Conferences / Unconferences
Our (amazing) team at Alliance for Better Health is planning an event in June.  The purpose is to bring together people in our community who are using the Healthy Together platform, celebrate the community’s accomplishments, and strengthen the connections so that we can find greater success in the future. I offered a thought this morning that perhaps this isn’t a conference, but an unconference.  I wikipedia-ed (it’s a verb, yes?) the term, hyperlinked it in my email and (after sending) went back to read the wikipedia entry.  It’s accurate and (I now know) expresses a long history of ...
Source: Docnotes - April 19, 2019 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs

Now More Than Ever, the Case for Medicaid Expansion
Sam Aptekar Phuoc Le By PHUOC LE, MD and SAM APTEKAR A friend of mine told me the other day, “We’ve seen our insured patient population go from 15% to 70% in the few years since Obamacare.” As a primary care physician in the Midwest, he’s worked for years in an inner-city clinic that serves a poor community, many of whom also suffer from mental illness. Before the Affordable Care Act (ACA), the clinic constantly struggled to stay afloat financially. Too often patients would be sent to an emergency room because the clinic couldn’t afford to provide some of the simplest medical tests, ...
Source: The Health Care Blog - April 19, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Medicaid ACA insurance coverage Medicaid Expansion Obamacare Phuoc Le Sam Aptekar Source Type: blogs

Patient-Directed Access for Competition to Bend the Cost Curve
By ADRIAN GROPPER, MD Many of you have received the email: Microsoft HealthVault is shutting down. By some accounts, Microsoft has spent over $1 Billion on a valiant attempt to create a patient-centered health information system. They were not greedy. They adopted standards that I worked on for about a decade. They generously funded non-profit Patient Privacy Rights to create an innovative privacy policy in a green field situation. They invited trusted patient surrogates like the American Heart Association to participate in the launch. They stuck with it for almost a dozen years. They failed. The broken market and promi...
Source: The Health Care Blog - April 18, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics Health Policy Health Technology Adrian Gropper CMS Health Data Interoperability ONC Source Type: blogs

Tyto At-Home Telemedicine Solution Rolling Out Through Best Buy
Tyto Care and Best Buy have partnered up to release one of the more interesting at-home medical devices to come out in the last few years. The TytoHome Medical Exam Kit provides a true telehealth capability by letting parents, caretakers, and people themselves perform physical exams. While the exams are done by average folks, the data, such as otoscope photos, temperature readings, and heart rate can be examined by a physician over a computer. The Tyto device has a camera, onto which different gadgets can be attached, such as a tongue depressor, to give it specialized medical powers. While the Tyto system has been FDA clea...
Source: Medgadget - April 17, 2019 Category: Medical Devices Authors: Editors Tags: Cardiology Medicine Pediatrics Telemedicine Source Type: blogs

In the era of team-based care: Some decisions have to be made alone
There is a lot of talk about team-based care nowadays, and I had seen some shining examples of that, most recently when a patient at my clinic had a suicide in the family. But at the same time, there are so many decisions – judgment calls, really – that we make every single day where […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 16, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/a-country-doctor" rel="tag" > Hans Duvefelt, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

Medical education fails trainees interested in primary care
“She is meant for more than just primary care,” mused an attending on my internal medicine rotation in medical school. He was referring to a particularly adept resident with whom we were working. This resident was planning on practicing clinic-based general internal medicine. I wasn’t sure why this attending disclosed his thoughts regarding this resident […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 16, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/scott-hippe" rel="tag" > Scott Hippe, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

Healthcare Messaging & Orchestration — 2019
The objective is to provide a solution that can span tens or hundreds of hospitals in a system, enabling intra-enterprise messaging on a large scale and aggregating data at the enterprise level. Mobile Heartbeat and Spok are moving in this direction. A different but related capability to enterprise scalability is inter-enterprise communications. There is a significant amount of communications between those within a provider organization and external health care trading partners that also care for the patient. These different users include hospital clinicians/caregivers, physician practices, sub acute care, patients, an...
Source: Medical Connectivity Consulting - April 16, 2019 Category: Information Technology Authors: Tim Gee Tags: Company Profiles Messaging & Orchestration Source Type: blogs

