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We Can Improve Care Management
As a physician and CIO, I ’m quick to spot inefficiencies in healthcare workflow. More importantly, as the care navigator for my family, I have extensive firsthand experience with patient facing processes.My wife ’s cancer treatment, my father’s end of life care, and my own recent primary hypertension diagnosis taught me how we can do better.Last week, when my wife received a rejection in coverage letter from Harvard Pilgrim/Caremark, it highlighted the imperative we have to improve care management workflow in the US.Since completing her estrogen positive, progesterone positive, HER2 negative breast ...
Source: Life as a Healthcare CIO - September 12, 2017 Category: Information Technology Source Type: blogs

Governors Testify In Second Day Of HELP Hearings
At the beginning of the second day of the bipartisan Senate Health, Education, Labor, and Pensions (HELP) Committee hearings on short term market stabilization, committee chair Lamar Alexander (R-TN) summarized what he thinks is needed to achieve stabilization. His list began with funding of the cost-sharing reduction program. He also acknowledged widespread support for short-term reinsurance funding, although he suggested that states should have a role in providing it. In other news, on September 5, a federal trial court judge denied motions to dismiss in a case claiming discrimination in violation of section 1557 of the ...
Source: Health Affairs Blog - September 7, 2017 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Source Type: blogs

Jahi McMath Case Now Headed to a Jury Trial on Whether She Is Now Alive
Alan Shewmon  allowed to testify Earlier this year, the medical defendants in Jahi McMath's medical malpractice lawsuit filed a motion to dismiss her claims. They argued that McMath lacks standing to sue for personal injuries because she was p... (Source: blog.bioethics.net)
Source: blog.bioethics.net - September 6, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Information technology-naive defense lawyers vs. " strident critic of electronic health records "
A tale from the trenches.In recent years, as a result of the 2010 IT-related injury and 2011 death of my mother, I have engaged myself as an independent EHR forensic expert regarding evidentiary and patient harm issues in medical malpractice litigation. Interestingly and disappointingly, I still often find that hospital attitudes towards health IT safety and information transparency have changed little since 2010 or, for that matter, the 1990s when I did my postdoc in medical informatics.  Hospitals and defense attorneys often (ab)use the lack of technology experience of judges to delay or prevent evidentiary tra...
Source: Health Care Renewal - September 1, 2017 Category: Health Management Tags: bad health IT Heathkit H8 Jay Hancock Kaiser Health News medical malpractice PICIS Pulsecheck Source Type: blogs

Business Associates are NOT Responsible for Clients ’ HIPAA Compliance, BUT They Still Might Be At-Risk
The following is a guest blog post by Mike Semel from Semel Consulting. “Am I responsible for my client’s HIPAA compliance?” “What if I tell my client to fix their compliance gaps, and they don’t? Am I liable?” “I told a client to replace the free cable Internet router with a real firewall to protect his medical practice, but the doctor just won’t spend the money. Can I get in trouble?” “We are a cloud service provider. Can we be blamed for what our clients do when using our platform?”  “I went to a conference and a speaker said that Business Asso...
Source: EMR and HIPAA - August 25, 2017 Category: Information Technology Authors: John Lynn Tags: Healthcare HealthCare IT HIPAA General HIPAA Training HIPAA BA HIPAA Business Associates HIPAA Compliance Mike Semel Semel Consulting Source Type: blogs

Diagnostic errors in 2017 (part 2)
Fortuitously this article just appeared – Malpractice claims related to diagnostic errors in the hospital characteristics significantly associated with diagnosis-related paid claims were as follows: male patients, patient aged>50 years, provider aged
Source: DB's Medical Rants - August 14, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

Jahi McMath – Impact Even if the Lawsuit Fails
Jahi McMath continues to litigate medical malpractice claims against the Oakland healthcare providers who treated her in 2013.  In July, the medical defendants argued that Jahi's claims must fail, because there is no valid evidence that she&nbsp... (Source: blog.bioethics.net)
Source: blog.bioethics.net - August 8, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Thoughts on diagnostic errors in 2017
The Society to Improve Diagnosis in Medicine has on its website this quote: Reducing Harm from Diagnostic Error 1 in 10 diagnoses are incorrect. Diagnostic error accounts for 40,000-80,000 US deaths annually—somewhere between breast cancer and diabetes. Chances are, we will all experience diagnostic error in our lifetime. (US Institute of Medicine 2015, BMJ Quality & Safety 25-Year Summary of US Malpractice Claims, 2013.) The current focus on diagnostic error raises an interesting question:  Is this a larger problem in 2017 than in the 1970s and 1980s? In this post, I postulate that the problem has increas...
Source: DB's Medical Rants - August 7, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

