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James Holly's blog

James Holly

CEO, managing partner of the Southeast Texas Medical Associates (SETMA) in Beaumont

James L. (Larry) Holly, M.D., After completing his medical education, James L. (Larry) Holly, M....

Response to CDC's New Standards for HIV Testing

May 23, 2011  |  James L. Holly, M.D.
The Texas Department of State Health Services created an HIV/ASTD Prevention and Care Branch which manages a grant program Promoting Annual HIV Screening for ages 13-64. This is in response to the 2006 CDC Recommendation for HIV Testing. SETMA’s first interest in this issue came from meeting with the staff of this program. Immediately, SETMA understood the value of this initiative, but as we proceeded, the application requirements were so complex SETMA decided to do the project without participating in the government funded program.

Should we Change the Diagnostic and Treatment Thresholds for Illness?

May 16, 2011  |  James L. Holly, M.D.
Everyone who cares about the USA wants Americans to be healthier. Would we not therefore embrace a method of improving health which involves no cost; which actually creates tremendous savings in healthcare, and which can be instantly implemented without delay? Dr. H. Gilbert Welch, Professor of Medicine at the Dartmouth Institute for Health Policy and clinical Practice, has “the way.” His solution is to change the “diagnostic and treatment thresholds” for illness, thus making fewer people ill by definition.

The Four Elements of Transforming Healthcare

April 5, 2011  | 
Efforts to reform healthcare may fail unless they employ four elements upon which SETMA depends in its transformative efforts:   1.      The

The Founations for Change in Healthcare

March 17, 2011  |  James L. Holly, M.D.
The foundations of healthcare change are “trust” and “hope.”  Without these science is helpless!   For health care providers, who are dealing daily

Who is Responsible for the High Cost of Medicine?

March 15, 2011  | 
Let’s summarize what this writer thinks about the current healthcare debate. First, both Republicans and Democrats have it wrong. Republicans blame

The Baton

March 6, 2011  |  James L. Holly, M.D.
“The Baton” is a pictorial representation of the patient’s “plan of care and the treatment plan,” which is the instrument through which

Where Can You Hide Once You Begin Public Reporting?

March 4, 2011  |  James L. Holly, M.D.
In a conversation generated by a discussion on the Patient Centered Primary Care Collaborative’s (PC-PCC) weekly conference call, a comment was made

Only One Structural Change Will Make a Difference: Part II

March 2, 2011  |  James L. Holly, M.D.
The provider must be intimately involved in the patient’s life.  A new data base will be required for this work which will include:

HIMSS 2011 Summary Thoughts

February 28, 2011  |  James L. Holly, M.D.
The largest HIMSS ever. Incredible presentations by keynote speakers and content speakers. The most important events may be the dialogue meetings with the Director, Associate Director and staff of the Office Of National Coordinator of HIT. I personally attended seven of those: two with the Director and five with the Associate Director. There were many constituencies who were invited to meet with the ONC.

Only One Structural Change Will Make a Difference: Part I

February 28, 2011  |  James L. Holly, M.D.
The Only Structural Change Which Will Make a Difference–Coordination of Care   Someone has to take charge of health care and there are only two


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