Healthcare Messaging & Orchestration — 2019
The objective is to provide a solution that can span tens or hundreds of hospitals in a system, enabling intra-enterprise messaging on a large scale and aggregating data at the enterprise level. Mobile Heartbeat and Spok are moving in this direction. A different but related capability to enterprise scalability is inter-enterprise communications. There is a significant amount of communications between those within a provider organization and external health care trading partners that also care for the patient. These different users include hospital clinicians/caregivers, physician practices, sub acute care, patients, an...
Source: Medical Connectivity Consulting - April 16, 2019 Category: Information Technology Authors: Tim Gee Tags: Company Profiles Messaging & Orchestration Source Type: blogs

A summary of the Network Contract Directed Enhanced Service (DES) 2019/20
Pharmaceutical Services Negotiating Committee -At the end of January 2019, NHS England published a five-year framework for GP services agreed. One of the major changes in the contract is the introduction of the Network Contract as a Directed Enhanced Service (DES). This will enable general practice to take a leading role in every primary care network It goes live on 1st July 2019. The briefing highlights aspects of relevance to local pharmaceutical committees and community pharmacy contractors.BriefingMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - April 16, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Commissioning Source Type: blogs

Telemedicine and access: Leave no patient behind
Telehealth, using video to have an acute medical care visit, puts some of the power of choice back into our patient ’s hands. To best frame telehealth and its use cases, the National Quality Forum published a report in 2017, outlining the following four buckets which I find especially useful with evaluating programs and interventions: access […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 15, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/aditi-joshi" rel="tag" > Aditi Joshi, MD < /a > < /span > Tags: Tech Mobile health Primary Care Source Type: blogs

Why Is the USA Only the 35th Healthiest Country in the World?
By ETIENNE DEFFARGES According the 2019 Bloomberg Healthiest Country Index, the U.S. ranks 35th out of 169 countries. Even though we are the 11th wealthiest country in the world, we are behind pretty much all developed economies in terms of health. In the Americas, not just Canada (16th) but also Cuba (30th), Chile and Costa Rica (tied for 33rd) rank ahead of us in this Bloomberg study. To answer this layered question, we need to look at the top ranked countries in the Bloomberg Index: From first to 12th, they are Spain; Italy; Iceland; Japan; Switzerland; Sweden; Australia; Singapore; Norway; Israel; Luxe...
Source: The Health Care Blog - April 15, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics Health disparities Health Policy American healthcare Etienne Deffarges Mediterranean Diet Opioids world health Source Type: blogs

Do you trust me?
Trust – something that needs to be earned, or something that is present at first… and then erodes? Or perhaps, it’s a snap judgement we make on the fly – and judge everything else about a person on that basis? Firstly, why even discuss trustworthiness in pain rehabilitation? Well, the answer is quite clear: I don’t know how many times I’ve been asked if I can tell whether someone is faking their pain. I’ve read numerous articles on functional capacity testing – and its poor predictive validity (or completely absent investigation of such properties). I’ve had case ma...
Source: HealthSkills Weblog - April 14, 2019 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Coping strategies Pain conditions Professional topics Science in practice empathy malingering stereotypes stigma trust trustworthiness Source Type: blogs

Financial Toxicity is Hurting my Cancer Patients
By LEILA ALI-AKBARIAN MD, MPH As news of Tom Brokaw’s cancer diagnosis spreads, so does his revelation that his cancer treatments cost nearly $10,000 per day. In spite of this devastating diagnosis, Mr. Brokaw is not taking his financial privilege for granted.  He is using his voice to bring attention to the millions of Americans who are unable to afford their cancer treatments. My patient Phil is among them. At a recent appointment, Phil mentioned that his wife has asked for divorce. When I inquired, he revealed a situation so common in oncology, we have a name for it: Financial Toxicity.  This occur...
Source: The Health Care Blog - April 12, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics Finance Medical Practice Patients Cancer financial toxicity healthcare costs Leila Ali-Akbarian Oncology Source Type: blogs

5 ways to address the issues of direct-to-consumer health products
Health products are increasingly moving from the realm of the medical professional to the consumer. Direct-to-consumer (DTC) versions of teeth alignment kits, genetic tests, hearing aids, heart-rhythm monitors, neurostimulation devices, and mental health tools are already on the market, causing professional organizations of  dentists, geneticists, audiologists, cardiologists, neurologists, and psychiatrists to grapple with challenges to their authority and practice. So far, questions […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA...
Source: Kevin, M.D. - Medical Weblog - April 12, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/anna-wexler-and-steven-joffe" rel="tag" > Anna Wexler, PhD and Steven Joffe, MD < /a > < /span > Tags: Physician Primary Care Public Health & Policy Source Type: blogs