Does the high-risk psychiatric patient pose a risk for the patient or the doctor?
A woman recently requested a medication evaluation at the suggestion of her psychotherapist.  The caller told me her diagnosis was borderline personality disorder. She hoped medication might ease her anxiety.  She also admitted that two other psychiatrists refused to see her because she was too “high risk.”  I asked if she was suicidal.  Yes, thoughts crossed her mind. However, she never acted on them, and was not suicidal currently.  I was curious whether my colleagues recoiled at the caller’s diagnosis, her suicide risk, her wish for anxiety-relieving medication, or something el...
Source: Kevin, M.D. - Medical Weblog - July 30, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/steven-reidbord" rel="tag" > Steven Reidbord, MD < /a > Tags: Conditions Psychiatry Source Type: blogs

We adjust the pitch of our voice based on the status of who we ’re talking to
By guest blogger Lexie Thorpe In most human societies those with a higher social status enjoy privileges beyond the reach of others. Such status can be obtained through dominance, using intimidation or force, or acquiring prestige by demonstrating knowledge and skill. To make best use of the benefits though, other people need to know that you are top dog. On the other hand, if you’re of a lower status, there are probably times when it pays to avoid challenging those higher up the pecking order. In which case, you might want to convey your recognition of their authority. Using body language, such as by taking up more ...
Source: BPS RESEARCH DIGEST - July 28, 2017 Category: Psychiatry & Psychology Authors: BPS Research Digest Tags: guest blogger Social Source Type: blogs

IN MY VIEW: American Lung Association Guilty of Public Health Malpractice
Yesterday, researchers from the University of California, San Diego published a landmarkpaper in theBMJ (British Medical Journal) which reported that for the first time in 15 years, the smoking cessation rate among adults in the U.S. has increased. The researchers tie this unprecedented increase in the smoking cessation rate to the availability of electronic cigarettes. The paper reports that the advent of electronic cigarettes was associated with a significant increase in the population smoking cessation rate. It also finds that smokers who use e-cigarettes are more likely to quit smoking than those who do not.Combined wi...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - July 27, 2017 Category: Addiction Source Type: blogs

Should McCain Fight or Fold?
ANISH KOKA, MD There are 80,000 new cases of primary brain tumors diagnosed every year in the United States.  About 26,000 of these cases are of the malignant variety – and John McCain unfortunately joined their ranks last week.  In cancer, fate is defined by cell type, and the adage is of particular relevance here. Cancer is akin to a mutiny arising within the body, formed of regular every day cells that have forgotten the purpose they were born with. In the case of brain tumors, the mutinous cell frequently happens to not be the brain cell, but rather the lowly astrocyte that normally forms a matrix ...
Source: The Health Care Blog - July 24, 2017 Category: Consumer Health News Authors: anish_koka Tags: Physicians Anish Koka John McCain Source Type: blogs

Giving Cancer Hell
ANISH KOKA, MD There are 80,000 new cases of primary brain tumors diagnosed every year in the United States.  About 26,000 of these cases are of the malignant variety – and John McCain unfortunately joined their ranks last week.  In cancer, fate is defined by cell type, and the adage is of particular relevance here. Cancer is akin to a mutiny arising within the body, formed of regular every day cells that have forgotten the purpose they were born with. In the case of brain tumors, the mutinous cell frequently happens to not be the brain cell, but rather the lowly astrocyte that normally forms a matrix ...
Source: The Health Care Blog - July 24, 2017 Category: Consumer Health News Authors: anish_koka Tags: Physicians Anish Koka John McCain Source Type: blogs

