March 29th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, News, Opinion
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It’s history — healthcare reform has finally passed. Yes, it’s a watered-down bill that leaves much to be desired, but it’s a start. After months of stops, starts, rhetoric, fear mongering, empty promises and long, heated debate, many Americans aren’t sure of what just passed. It will have different effects on different people and many of the provisions are delayed until 2014. Here are a few features of the new bill:
– Insurers will be prohibited right away from excluding children with pre-existing health conditions. Adults will have to wait until 2014 to be assured of coverage.
– Health plans will have to provide immunizations and other preventive health services for children and adolescents.
– Insurers cannot charge higher insurance premiums for woman and maternity care is covered.
– Most U.S. citizens and legal residents must purchase “minimal essential coverage” for themselves and their dependents, either through the employer or exchanges that will sell policies to individuals. By 2014 you will pay a tax penalty if you ignore this mandate. Read more »
*This blog post was originally published at EverythingHealth*
March 28th, 2010 by Happy Hospitalist in Better Health Network, Health Tips, Opinion, True Stories
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Have you ever asked yourself the question: “Who has access to my medical records?” It’s supposed to be secure. Your medical records are supposed to be protected. For many people, they don’t want anyone knowing they have genital warts or that they were treated for depression five years ago.
Many people believe that those with access to their medical records protect their privacy according to HIPAA rules. Well folks, I’m sorry to be the one to tell you, but your medical records aren’t as secure as you may think they are. In fact, if you live in Happy’s town, you might even be lucky enough to have ME get access to your medical records without even trying.
You see, my home fax number is very similar to a laboratory fax number in my city. And because of that, every week I’m getting faxes from hospitals and doctors’ office with lab results. I used to call them back to let them know, but so often I’d get put on hold or have to navigate through twenty phone options that I just said “forget it.”
Now when I get these faxes I chuck them. If I feel like taking the time to shred them I may. Otherwise, they go straight into the garbage. Except for the fax I got last week regarding Mary Smith and her condyloma results. Read more »
*This blog post was originally published at The Happy Hospitalist*
March 27th, 2010 by KevinMD in Better Health Network, Health Policy, Opinion, Research
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When nurses sign out during the end of shift, it’s done so in a quiet setting. Contrast that to medical residents — at least when I was a resident 8 years ago — where pager interruptions during sign out were the norm.
PookieMD compares the situation to the “sterile cockpit” that airline pilots enjoy:
“Pilots have the sterile cockpit–a situation in which, if the plane is below 10,000 feet, only conversation directly relevant to flying is allowed. The rule was developed because take offs and landings are the most likely time a crash will occur, and take offs and landings occur below 10,000 feet. Simple enough, and it saves lives.”
Physicians enjoy no such luxury. Patient discussions with other doctors often take place in distracted settings, under the threat of a pager going off at any time.
Changing this, PookieMD argues, requires a cultural shift. As mentioned earlier, when nurses sign out, it’s sacred time. Doctors need something similar. Studies show that medical errors can arise during the patient hand-off to another physician. Signing out patients in an undisturbed setting may minimize the risk of poor communication, and subsequently, potential mistakes. “Page early and often needs to be replaced with ‘page urgently when appropriate,’” writes PookieMD.
Let’s see if hospital administrators have the courage to make this happen.
*This blog post was originally published at KevinMD.com*
March 27th, 2010 by Paul Auerbach, M.D. in Better Health Network, News, Opinion
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In a recent issue of Wilderness and Environmental Medicine (Volume 20, Number 2, 2009), Thomas Welch and colleagues have written an article entitled “Wilderness First Aid: Is There an Industry Standard?” The purpose of their inquiry was to determine if an “industry standard” exists for wilderness first aid training and certification of outdoor adventure and education leaders. To attempt to answer the question, they queried regulatory authorities, national organizations, and school/college groups with regard to their requirements for first aid training of their wilderness trek leaders.
They discovered that 10 or the 22 states with guide licensure programs required any first aid training as a condition of licensure, and none specified a specific course. Of the programs requiring such training, the requirements ranged from a 6-hour standard first aid course to more structured “wilderness first responder” (WFR or “woofer”) certification. Read more »
This post, “Backcountry” Injuries and Wilderness First Aid, was originally published on
Healthine.com by Paul Auerbach, M.D..
March 26th, 2010 by Happy Hospitalist in Better Health Network, Humor, Opinion
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From the Tonight Show and the Jay Leno News Service comes this morsel of information about doctors, nurses, patients and hospitals. According to Jay, a Men’s Health poll indicates that 65 percent of men would prefer a sexy nurse over a competent doctor. That’s shocking, but not surprising. I suppose it takes a lot of pressure off the doctors for a perfect hospital outcome. Unless, of course, the nurse happens to be ugly.
I can see it now: In an effort to improve patient satisfaction and reduce malpractice risk, hospitals just need to fire the ugly nurses and keep the hot ones. In fact, as a hospitalist, my malpractice risk depends on it. Forget about all the other quality improvement junk we put ourselves through. I’d put my money on hot nurses any day.
*This blog post was originally published at The Happy Hospitalist*
