberhard Lisse: "Re: Within or outside the standard of care - Long" In reply to: Dr Don Miller: "Re: 66% Induction Rate" Reply: Richard Chudacoff, MD: "Re: 66% Induction Rate"

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