August 13th, 2010 by DavedeBronkart in Better Health Network, Health Policy, Opinion, True Stories
Tags: Dermatology, Doctor-Patient Communication, Doctor's Notes, E-Patients, Family Medicine, General Medicine, Help Patients Help Themselves, Internal Medicine, Internet-Based Medicine, Joint Working Document, Medical Charting, Medical Records, Medical Speciality, Medicine and Healthcare Online, Medicine and the Internet, Online Medical Records, Open Notes Study, Participatory Medicine, Patient Empowerment, Patient Records, Patient-Doctor Partnership, PatientSite, Personalized Medicine, Primary Care, Specialist Care
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Next in our series on my experience with OpenNotes, a project sponsored by the Robert Wood Johnson Foundation’s Pioneer Portfolio.
This item has nothing to do with OpenNotes itself –- it’s what I’m seeing now that I’ve started accessing my doctor’s notes. In short, I see the clinical impact of not viewing my record as a shared working document.
Here’s the story.
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In OpenNotes, patient participants can see the visit notes their primary physicians entered. Note “primary,” not specialists. I imagine they needed to keep the study design simple.
So here I am in the study, going through life. Five weeks ago I wrote my first realization: After the visit I’d forgotten something, so I logged in. Read more »
*This blog post was originally published at e-Patients.net*
August 11th, 2010 by AlanDappenMD in Better Health Network, Health Policy, Opinion, Primary Care Wednesdays, True Stories
Tags: American Health Care Church, Anne Rice, Direct Pay, DocTalker Family Medicine, Dr. Alan Dappen, Primary Care, Primary Care Wednesdays, Transparent Pricing
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I confess ignorance. I know nothing about interviews with vampires. However, last week on my drive to a house call to see a sick patient, I experienced a sudden respect for author Anne Rice. I listened to a stranger completely off my radar screen being interviewed on NPR saying and making me feel the meaning of the phrase “Evil needs but one thing to grow. It is for good people to do nothing,” and reminding me that throughout history there have been numerous times where groups, organizations, and governments have acted even in ways that don’t represent our values or feel wrong minded or appear short sighted.
This statement was her simple explanation for a recent blog posting announcing she was resigning from Christianity. She remained a believer in God and in Christ, but no longer would listen to the Church tell her what to think, when and how to believe, or define truth while trying to control belief and the process. Read more »
August 10th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips, News, Opinion, Research, True Stories
Tags: Bystanders, Cardiology, Cardiopulmonary Resuscitation, Chest Compressions, Collasped Person, CPR, Emergency Medicine, Emergency Personnel, General Medicine, Lifesaving Techniques, Mouth-To-Mouth CPR, NEJM, New England Journal of Medicine, Onlookers, Paramedics, Public Awareness, Public Knowledge, Sudden Cardiac Arrest, Survival Rates
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Nearly 450 people die each day of sudden cardiac arrest. Many times the bystanders who witness a person collapse don’t know what to do. They are afraid they will hurt the victim or they feel nervous about doing traditional cardiopulmonary resuscitation (CPR) with mouth-to-mouth breathing and chest compressions.
New information published in the New England Journal of Medicine (NEJM) shows that hands-only CPR is potentially a lifesaving option to be used and it can improve the chance of survival equally as well as traditional CPR. This study confirms other reports that bystanders can save lives by doing chest compressions in adults and children who are not breathing. Read more »
*This blog post was originally published at EverythingHealth*
August 9th, 2010 by Michael Sevilla, M.D. in Better Health Network, Health Policy, News, Opinion, True Stories
Tags: Alumni, Dr. Jay Gershen, Dr. Vishvas Hedge, Medical Institution Budget, Medical School, Name Change, NEOMU, NEOUCOM, Northeast Ohio Medical University, Northeastern Ohio Universities College of Medicine, School of Medicine
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They are changing the name of my med school alma mater and I am upset about it. But not for the reasons you may think.
I am a proud graduate of the Northeastern Ohio Universities College of Medicine (NEOUCOM). This has been the name of the school since it opened its doors in 1973. Last week, the Board of Trustees unanimously voted to change the name of the school to the Northeast Ohio Medical University (NEOMU). In a press release from the school, the new president and dean, Dr. Jay Gershen, said this:
“The current name no longer reflects who we are as a University. In addition to a College of Medicine and a College of Pharmacy, we also added a College of Graduate Studies last year,” said Gershen. “We are a strong institution with a health sciences curriculum, and we want a strong name that reflects who we are and who we serve.”
I have talked with many alumni who are upset about this change. Read more »
*This blog post was originally published at Doctor Anonymous*
August 9th, 2010 by Edwin Leap, M.D. in Better Health Network, Health Policy, Opinion, True Stories
Tags: Emergency Medical Treatment and Active Labor Act, Emergency Medicine, EMTALA, Fair Pay, General Medicine, Healthcare reform, Hilda Solis, medicaid, Medicare, Physician Billing, Physician Reimbursement, U.S. Department of Labor, Undercompensated Doctors, Unfunded Federal Mandates
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This is my column in [the August 3rd] Atlanta Journal Constitution:
Secretary of Labor Hilda Solis recently produced an interesting public service announcement. In it, she stated that every worker deserves to be paid fairly for his or her labor (whether the worker is documented or not), and offered both a website and telephone hot-line which workers could use to report unfair payment by employers. (Incidentally, here’s the link: www.dol.gov/wecanhelp.) In the video, she stated succinctly, “You work hard, and you deserve to be paid fairly.”
Those of us who practice medicine completely agree. So we might reasonably ask if this announcement also applies to physicians who are undercompensated for their work. This routinely happens when patients are covered by Medicare and Medicaid, or by large insurance companies like Blue Cross/Blue Shield, which routinely negotiate unfair physician fees using their collective weight in bargaining. (Even as their executives bring home tidy bonuses that are clearly padded by denials). Read more »
*This blog post was originally published at edwinleap.com*
Next in our series on my experience with OpenNotes, a project sponsored by the Robert Wood Johnson Foundation’s Pioneer Portfolio.
