Robert Flora

Chief Academic Officer/ VP Acad Affairs - McLaren Health Care; Professor of OB/GYN, MSU College of Human Medicine. The postings on the site are my own.

[Robert Flora @rfflora]

A good model to explain the modified Bloom's taxonomy and help advance to higher level orders of thinking in GME. Doing question banks is not enough. Get the basics for Webb’s Depth of Knowledge (DOK) framework on the @edmentum blog: https://t.co/p7H17ZrGG8

[Robert Flora @rfflora]

@AckertKathleen Thanks

[Robert Flora @rfflora]

Self-Care: Avoiding Burnout at Work - ppt download https://t.co/2gxgz5vIV6

[Robert Flora @rfflora]

@acweyand Hospital pricing at one of my prior hospitals used a chargemaster and priced it at 325% over costs ( I was on the committee and was shocked). They don't expect it but it's a game they play with insurers. Medicare fees are the baseline reimbursement expectations. 2/2

[Robert Flora @rfflora]

@acweyand It exists. We aren't just privy to it. Your supply chain departments and finance people know it to the penny. It gets even more complicated because companies give hospitals "rebates" for a threshold usage of their product. 1/2

[Robert Flora @rfflora]

@AckertKathleen The ultimate answer is if it is financially feasible for a company to do the R&D, the FDA approval process, and a positive ROI on the product. Unfortunately has nothing to do with being a good idea.

[Robert Flora @rfflora]

@NASPOG1 For clarification, I discussed the 7 steps/ 7 tools method (also called TQM). It was developed 20 yrs. after the PDSA. Health care has “reactive” problems not “control” issues. We continue to have the same problems over and over again. Variation is our issue not defects.

[NASPOG @NASPOG1]

An apt quote from this Workshop
“Medicine is a social science and politics is nothing else but medicine on a large scale.”—Virchow #quote #naspog2022 #virchow

[NASPOG @NASPOG1]

Robert Flora from McLaren Hospital from his QI workshop: Healthy People 2020 has 1200 objectives, only 5 of which are addressing maternal mental health #naspog2022

[NASPOG @NASPOG1]

To have a successful QI movement, you need not only the project model but also an idea of how to make it accepted and implemented in your health system. Then think about the reasons why people should keep the project going. Make it sustainable

[Robert Flora @rfflora]

"Very slippery slope. We already have burnt out healthcare providers leaving in droves. Nursing…" — Robert Flora https://t.co/l6VGr9WOYr

[Robert Flora @rfflora]

@simply_kashif @rational_doc @jbcarmody Don’t forget $300-400 k in student loan debt.

[Robert Flora @rfflora]

@jbcarmody Was it an oversight or intentional? GME is always forgotten.

[Robert Flora @rfflora]

This is a travesty! https://t.co/4fArSWsmCX

[Robert Flora @rfflora]

@DrPayItBack @KaylaIannarelli Sorry meant this for @LogicalKnot

[Robert Flora @rfflora]

@DrPayItBack @KaylaIannarelli Yes. You were lucky to have that option. If you withdraw from a 401 or 403(b) before 59 1/2 you pay a 10% penalty and are taxed at your current tax. You can borrow from it but will pay interest. They don’t do a credit check and is not reported to the credit agencies 1/

[Robert Flora @rfflora]

@KaylaIannarelli Our hospital will not do a match. I did negotiate that if a resident stays as an employed physician, the time as a resident counts toward vested time (ie 3 yrs credit for IM residency if vesting period is 4 yrs to 100% vested). Best I could get for our residents. 5/

[Robert Flora @rfflora]

@KaylaIannarelli So the pool of money stays the same. The # of residents they have increase their $ needed to match. Teaching hospitals have a lower margin (profit) sometimes in the range of 1-3% (much lower than other industries). In reality, it is an individual business decision. /4