In London’s Underground transit system, riders are warned to “Mind the Gap.” In other words, step carefully when going between the platform and railcar. “Mind the Gap” is also good advice to medical offices moving from paper to electronic records.

May is here and it is almost time for the Cooperative of American Physicians, Inc., ballot and Mutual Protection Trust proxy. Members will start receiving their mailed ballot and proxy materials the week of May 29.

It’s a common scenario: A primary care physician refers his or her patient to a specialist for an acute condition. The specialist works up the patient and prescribes medication, for which the primary care physician is expected to issue refills. Who is responsible for monitoring the medication?

In a report from the Centers for Disease Control and Prevention (CDC), one in five Americans will be a senior citizen by 2030, nearly double the 12 percent in 2000. Not only are there more seniors, but they are also living longer and experiencing multiple chronic conditions.

The successful achievement of the Triple Aim requires a highly effective organization with an engaged and productive workforce – clinicians and staff who have found meaning in their work and a sense of accomplishment regarding their contributions. Recognizing that more and more is expected – if not demanded – of clinicians and staff, it has been urged that we modify the Triple Aim to the Quadruple Aim and add improving the experience of providing care as the Fourth Aim.