Feeling sick? There ’s an app for that! – The Big Symptom Checker Review
Do you feel under the weather but don’t want to go to the doctor yet? Are you searching for a solution to inform yourself about any possible condition from the comfort of your home and with the ease of your phone or computer? Of course, there’s an app for that! Not only one, but numerous. Join us as we test how well several services perform at gauging possible diagnoses based on one’s signs and symptoms. We entrust our diagnosis with the Mayo Clinic, WebMD, Your.MD,Symptomate and Ada symptom checker services. Here’s our big symptom checker review. The age of symptom checkers Are you feeling na...
Source: The Medical Futurist - April 11, 2019 Category: Information Technology Authors: nora Tags: Future of Medicine Telemedicine & Smartphones diagnostics doctor Health Healthcare home patient primary care review smart medicine smartphone apps symptom symptom checker technology Source Type: blogs

When doctors are poor explainers
A physician, like anyone, can be a poor explainer of things for several reasons, but foremost among these is the tendency to use medical jargon. This is not a problem unique to doctors. When I take my car in for repairs, I often must ask the mechanic to explain what is wrong in a way […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 10, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/christopher-johnson" rel="tag" > Christopher Johnson, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Primary Care Source Type: blogs

The Next Frontier: Clinically Driven, Employer-Customized Care 
Health systems and employers are bypassing insurers to deliver higher-quality, more affordable care By MICHAEL J. ALKIRE Employee health plan premiums are rising along with the total healthcare spending tab, spurring employers to rethink their benefits design strategy. Footing the tab, employers are becoming a more active and forceful driver in managing wellness, seeking healthcare partners that can keep their workforce healthy through affordable, convenient care. Likewise, as health systems assume accountability for the health of their communities, a market has been born that is ripe for new partnerships betw...
Source: The Health Care Blog - April 10, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics The Business of Health Care direct-to-employer Employee Health Care Costs Health insurance Michael J. Alkire Source Type: blogs

Patients Win When Payers and Providers Speak the Same Language
By CECI CONNOLLY Discouraging headlines remind us daily of the ugly battles between payers and providers. Fighting for their slice of the $3.5 trillion health care pie, these companies often seem to leave the consumer out of the equation.  But it is not the case across the board. Our latest research documents that when doctors and health plans drop their guards, align incentives and focus on the mutual goal of delivering the best possible care, patients win. For example, when SelectHealth in Utah partnered with obstetricians and refused to pay for medically unnecessary — often  dangerous — ear...
Source: The Health Care Blog - April 9, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Hospitals Patients The Business of Health Care Alliance of Community Health Plans Ceci Connolly Partnership to Improve Patient Care partnerships Source Type: blogs

Work-life balance is hard. Here ’s how this physician does it.
Work-life balance is hard, and that ’s true for so many career options both in and out of the medical field. The topic is something that you consider as you choose a career path. It’s something that you struggle to achieve and maintain as you train for your job, and as I have found out over […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 9, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/erin-mcadams" rel="tag" > Erin McAdams, MD < /a > < /span > Tags: Physician Practice Management Primary Care Source Type: blogs

What do we do when guidelines come crashing into the real world?
Every day, as we care for our patients, we are placed in a unique position, where we are armed with the world of literature, randomized controlled trials, society recommendations, national screening and practice guidelines, and more, working to prompt us to try and do what’s best for each patient in a vast array of clinical […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 8, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/fred-n-pelzman" rel="tag" > Fred N. Pelzman, MD < /a > < /span > Tags: Physician Cardiology Primary Care Source Type: blogs

#HampForward
A few days ago, I wrote about the convergence that seemed to be happening at Hampshire College. Yesterday, the President and another Board member resigned.  There was cheering and excitement at Hampshire, facebook, and Slack. Why was there cheering?  Because the President charted a course for Hampshire that many in the community felt was (so far) an unnecessary last resort.  Is it possible that Hampshire would some day need to partner with another institution?  Yes.  It’s possible – after other options are deemed infeasible.  The problem here is that the community doesn’t und...
Source: Docnotes - April 6, 2019 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs

Our doctors are feeling the emotional burden of the state of health care
Death is an inevitable part of the journey of life. We all have experienced its effects: the death of a family member, the death of a friend or those special individuals who we might have barely known but who left an indelible mark upon our consciousness of living. I will share with you a remembrance […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 6, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/michele-luckenbaugh" rel="tag" > Michele Luckenbaugh < /a > < /span > Tags: Patient Patients Primary Care Source Type: blogs

