Thomas Prewitt Jr.

Director, oncologist

HORNE LLP

Thomas Prewitt Jr., M.D., is the director of the Healthcare Delivery Institute at HORNE LLP, a CPA and business advisory firm. A graduate of Brent James’s Advanced Training Program at Intermountain Healthcare, Prewitt leads the firm’s efforts in healthcare delivery reform. His work focuses on training and services that help providers prepare for the healthcare delivery models of the future.

Mon, 09/08/2014 - 14:18

Small Data Are Key to Healthcare And they’re essential for bottom-up healthcare reform

Wed, 07/15/2015 - 10:34

Big data seem to be all the rage in healthcare, but from the perspective of a frontline clinician, they miss the mark. The clinical enterprise is the realm of small data. That’s because small data are directly related to patient care. Examples of…

Bottom-Up Healthcare Reform Good management is important, but it can’t create improvement

Thu, 05/28/2015 - 10:54

One of our major problems with healthcare reform is that we are doing it from the top down. At the top, a bloated bureaucracy works in an environmental context of regulations and finance that seems to be focused on what is best for government and…

Why Doctors Should Help Their Local Hospitals Improve Doctors need hospitals, and hospitals need effective patient care at a low cost

Wed, 03/18/2015 - 17:52

As we begin the journey to value-based healthcare, the relationships between a hospital and its medical staff are changing. For decades, these relationships were straightforward: Doctors admitted patients to the hospital, performed procedures and…

Healthcare Consolidation and Black Swans Do we really believe we can get better at the same time that complexity is increasing?

Mon, 09/08/2014 - 14:18

I am concerned about the rush to consolidation we are seeing in the hospital industry. It seems all too tidy and easy, and if there is anything I have learned from my 30+ years in clinical medicine, it is that nothing in healthcare is easy. …