We need a more comprehensive approach to investigating medical mistakes
From the wrong diagnosis to the incorrect medication, medical mistakes kill as many as 250,000 people annually in the United States — and injure thousands more. This figure could be much higher, considering there’s never been an actual count of how many patients experience preventable harm. We only have an approximate figure, which may indeed be very far off from the truth, considering the inaccuracies in medical records and the unwillingness of some providers to report medical errors. Regardless, the number is staggering enough as-is, making medical errors the third-leading cause of death in America, after hea...
Source: Kevin, M.D. - Medical Weblog - July 20, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/vania-silva" rel="tag" > Vania Silva < /a > Tags: Patient Malpractice Source Type: blogs

15 ys of blogging – unintended consequences
When I started blogging in 2002, I did not understand where blogging would go.  I took a rather vanilla name – medical rants – due purely to naivety.  Perhaps if I could have seen the future I would have used the phrase unintended consequences in the blog’s title. Medical care in 2017 suffers often from the unintended consequences that government has induced.  I have written about this problem many times over the past 15 years.  This problem is not just a US problem, but seemingly a problem throughout the world. Our jobs have become unnecessarily complex.  When Congress passes law...
Source: DB's Medical Rants - July 18, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

Things to think about while working on a possible new project
The other day I received two emails which turned out to maybe be pivotal. One from someone I worked on the Jung and feminism book asked me what I am working on these days. Good question. The other was an invitation to apply for a multidisciplinary retreat to develop a next step in our work - intimidating and intriguing. Both emails set me off on a lot of reflection and a mixture of excitement and anxiety.  As is my habit when an new possibility is gestating, I spent time today cleaning out old files and ran across   this piece on the state  of Post-Jungian psychoanalysis and  psychotherapy by Andre...
Source: Jung At Heart - July 11, 2017 Category: Psychiatry & Psychology Source Type: blogs

Lang v. Rogue Valley Medical Center – Unilateral DNR and Withholding Lawsuit
The Oregon Supreme Court has just issued a judgment allowing a medical futility lawsuit to proceed to trial. In 2001, Ruth Miller was diagnosed with multiple myeloma. Seven years later, in 2008, she executed an advance directive, naming Phillip Lang as her health care representative.   On August 1, 2008, Miller was admitted into Rogue Valley Medical Center, where she died that night. Lang brought a lawsuit against the Medical Center and Miller's oncologist, asserting claims for wrongful death, negligence, medical malpractice, and abuse of a vulnerableperson. Lang alleges that Miller was not capable of making medical d...
Source: blog.bioethics.net - July 1, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Medication errors haven ’t gone away
A 10-year analysis of medical malpractice cases indicates that medication errors continue to represent a significant risk to patients and health care providers, despite myriad efforts to eliminate that risk. For events that occurred beginning in 2003 (12 percent) to those from 2012 (12 percent) the proportion of cases alleging a medication error was, essentially, unchanged. Raised awareness, advances in technology, and millions of dollars directed at improving the medication process, have not yet initiated a downward trend. But that does not mean that nothing has changed: patients now encounter fewer errors in the more mec...
Source: Kevin, M.D. - Medical Weblog - June 29, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/jock-hoffman" rel="tag" > Jock Hoffman < /a > Tags: Meds Medications Source Type: blogs

The law against giving cuts in the healthcare system
I'm very pleased that the Maharashtra government is passing a law which makes the payment of cuts, kickbacks, and commissions to doctors an offense for which they can be punished. I've always been vocal about the fact that kickbacks have corrupted the medical profession and damaged the doctor-patient relationship. These cuts impose a burden on the honest doctors who refuse to give kickbacks ; and helps bad doctors who are willing to take shortcuts to enrich themselves. In the long run, it hurts patients as well , because the cost is passed on to them, and they end up paying for these under the table bribes.A practise which...
Source: Dr.Malpani's Blog - June 28, 2017 Category: Reproduction Medicine Source Type: blogs

