September 29th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Health Policy, Opinion, True Stories
Tags: 33 Charts, Changing Medical Profession, Devolving Practice of Medicine, Doctor As Human Docent, Doctor's Role, Dr. Bryan Vartabedian, Empowered Patients, Family Medicine, Future of Medical Practice, General Medicine, Internal Medicine, Medical Technology, Patient Empowerment, Primary Care, Role of the Physician
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I had lunch with a group of physicians recently, and along for the ride was a college student thinking of applying to medical school. When talking about the future, I suggested that the work of a physician 30 years from now will be hardly recognizable to today’s physician. Everybody disagreed and the student was confused. There was a lot of denial and myopic rationalization.
But I can’t blame them, really. Most of us see what’s immediately changing in our day-to-day work and the bigger picture gets lost. For most of us, the role of the physician is hard to see for anything other than it always has been. Most live and work as the self-determined independent care coordinator, reactively working to treat disease just as its been done for over a century. But change is happening around us. Read more »
*This blog post was originally published at 33 Charts*
September 29th, 2010 by CodeBlog in Better Health Network, Health Policy, Humor, News, Opinion, True Stories
Tags: Code Blog, Credential Reminder, Digital Camera, Hospital Equipment, IV Pumps, Medical Apps, Medical Equipment, Medical Monitors, New York Times Blog, Nurse and Lawyer, Nurse Fired, Nurse Loses Job, Nurses and Law Enforcement, Nurses and the Police, Nursing, Photography, Rapid Response Team, RRT
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So who hasn’t heard about The Policeman vs. Nurse? A nurse was pulled over for speeding, told the policeman that she hoped he would never end up as her patient, and was subsequently fired when the policeman complained to the hospital she worked at.
Really? I have the utmost respect for the police of course, but put on some big boy undies and get over it. Should the nurse have made that comment? No. Not in front of him, at least. That was pretty dumb. But being fired for saying it is ridiculous in my opinion. Does that cop go complain to the pimp when the hooker he’s arresting makes a sassy comment? Nurse and Lawyer had a pretty good discussion about the whole situation.
Next up: Rapid Response Teams Sign of Poor Bed Management. Really? I think GruntDoc summed it up best in his tweet about it. The article states that rapid response teams (RRTs) are utilized due to overcrowding because sometimes patients aren’t placed in a unit that is appropriate for their needs. Therefore, their condition worsens and they need help. Read more »
*This blog post was originally published at code blog - tales of a nurse*
September 28th, 2010 by DavidHarlow in Better Health Network, Health Policy, News, Opinion
Tags: David Harlow, HealthBlawg, Healthcare reform, HHS, Office of Inspector General, OIG, Patient Protection and Affordable Care Act, PPACA, Self-Referral Disclosure Protocol, U.S. Department of Health and Human Services
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The Office of Inspector General (OIG) of the U.S. Department of Health and Human Services scrapped its old self-referral voluntary disclosure program in 2009 (it dated back to 1998, and was revisited in 2008), and the Patient Protection and Affordable Care Act (PPACA) mandated that it be replaced. Just like clockwork, on the deadline for its promulgation the OIG obliged, and the new Self-Referral Disclosure Protocol is now posted and effective.
The new protocol could be clearer and offer more comfort, but it doesn’t. Makes one pine for the old policy’s clarity: In the old days, voluntary disclosure bought you a discounted fine for Stark violations — not like the new protocol’s wishy-washy, maybe-we’ll-give-you-a-discount language. The new protocol also fails to help a provider seeking to disclose past wrongs voluntarily in dealing with the Federales on a number of fronts simultaneously (e.g., for false claims violations, anti-kickback violations, etc., all arising from the same set of facts). We can perhaps blame Congress for that failure, rather than the OIG — the OIG is just implementing the statute as written.
Keep your eyes peeled for some tinkering on this front as the OIG gains some experience working under the new regime.
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
September 28th, 2010 by EvanFalchukJD in Announcements, Better Health Network, Health Policy, Health Tips, Opinion, Research
Tags: 23rd Annual Benefits Forum and Expo, Avoiding Misguided Care, Best Doctors, Charlie Salter, ConAgra, Employee Benefits, Employee Health, Employer-Provided Health Coverage, Empowered Patients, Evan Falchuk, General Medicine, Healthcare Benefits, In Control Of Your Healthcare, Incorrect Diagnosis, Patient Empowerment, See First Blog, Wrong Treatment
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I’m speaking [today] at the 23rd Annual Benefits Forum and Expo. This is one of the premier events in the health care benefits industry, and it’s a thrill for me to be the opening speaker on the “Health Care” track.
I’m presenting along with Charlie Salter, the VP of Benefits of ConAgra, one of our customers at Best Doctors. The talk Charlie and I will give is called “Real Results: When Individuals are in Control of their Health Care.”
As regular readers know, good things happen when people are in control of their care. They have a chance to make sure they’re not one of the 20 percent of people that end up with an incorrect diagnosis, or the more than 60 percent of people that end up with the wrong treatment. It’s the single most powerful thing you can do to make sure your health care experience is as good as it can possibly be. Read more »
*This blog post was originally published at See First Blog*
September 28th, 2010 by DavedeBronkart in Better Health Network, Health Tips, News, Opinion
Tags: Boston Globe, Doctor-Patient Communication, Dr. John Grohol, E-Patients, Empowered Patients, ePatient Dave, FIMDM, Gary Schwitzer, HealthNewsReview.org, Liz Cooney, Non-Profit, Participatory Medicine, Patient Empowerment, Patient Knowledge, The Foundation for Informed Medical Decision Making
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You can’t be well-empowered if you hear advice wrong. That’s why in a participatory relationship, an essential skill is accurate handoff of information.
The Foundation for Informed Medical Decision Making (FIMDM), catchily pronounced “fimdim,” has been working for years to improve patients’ knowledge of options and alternatives. In [the September 20th] Boston Globe Liz Cooney talks with people from FIMDM about the issue. An excerpt:
What doctors explain and what patients understand might be two very different things, recent research suggests.
Ideally, patients talk with their doctors about the pros and cons of a particular treatment, weighing the risks and benefits, exploring alternatives — including doing nothing — and then come to a conclusion. That’s the goal of the informed consent process, best known by the paperwork patients sign at the end saying they heard doctors describe what they may be getting into.
If only it were that simple.
[This] article springboards off Cooney’s piece two weeks ago on heart stents, reported here by Dr. John Grohol as Doctors Say One Thing, Patients Hear Another.
A Boston non-profit, FIMDM is the force behind Gary Schwitzer’s excellent Health News Review service, which analyzes health news in the media, teaching e-patients and policy people to sift the gold from the garbage.
*This blog post was originally published at e-Patients.net*
