October 10th, 2011 by Happy Hospitalist in Humor
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The airline industry was a lot like physician practices several years ago. Costs were rising all around them while stagnant revenue caused declining margins. Well, this is America, not North Korea. How did the airline industry survive and thrive (except for American Airlines)?
- Efficiency
- Add on revenue opportunities
Physician offices are just now catching on. What can doctors learn from the airline industry? Here’s picture proof of efficiency in action.
Text from Sister Happy: Here’s how I just checked in at my orthopedists…it’s all by kiosk now. Have to say…they were faster and nicer than many receptionists. Only problem is… Read more »
*This blog post was originally published at The Happy Hospitalist*
April 14th, 2011 by StevenWilkinsMPH in Opinion
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I recently participated in a Twitter Chat about physician-patient communications. A common refrain from some of the providers in the group was that “there isn’t enough time” during the typical office visit for physicians to worry about communicating effectively. What’s up with that?
The goal of patient-centered communications is to engage the patient in their own health care. While most physicians endorse the concept of patient centered communications, many seem reluctant to employ such techniques in their own practice. Why? I suspect that many fear that too much patient involvement will increase the length of the visit.
Take the patient’s opening statement aka “patient agenda” in patient centered lingo. This is where the doctor asks the patient why they are there. The resulting patient narrative is an opportunity for the physician to obtain valuable information to help assess the patient. Patient centered advocates recommend that physicians use open-ended questions like “what brings you in today” to solicit the patient’s concerns and agenda. Active listening by the physician and paying attention to the patient’s emotional cues are also hallmarks of patient centered communications.
The reality is that regardless of how they are asked, patients are often not able to complete their opening statement. Read more »
*This blog post was originally published at Mind The Gap*
January 24th, 2011 by Michael Kirsch, M.D. in Better Health Network, Opinion
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Medical ethics has properly gained a foothold in the public square. There is a national conversation about euthanasia, stem cell research, fertilization and embryo implantation techniques, end-of-life care, prenatal diagnosis of serious diseases, defining death to facilitate organ donation, cloning and financial conflicts of interest. Nearly every day, we read (or click) on a headline highlighting one of these or similar ethical controversies. These great issues hover over us.
We physicians face ethical dilemmas every day in the mundane world of our medical practices. They won’t appear in your newspapers or pop up on your smartphones, but they are real and they are important. Here is a sampling from the everyday ethical smorgasbord that your doctor faces. How would you act under the following scenarios?
— A physician has one appointment slot remaining on his schedule. Two patients have called requesting this same day appointment. The first patient who called has no insurance and owes the practice money. The second patient has medical insurance coverage. Neither patient is seriously ill. Who should get the appointment?
— Two hours before a doctor is to see a patient, her husband calls to relate private information that he fears the patient will not share with the physician. Should the physician disclose this conversation to the patient? What is the risk if she discovers at a later time that a confidential conversation occurred? Read more »
*This blog post was originally published at MD Whistleblower*
July 9th, 2010 by Happy Hospitalist in Better Health Network, Humor, Opinion, True Stories
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So I’m calling a referring physician’s office the other day when their telephone answering message puts me on hold. And wouldn’t you know it — Kelly Clarkson was blasting in my ears. When the doc came on the phone, I asked him if he was a Kelly Clarkson fan. He had no idea what I was talking about.
But it got me thinking. So I asked him how their office chose their telephone answering message. He said he didn’t know. He figured the music was being fed from a local radio station.
You may not realize it, but having a well-thought-out telephone answering message can be a vitally important part of a doctor’s business. It’s the first contact patients and colleagues have with an office. It sets the first impression.
I’m sure there are consultants out there who get paid a lot of money to teach this stuff. Should you have hip hop music? Big band music? Perhaps a little disco? Maybe some talk radio? How do you decide what type of telephone answering message to set up in your office?
*This blog post was originally published at The Happy Hospitalist*
June 15th, 2010 by DrRob in Better Health Network, Health Policy, Opinion
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Quiz: What does the term “meaningful use” mean?
A. Using something in a way that gives life purpose and leads to carefree days of glee.
B. It depends on your definition of the word “term.”
C. It’s not mean. It’s really nice.
D. A large number of rules created by the government to assess a practice’s use of electronic medical records (EMRs) so that they can spur adoption, give criteria for incentive rewards, and have physicians in a place where care can be measured.
E. Job security for those making money off of health IT.
The answer, of course, is D and E. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