Anti-MOC Laws Picking Up Steam Across the United States
Conclusion The anti-MOC rhetoric is real, and heated. A quick google search shows at least two websites dedicated to the anti-MOC movement. Change Board Recertification, seems to collect articles about MOC and re-publish them all in one convenient website. The DOCS4Patient Care Foundation shows that – presumably in an attempt to gain more followers – proponents of anti-MOC legislation like to frame the issue as “right to care” laws, an interesting tactic. Proponents of the anti-MOC laws believe that MOC restricts patient access by forcing older physicians into early retirement. It is our belief, h...
Source: Policy and Medicine - June 28, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

A doctor ’s place is in the exam room
An orthopedic surgeon and a neurosurgeon walk into a room … Unfortunately, this is not the start of a joke. While we would prefer to be sharing best practices and treating patients in our exam rooms, the fact is we’re spending more time than we’d like in a courtroom. Because our medical liability system is broken, orthopedic surgeons, neurosurgeons, OB-GYNs and other specialty physicians continue to find themselves on the receiving end of meritless lawsuits. As a pediatric orthopedic surgeon practicing for more than 40 years in Iowa City, I’ve seen countless colleagues forced to defend their treatm...
Source: Kevin, M.D. - Medical Weblog - June 27, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/stuart-l-weinstein" rel="tag" > Stuart L. Weinstein, MD < /a > Tags: Physician Malpractice Source Type: blogs

How Can We Improve Patient Satisfaction?
Patient satisfaction is the focal point of healthcare. It ’s the ultimate way to measure the effectiveness of a facility and the quality of practitioners. High patient satisfaction means strong patient retention and reduced risk of malpractice. Over the years, facilities have started to take patient satisfaction more seriously. A clinician’s CMS reimbu rsement depends on patient satisfaction scores via the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Poor HCAHPS scores result in loss in funds for both facilities and underperforming physicians. However, constant innovation an...
Source: radRounds - June 24, 2017 Category: Radiology Authors: Julie Morse Source Type: blogs

Making Practice Guidelines And ‘Choosing Wisely’ More Effective
I always thought I was an informed patient, favoring conservative treatment and helping to save Medicare and the health system money; but when push came to shove, I was a coward that did not speak up when unnecessary tests were ordered. I think my reaction says something about the limits that even informed patients have in their ability to save the system money and ultimately raises questions about the usefulness of practice guidelines, “choosing wisely,” and evidence-based medicine to do the same. This isn’t an attack on these crucial efforts to bring more science to the practice of medicine. It is a ple...
Source: Health Affairs Blog - June 20, 2017 Category: Health Management Authors: William Vaughan Tags: Costs and Spending Featured Medicare Quality Choosing Wisely practice guidelines Source Type: blogs

Stop asking doctors for free advice
My husband is a doctor. Similar to any other career, this is what he spends most of his time doing. It’s also our family’s livelihood — how we pay our mortgage, our bills and send our daughter to preschool. He went to through seven years of training after college, often working all night or even 24-plus hour calls. He’s had to miss family dinners, birthday parties, nights of putting our daughter to bed and countless other personal events to be there for children and families who need him. He is both a work superhero and a family superhero at the same time, carefully finding the balance of time betwe...
Source: Kevin, M.D. - Medical Weblog - June 12, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > Tags: Physician Primary care Source Type: blogs

A Not Very Good Proposal to Reduce Emergency Room Visits
By JIM PURCELL A recent article posits that an Anthem company, Blue Cross and Blue Shield of Georgia (BCBSGA), is poised to “punish” its members for “unnecessary” emergency room (ER) visits by charging subscribers the entire bill for unnecessary ER visits.  This is a variation on a theme which has been playing out in virtually every state and every insurer:  how do we reduce the number of unnecessary emergency room visits?  Of course, expecting a lay person to be able to parse out what is medically necessary for ER care and what is not is probably expecting too much.  Example: &...
Source: The Health Care Blog - June 9, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized ER Visits Jim Purcell Urgi-Care Center Source Type: blogs

Think you can do anything you set your mind to? Think again.
During my salad days, I — like a lot of physicians — thought I could take on the world. Despite working in a smaller, community hospital, our ER saw a lot of the same type of orthopedic trauma I saw during residency. And my young partners and I took virtually every case that came in except spinal trauma. We did this whether we were on unassigned ER call or not and irrespective of insurance coverage. If I was on call for a weekend, it was not uncommon for me to not make it home until late Monday. Looking back, I can’t believe I actually did what I did, but I was quite proud of the results — comparabl...
Source: Kevin, M.D. - Medical Weblog - June 8, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/thomas-d-guastavino" rel="tag" > Thomas D. Guastavino, MD < /a > Tags: Policy Emergency Orthopedics Source Type: blogs

