Payers are convinced that compensating physicians and hospitals for meeting quality targets, also known as “pay for performance” (P4P), is an important step in bridging the quality chasm identified by the Institute of Medicine in 1999.

Vertigo in the Elderly: What Does It Mean?
Elderly patients have multiple reasons for losing their balance. Muscles are weaker, spines start to twist, bones may become brittle.

Optical Coherence Tomography Offers Noninvasive Way to Visualize Tissues of the Larynx: This emerging technology could improve testing for laryngeal cancers

HPV-Oropharyngeal Cancer Link May Affect Cancer Screening and Prognosis: The link offers potential for improved detection and prevention, but more research is needed

New Medicaid Changes in West Virginia and Kentucky May Affect Otolaryngology Practice
People of different political persuasions generally agree that the health care system in the United States is in deep trouble, but there is no consensus on how to fix it.

When it Comes to Sleep-Disordered Breathing, Be Sure to Evaluate the Whole Patient
If at first you don’t succeed, try, try again.

The Etiology of Chronic Rhinosinusitis Remains Unclear

US Needs to Rethink Spending for Chronic Illnesses, Dartmouth Study Says
A new study from Dartmouth Medical School documents “staggering variations in how hospitals care for chronically ill elderly patients.” The study points to problems with quality and faults Medicare for unnecessary spending.
Percutaneous Dilation Tracheotomy Can Be a Safe, Effective Nonsurgical Option
Percutaneous dilation tracheotomy (PDT) is becoming an accepted and increasingly popular alternative to surgical, or open, tracheotomy, particularly in the treatment of critically ill patients requiring prolonged intubation and mechanical ventilation.

Gene Therapy: A Promising Role in Otolaryngology
After a hiatus associated with a checkered past, gene therapy is again showing promise in several fields of medicine, and otolaryngology is no exception.
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