Dr. Daniel Bosis seeks to help change the American health care delivery system that is currently leading to inefficient and often less than optimal care for those most in need. Dr. Bosis is currently completing a five-year combined residency in internal medicine and psychiatry at the University of Iowa Hospitals and Clinics (UIHC) and the Iowa City Veterans Hospital. During his residency, Dr. Daniel Bosis has become ever aware of the dysfunction in our health care delivery system that leads to poor coordination of care for the high frequency users of our health care system. Those patients typically have at least three major medical conditions and often are hospitalized frequently for those conditions.

When he completes his residency at the end of January of 2012, Dr. Bosis plans to work as an internal medicine physician in the hospital setting (“hospitalist”) and to advocate for improving patient care and developing a more efficient, sustainable health care system. Dr. Bosis plans to spend his career fighting for patients and working to push the organizational inertia of the current system for change.

Dr. Daniel Bosis is interested in a number of key issues. Among these are advocating for improved quality of care for the elderly, by creating incentives to bring better health care providers into geriatrics who are capable of managing complex medical problems and being an advocate for the patient when so many specialists are often so focused on their organ system without seeing the big picture. He also believes strongly in moving more care towards the latter part of life into patient’s homes to minimize the need for hospitalizations and improve quality of life near the end of life.

Pursuing medical tort reform is also something that Dr. Bosis cares deeply about. Specifically, he would like to further explore the “health care courts” structure to allow for more efficient patient compensation, thus making providers and the health care system itself more accountable for delayed care and negligence. Such health care courts would also be able to help deter unfounded malpractice and other medical lawsuits, thus protecting physicians as well as patients and minimizing the excess tests that often are driven by “defensive medicine”.