Dr Ferrari
Kevin Williamson wrote a piece last month in the National Review bemoaning the hand wringing he sees occurring across America surrounding the threat of millions of Americans losing their health coverage with the intended repeal of the ACA and its replacement with TrumpCare. He calls this piece: The "Right" to Health Care, with the scare quotes performing the task expected. (What? Did you think you had a "right" to health care when you get sick, silly boy?) appended with the self-answering subtitleThere isn't oneboldly patched in the space before the opening lede.He then goes on to constru...
Source: Buckeye Surgeon - June 6, 2017 Category: Surgery Authors: Jeffrey Parks MD FACS Source Type: blogs

What to do when dementia patients cannot eat
I'm so distraught over my father. He has a Peg tube in, and hasn't had any solid food for over 2 months.Our reader Denise wrote: I'm so distraught over my father. Has a Peg tube andhasn't had any solid food for over 2 months.He asks me all the time for food. Seeing him suffer is too much. If I give him food and then he'll aspirate and he is DNR.I feel like by giving him food i will be contributing to his death sooner. Oh Lord ...so painful.Article -16 Ways to Get a Dementia Patient to Eat More FoodSubscribe to the Alzheimer's Reading RoomEmail:By Dr. Rita A. JablonskiAlzheimer's Reading RoomTo the reader, I would reco...
Source: Alzheimer's Reading Room, The - June 4, 2017 Category: Neurology Tags: alzheimers alzheimers care can't eat care of dementia patients dementia care feeding health lifestyle Source Type: blogs

What ’s Next for Electronic Health Records?
With the Department of Justice announcement of the $155 million dollar eClinicalWorks settlement(including personal liability for the CEO, CMO and COO), many stakeholders are wondering what ’s next for EHRs.Clearly the industry is in a state of transition.  eCW will be distracted by its 5 year corporate integrity agreement.  AthenaHealth will have to focus on theactivist investors at Elliott Management  who now own 10% of the company and have a track record of changing management/preparing companies for sale.  As mergers and acquisitions result in more enterprise solutions, Epic (and to ...
Source: Life as a Healthcare CIO - May 31, 2017 Category: Information Technology Source Type: blogs

Legislative Malpractice: the CBO Scores the American Health Care Act
The Congressional Budget Office ’scost estimate of the American Health Care Act confirms what health-policy scholars have known for months: the AHCA is bad health policy that will come back to haunt its Republican supporters.Premiums on the individual market have risen an average of105 percent since ObamaCare took effect. Maryland’s largest insurer has requested rate hikes for 2018 that average52 percent. Yet the CBO estimates the AHCA would saddle voters with two additional premium increases before the mid-term elections —a further 20 percent increase in 2018, plus another 5 percent just before Elec...
Source: Cato-at-liberty - May 25, 2017 Category: American Health Authors: Michael F. Cannon Source Type: blogs

Only Alternative Facts Can Support the Protecting Access to Care Act
By CHARLES SILVER and DAVID HYMAN In late March of this year, JAMAInternal Medicine published a study finding that the “the overall rate of [malpractice] claims paid on behalf of physicians decreased by 55.7% from 1992 to 2014.”  The finding wasn’t new.  In 2013, the Journal of Empirical Legal Studies published a study co-authored by one of us (Hyman) which found that “the per-physician rate of paid med mal claims has been dropping for 20 years and in 2012 was less than half the 1992 level.”  In fact, peer-reviewed journals in law and medicine have published lots of studies with...
Source: The Health Care Blog - May 23, 2017 Category: Consumer Health News Authors: Jonathan Halvorson Tags: Uncategorized Source Type: blogs

