The stock markets are not the only entities that abhor uncertainty. The rational world of medicine also wrestles with unknowns, but unlike some investors, it doesnt let fear drive its responses.

Adults undergoing surgeries for congenital heart disease in pediatric hospitals do so at a lofty price tag, according to a report published Oct. 18 in Circulation: Quality and Outcomes. In fact, the researchers found that compared with lower-cost, lower-risk surgeries and more costly surgeries were linked with higher rates of inpatient death.

Increasingly burdensome regulatory policy can be blamed for driving research and development of new medical devices outside the U.S., according to the author of an Oct. 12 Competitive Enterprise Institute essay. The piece called for maintaining the 510(k) process and increasing oversight of the FDA.

There may not be enough physicians to go around, according to Merritt Hawkins' 2011 Survey of Final-Year Medical Residents." More than 75 percent of new doctors surveyed said that they had received at least 50 job solicitations during their training period, further outlining the nations physician shortage.

Pittsburgh-based payor HealthAmerica and Preferred Primary Care Physicians have launched a pilot program to provide coordinated and patient-centered primary care through improved communications with patients, physicians and care teams.

Selected low-risk Medicare patients who were discharged the same day that they underwent elective PCI were at no higher risk of death or readmission than patients who remained in the hospital overnight, according to a study published in the Oct. 5 issue of the New England Journal of Medicine. In an interview with Cardiovascular Business, the study's lead author added that the same-day discharge strategy, while not commonly applied, may prove cost-effective for some facilities.

Some architects of patient-centered medical home models suggest that a specialist team should lead patient management within the medical home. Others favor primary care physicians. But regardless of who owns the patientand by proxy, the medical homebetter coordination of care is needed.

It takes a village to treat the most complex patient, says Mary Norine Walsh, MD, medical director of heart failure and cardiac transplantation at Care Group/St. Vincents Health System in Indianapolis.