Policymakers: Put down your carrots and sticks. They will not work.
As a family physician in the trenches, I routinely see blatantly poor medical care in the history of my new patients. Far too many people get unwarranted medications and tests, while important things go unrecognized or unaddressed. This paradox is maddening. We must do better. To this end, policymakers have developed programs to promote“quality” […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 5, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/w-ryan-neuhofel" rel="tag" > W. Ryan Neuhofel, DO, MPH < /a > < /span > Tags: Policy Primary Care Public Health & Source Type: blogs

Innovators Worth Watching: Hennepin Health ACO
By REBECCA FOGG As U.S. providers continue their slow but steady march away from fee-for-service reimbursement and toward value-based payments, they’re increasingly seeking means of addressing patients’ health-related social needs. That’s because social determinants of health—life circumstances including socioeconomic status, housing, education, and employment—are estimated to have at least twice the impact on risk of premature death than health care. So addressing them is an important part of value-based strategies aiming to improve health while reducing health care costs. Hennepin Heal...
Source: The Health Care Blog - April 4, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Hospitals Medical Practice Patients ACOs disruptive innovation Rebecca Fogg Social Determinants of Health Source Type: blogs

It is time for physicians to reclaim the power of touch
I have three kids — all with very different temperaments and different personalities. Sometimes I use the term superpower to identify and cultivate their strengths and greatest attributes. I have always believed that my superpower is connection. It is a value I hold dear and a quality that has allowed for authentic alignment in my […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 4, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/adrienne-youdim" rel="tag" > Adrienne Youdim, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

Hampshire College: Convergence?
Yahoo! It’s Spring! Wow.  It’s been too long since I’ve posted here.  I’ve been busy with my day job .. and writing elsewhere (some recent stuff referenced here).  Now .. the topic of today: Hampshire College. It’s not in a good spot.  Lots of history here .. and here .. and here.  Yesterday’s Boston Globe article is a short summary of the most recent events. Why do I care?  Because – well – Hampshire is an amazing place, doing amazing things, and the world needs it to be there forever.  I spent three years there as a student, an...
Source: Docnotes - April 3, 2019 Category: Primary Care Authors: Jacob Tags: Uncategorized Source Type: blogs

Caramelized Onion, Fennel and Mushroom Soup – Umami in a Bowl
What do you make when you want something hearty but light? Something that will warm the cockles of your heart but not make you feel stuffed? That will work for a light and early pre-theater dinner after a not so light afternoon lunch with your sister who was just in for the afternoon? (What a treat!) You make this soup. The Umami is strong with this one I love onion soup, but never found it satisfying on its own without being topped with a ton of cheese and bread. This soup is different. Between the mushrooms, fennel and beef broth, it’s packed with umami. Add some shaved parmesan and you’re in an umami pa...
Source: The Blog That Ate Manhattan - March 31, 2019 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Soups broth caramelized onions easy fast Fennel light Mushroom umami Source Type: blogs

I don ’t plan to buy a home after medical school. Here are 12 reasons why.
I ’m a graduating fourth-year medical student, and as most physicians know, this has been one of the best years of my life. I just matched into my top choice residency and am one step closer to becoming a primary care sports medicine physician, my dream job. Many of my classmates have capitalized on this time of excitement […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 31, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/altelisha-taylor" rel="tag" > Altelisha Taylor < /a > < /span > Tags: Finance Practice Management Source Type: blogs

What caring for 6 generations can teach new doctors
“Hi, Doctor Kamajian! I finally got health insurance that I can use to come to see you with my son. ” I looked at the chart and realized it had been three years since I had seen her very familiar face. So, before the exam, we chatted and got reacquainted. It is remarkable what family doctors […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 31, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/steven-kamajian" rel="tag" > Steven Kamajian, DO < /a > < /span > Tags: Physician Primary Care Source Type: blogs

On The Pulse – March 2019
Diagnosing brain tumours in primary care: how to reduce missed opportunities (Source: OnMedica Blogs)
Source: OnMedica Blogs - March 29, 2019 Category: General Medicine Source Type: blogs

6 essential tips (and more) that I never learned in medical school
1. Cover your patients It was my first year of practice. One day I saw a new patient, a 25-year-old man with hemorrhoidal pain. My nurse told him to disrobe and put on a lap sheet. When I entered the room, I was surprised to see that the young man was sitting on the exam […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 28, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/annette-chavez" rel="tag" > Annette Chavez, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Primary Care Source Type: blogs