PACS and the Grim Reaper
No, it's not what you think, so don't bring out your dead. You'll get the joke later on.I've maintained this blog for over 12 years, believe it or not. Despite my years of whining about PACS, I still love the concept, and to varying degrees, many of the products out there. Some I can praise, some I complain bitterly about, and some I have left alone because of the more and more complex nature of the hats I'm wearing in my old age.It is no exaggeration to say thatPACS has changed everything about what we do in Radiology. My First Law of PACS distills this to its essence:I. PACS IS the Radiology DepartmentThis concept i...
Source: Dalai's PACS Blog - May 16, 2017 Category: Radiology Source Type: blogs

A Monetary Policy Primer, Part 10: Discretion, or a Rule?
A Class Camping TripForget about monetary policy for a moment or two, and imagine, instead, that you ’re back in 6th grade. You and your classmates are about to go on a camping trip, involving some strenuous hiking, and lasting several days.Somehow, your teacher must see to it that all of you are kept well fed. To do so, she plans to appoint one of you Class Quartermaster. The school ’s budget is limited, and rations can get heavy, so there will only be so much food to go around — so many hotdogs, baked beans, scrambled eggs, peanut butter sandwiches, and granola bars. The Quartermaster’s job will b...
Source: Cato-at-liberty - May 11, 2017 Category: American Health Authors: George Selgin Source Type: blogs

40th Annual Health Law Professors Conference
If you teach health law, come to the 40th Annual Health Law Professors Conference, June 8-10, 2017, at Georgia State University College of Law in Atlanta.  Here is the schedule: Thursday, June 8, 20178:00-12:00 AM Tour of the Centers for Disease Control and Prevention (Separate registration is required. Participants meet in the lobby of Georgia State Law to take a shuttle to the CDC.) 9:45 – 11:15 AM Tour of Grady Health System (Separate registration is required. Participants meet in the lobby of Georgia State Law and will walk over to Grady as a group.) 2:00 – 5:00 PM Conference Registration – Henso...
Source: blog.bioethics.net - April 27, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

The Return of the Angry Granny State
By CHARLES SILVER Texas should call itself The Granny State. That’s because it’s a nanny state in which the public officials who run the place have the values of a tea-totaling, Bible-thumping biddy who knows how God wants everyone to live and can’t resist telling them. No buying liquor on Sundays when people are supposed to be at church. No gambling ever. No whacky-weed for medicinal uses or recreation, even in the privacy of one’s home. No gay marriage, preferably no gays, and no transgender folk deciding which restrooms to use. And, of course, no sex, sex education, birth control, or abortions. ...
Source: The Health Care Blog - April 26, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Charles Silver Malpractice Texas Trump Source Type: blogs

Journalistic malpractice – the diet soda study
Sitting in Israel writing this blog post, drinking a diet coke, and wondering what they were thinking. You have read the headline, or heard it on TV or the radio – diet sodas cause dementia and strokes. That was the headline, but any careful analysis of the study suggests that they did not PROVE anything. Aaron Carroll – the Incidental Economist – has a great analysis – They did not prove that diet soda causes Alzheimer’s Disease. THEY DID NOT! For a profane, but funny take – DIET COKE WON’T CAUSE STROKE, BUT READING SENSATIONALISTIC HEADLINES MIGHT The problems in short: Too many...
Source: DB's Medical Rants - April 26, 2017 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs

If I Had More Time, I Would Have Written a Shorter Blog Post
By ROBERT MCNUTT I don’t know why, but even as a young person I never could make sense of the saying, “seeing is believing”. Seeing, vision, is nothing more than a data collection instrument, not an arbiter of insight. I saw my wife frown at me the other day, for example, after I claimed to have washed the dishes so thoroughly that no spot of grease could be left behind. I have made this claim before and been incorrect, so the frown, the data, triggered an anticipation of being rebuffed. However, nothing of that sort followed. I asked, Why the frown?” She responded, “I just cut my finger&rdquo...
Source: The Health Care Blog - April 23, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Data Decision-making evidence Source Type: blogs

Protection? Fairness? Hardly.
By ART CAPLAN and ZACHARY CAPLAN The American Health Care Act (aka Trumpcare or Ryancare) failed because it was patched together and would have imperiled insurance benefits for millions of the neediest Americans. Two other health care related bills – the Protecting Access to Care Act and the Fairness in Class Action Litigation Act – have made it out of the U.S. House and are currently pending in the U.S. Senate.  If passed they will produce the same abysmal result.  Like the American Health Care Act, they should be rejected. Protection and fairness?  How could anyone be against that?  Unfort...
Source: The Health Care Blog - April 14, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Amercian Health Care Act Trumpcare Source Type: blogs

