May 24th, 2011 by Stanley Feld, M.D. in Health Policy, Opinion
No Comments »
There is a widespread discrepancy between the opinions of organized medical group leaders in the American Medical Association (AMA), the American Academy of Family Physicians (AAFP), the American College of Physicians (ACP), and practicing physicians. AMA, AAFP, and ACP are part of organized medicine.
These organizations supported the healthcare reform law in 2010 and continue to support the legislation. I believe they have taken this position because they want a seat at the table as implementation of the legislation moves forward. President Obama has not paid attention to them so far and there is little evidence that he will in the future.
In March of 2010, Speaker of the House Nancy Pelosi famously said, “We have to pass the [health care] bill so that you can find out what is in it.”
Most physicians are starting to realize the implications of President Obama’s Healthcare Reform Act (ACA) (Obamacare). They are terrified about the implications for the practice of medicine.
Organized medicine is still not disenchanted with President Obama’s Healthcare Reform Act. Charles Cutler, MD, chair of the ACP Board of Governors said recently, “The medical community recognizes that so much of the ACA is good.” Read more »
*This blog post was originally published at Repairing the Healthcare System*
May 22nd, 2011 by Bryan Vartabedian, M.D. in Opinion
No Comments »
This Techcrunch post, The Illusion of Social Networks, is worth thinking about. The author Semil Shah suggests that we have a tendency to use social networks to create illusions for our audiences. And over time these illusions compound to create something that may not reflect real life. It’s a type of socical psychomanipulation.
But I wonder if Shah overstates the shady side of human social conduct. I’m more optimistic about the promise of human connectedness. The crowd is smarter than we think. And while we can create any story possible, it’s ultimately the responsibility of the listening masses to decide what’s real. It’s our job to ask the hard questions. Be it television, the web, or our own homes, we’re individually responsible for who we let into our world. Read more »
*This blog post was originally published at 33 Charts*
May 21st, 2011 by JessicaBerthold in Health Tips
No Comments »
A few pearls from a session on legal risks and mitigation strategies from an HM ‘11 session by Harvard’s Allen Kachalia, MD, JD:
–A relatively small number of injured patients actually file claims and get compensation.
–Many filed claims do no have actual errors in them, but the majority do.
–Poor outcomes are correlated with claims, and so is patient satisfaction. Satisfied patients are less likely to file.
–There is no evidence that hospitalists’ risk of having claims filed against them is higher than primary care internists.
To protect yourself against claims, document well. Don’t go back and change a record (you can addend, but don’t alter). Document as contemporaneously as possible. Also, “as simple as it sounds, don’t abandon your patient, and don’t stop providing necessary care,” he said. Read more »
*This blog post was originally published at ACP Hospitalist*
May 20th, 2011 by RyanDuBosar in News
No Comments »
Seven percent of U.S. physicians use online video conferencing to communicate with any of their patients, according to a study of physician digital adoption trends.
The study captures a snapshot of technology, including mobile platforms, electronic health records, electronic prescribing and interaction with patients, pharmaceutical and health care market research company Manhattan Research said in a press release.
Psychiatrists and oncologists are more likely to be using video conferencing with patients. But physicians added that reimbursement, liability and privacy are still major barriers to communicating online with patients.
Major findings include: Read more »
*This blog post was originally published at ACP Internist*
May 18th, 2011 by Linda Burke-Galloway, M.D. in Health Tips
No Comments »
At one time, a hospital would be called a 24-hour institution but now it’s a business. Within this business are shift workers that include nurses, technicians, clerical staff and even hospital employed doctors who are now called hospitalists. In a teaching hospital resident physicians also work in shifts so the responsibility of patient care is always being transferred from one group of healthcare providers to another. Do they always communicate effectively? Regrettably, “no.”
Sign-outs, handoffs, shift changes, nurses’ report. These are the multiple names for the process where a departing provider is responsible for letting the arriving provider know what’s going on with the patient. According to statistics, 80% of medical mistakes occur during shift changes and 50 to 60% of them are preventable. Listed below is an excerpt from The Smart Mother’s Guide to a Better Pregnancy that teaches pregnant moms what things should be known during a shift change. Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