Prescribing opioids safely: How to have difficult patient conversations
Drug overdose is the leading cause of accidental death in the U.S., and opioids account for over 60 percent of those deaths. While opioids are effective pain medications when used in the proper setting, concerns arise when the patient’s condition lasts longer than three months, and prescribing more medication does not necessarily result in better pain control. Building a strong doctor-patient rapport can help facilitate conversations with patients about opioid prescriptions and reduce risks that could lead to malpractice suits. The Doctors Company reviewed 1,770 claims that closed between 2007 and 2015 in which patie...
Source: Kevin, M.D. - Medical Weblog - April 14, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/roneet-lev" rel="tag" > Roneet Lev, MD < /a > Tags: Physician Pain management Source Type: blogs

Discrimination Against Patients With Substance Use Disorders Remains Prevalent And Harmful: The Case For 42 CFR Part 2
The authors of a recent Health Affairs Blog post argue that 42 CFR Part 2, the law designed to protect confidentiality of patients with substance use disorders, is outdated and unnecessary. We could not disagree more. 42 CFR Part 2 provides bedrock protections for people with substance use disorders that are as critical now as they were in the 1970s when the law was first enacted. The purpose of the confidentiality law is to ensure that a person with a substance use disorder is not made more vulnerable to discriminatory practices and legal consequences as a result of seeking treatment. Unfortunately, patients with sub...
Source: Health Affairs Blog - April 13, 2017 Category: Health Management Authors: Karla Lopez and Deborah Reid Tags: Featured Population Health Public Health Quality 42 CFR Part 2 HIPAA opioid epidemic patient discrimination patient privacy substance use treatment Source Type: blogs

Texas ‘Wrongful Birth’ Legislation
On March 21st, the Texas Senate passed SB 25, which eliminates “wrongful birth” as a cause of action for malpractice suits.  The text of the bill states, “A cause of action may not arise, and damages may not be awarded, on behalf of any person, based on the claim that but for the act or omission of another, a person would not have been permitted... // Read More » (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 10, 2017 Category: Medical Ethics Authors: Janie Valentine Tags: Health Care bioethics syndicated Source Type: blogs

Who will be delivering babies in the United States in coming years?
The American Congress of Obstetrics and Gynecology (ACOG) estimates that the U.S. will have between 6,000 and 8,800 fewer OB/GYNs than needed by the year 2020.  Additionally, there is a possible shortage of 22,000 by the year 2050. What is being done about this problem?  Well, there are currently efforts to attempt to increase the number of residency positions.  There is also talk of having nurse midwives take a greater role.  While those are valid interventions, let’s take the issue much deeper, as that is certainly not doing enough to mitigate the problem.  Perhaps ...
Source: Kevin, M.D. - Medical Weblog - April 10, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/valerie-a-jones" rel="tag" > Valerie A. Jones, MD < /a > Tags: Physician OB/GYN Source Type: blogs

Key Mechanisms That Define Health City Cayman Islands ’ Value Innovation
Conclusion Building on NH’s goal of delivering the highest quality care at the lowest possible cost, HCCI represents a refreshing and potentially highly disruptive approach to globally competitive medicine. HCCI offers unquestionably high quality care at surprisingly affordable prices, but the model’s marketability is being tested by the US market, which is all but locked in by special interest structures. For example, health plans seeking to make health care cost more, rather than less – net earnings may be a percentage of total expenditures – may see nearshore care as counter to their interests. B...
Source: The Health Care Blog - April 4, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Radiological Errors/ Discrepancies -- Taking stock
Salient points across the countries , literature, studies, modalities and others: By Dr MGK Murthy1. Approximately 1 billion radiological examinations are performed annually across the world 2. An average real time errors in daily practice is estimated at 3-5% (i.e.40 million discrepancies in an year) 3. 75%of Radiology malpractice claims pertain to diagnostic errors.( Diagnostic errors in US hospitals contribute 40-80 000 deaths per year, apart from many more non lethal incidents).4. In view of the prevalent proactive societal actions, most radiolo...
Source: Sumer's Radiology Site - April 4, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs

Health Care: What Should a Populist Do Now?
Conclusion The most common response to the suggestion that private contracts could be useful in reforming the health-care system for the benefit of ordinary Americans is the observation that people—ordinary Americans in particular—cannot reasonably be expected to read, let alone understand and compare, the multiple contracts they would confront. This point, however, while valid, is beside the real one, which is to give adequately subsidized consumers meaningful choices with respect to the cost and content of their future health care and enough reliable help in making them that they can be reasonably content wit...
Source: The Health Care Blog - April 1, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

A physician was the victim of malpractice. Here ’s her story.
I’m not here to tattle. No siree, Bob. I’ll save that for my kids. But what I am here to do is spell out a story in which I ended up down in the dumps. A medical mistake happened. To me. On me. I’ll never forget it. I can’t because I carry it with me forever. Here’s the short of the long: My obstetrician messed up. She took care of my pregnancy during one of the most difficult periods of my life, medical residency. She missed a shot that should have been given. RhoGam, to be exact. Continue reading ... Your patients are rating you online: How to respond. Manage your online repu...
Source: Kevin, M.D. - Medical Weblog - March 31, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/dana-corriel" rel="tag" > Dana Corriel, MD < /a > Tags: Physician Malpractice OB/GYN Source Type: blogs

Physician Burnout Is A Public Health Crisis: A Message To Our Fellow Health Care CEOs
The Quadruple Aim recognizes that a healthy, energized, engaged, and resilient physician workforce is essential to achieving national health goals of higher quality, more affordable care and better health for the populations we serve. Yet in a recent study of U.S. physicians, more than half reported experiencing at least one symptom of burnout—a substantial increase over previous years—indicating that burnout among physicians is becoming a national health crisis. Leadership is needed to address the root causes of this problem and reposition the health care workforce for the future. The authors of...
Source: Health Affairs Blog - March 28, 2017 Category: Health Management Authors: John Noseworthy, James Madara, Delos Cosgrove, Mitchell Edgeworth, Ed Ellison, Sarah Krevans, Paul Rothman, Kevin Sowers, Steven Strongwater, David Torchiana and Dean Harrison Tags: Featured Health Professionals Population Health Public Health Quality American Medical Association EHR Physician Burnout physician turnover physician well-being Quadruple Aim Source Type: blogs

Jahi McMath – Case Management Conference
The next case management conference conference in Jahi McMath medical malpractice case is April 3, 2017. All parties have filed CMC statements.  Some indicate party discovery may occur this summer.  But that will likely be affected by the de... (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 27, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

Dr. Noseworthy and the AHCA
NIRAN AL-AGBA, MD The CEO of the Mayo Clinic, Dr. Noseworthy, was last heard recommending patients fire their physicians suffering from burnout. While he does not have truckloads of compassion or empathy for colleagues; he is, at least, honest. Dr. Noseworthy recently confessed “We’re asking…if the patient has commercial insurance, or they’re Medicaid or Medicare patients and they’re equal that we prioritize the commercial insured patients enough so… We can be financially strong at the end of the year to continue to advance our mission.” The ‘ailing’ nonprofit genera...
Source: The Health Care Blog - March 24, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized AHCA Al-Agba Mayo Noseworthy Source Type: blogs

The AHCA Gets It Wrong: Health Care Is Different
Congressman Ryan has now produced his fundamental health care reformation to support a “consumer-directed” vision in which services would be bought and sold like other goods and service in the economy. Indeed, responding to the Congressional Budget Office’s assessment that 24 million Americans would lose their health insurance if the House legislation becomes enacted, Ryan was rather nonchalant about that outcome, reasserting the conservative vision that, “People are going to do what they want to do with their lives because we believe in individual freedom in this country,” just as they do acr...
Source: Health Affairs Blog - March 22, 2017 Category: Health Management Authors: Robert Berenson Tags: Following the ACA Insurance and Coverage Quality ACA repeal and replace American Health Care Act Source Type: blogs