Safer surgery: Steps you can take
Chances are high that most of us will have a surgical procedure at some point during our lives. Estimates based on 2002 data in three states suggest Americans have a lifetime average of nine surgical procedures. In 2010 in the United States, there were an estimated 1.4 million inpatient procedures, ranging from childhood tonsillectomies, breast lumpectomies, and gallbladder removal to cataract surgeries, hernia repairs, and hip or knee replacements. And the rate of surgical procedures continues to rise. So it’s valuable to know what you can do to make safer surgery and a successful outcome more likely. How do I choos...
Source: Harvard Health Blog - March 28, 2019 Category: Consumer Health News Authors: Susan Abookire, BSEE, MD, MPH, FACP Tags: Health Managing your health care Safety Surgery Source Type: blogs

How Big Medicine is hurting patients and putting small practices out of business
Recently the CEO of a large health care network stated: “Market forces don’t apply to health care.” Of course, economic and political forces apply to health care.  Big Medicine’s most powerful entities (insurers, hospitals, medical schools, pharmaceutical companies, pharmacies, and government agencies) formulate health care policy to enrich them selves at the expense of patients and […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 28, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/john-machata" rel="tag" > John Machata, MD < /a > < /span > Tags: Policy Practice Management Primary Care Source Type: blogs

A physician ’s secret to restore joy in the exam room
As someone who has been in the medical field for nearly ten years, I have had the opportunity to follow many physicians. I started off shadowing physicians, standing behind them as they would speak to patients in their rooms. Now, as a resident physician, I spend hours and hours each week in the clinic seeing […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 27, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/omar-bukhari" rel="tag" > Omar Bukhari, DO < /a > < /span > Tags: Physician Health IT Primary Care Source Type: blogs

The patient-clinician relationship matters. To all of us.
“The patient-clinician relationship is dead.” Those of us in health care hear this refrain constantly these days, coming at us from all angles. We feel it in the wall that goes up when we turn from our patients to our computer screens. We infer it in administrative meetings in which we are told once again […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 26, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/quinn-bensi" rel="tag" > Quinn Bensi, MD < /a > < /span > Tags: Physician Practice Management Primary Care Source Type: blogs

Net Revenue Generation for Hospitals on the Basis of Physician Speciality
I have previously blogged about the wait time for primary care physicians in the U.S. (see:PCP and Family Physician Wait Times increasing 50% in Many Markets) and the fact that many health systems may be limiting the number of PCPs on their staff because they do not generate as much revenueper capitaas specialized physicians (see: same reference as above). This is because PCPs don't perform procedures like surgeons or interventional cardiologists who are highly reimbursed by our healthcare system. Along these same lines, I came across an article that discusses hospital revenue generated per physician by speciality and ...
Source: Lab Soft News - March 25, 2019 Category: Laboratory Medicine Authors: Bruce Friedman Tags: Cost of Healthcare Healthcare Business Healthcare Delivery Hospital Executive Management Medical Consumerism Quality of Care Source Type: blogs

Podcast: The Warning Signs of Bipolar and Schizophrenia
 In general, people with mental illness aren’t perfectly fine one day and suddenly symptomatic the next. It often feels that way to people with bipolar, depression, and schizophrenia, but many of us in recovery realize that the warning signs were there all along.    SUBSCRIBE & REVIEW “If you think there might be something wrong – that is a red flag.” – Gabe Howard   Highlights From ‘Warning Bipolar Schizophrenia’’ Episode [1:00] March 30th is World Bipolar Day! [2:30] What are some of the warning signs of mental illness? [5:00] Will supplements...
Source: World of Psychology - March 25, 2019 Category: Psychiatry & Psychology Authors: A Bipolar, a Schizophrenic, and a Podcast Tags: A Bipolar, A Schizophrenic, and a Podcast Disorders Schizophrenia Source Type: blogs

Supporting community pharmacies to engage with primary care networks: potential actions for LPCs
Pharmaceutical Services Negotiating Committee - This briefing provides suggested actions which local pharmaceutical committees (LPCs) can take to ensure community pharmacy is effectively engaged in the work of primary care networks, and pharmacy contractors and their teams are supported to play their part in this. BriefingPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 25, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Integrated care Source Type: blogs

The primary care network handbook
British Medical Association -This handbook offers options to groups of practices looking to establish a primary care network (PCN). It includes detailed guidance on: governance structures, internal governance and decision making, potential PCN structures and employment options, PCN funding, and PCN future workforce options.HandbookBritish Medical Association - blog (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 22, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Integrated care Source Type: blogs

Physician heal thyself. At your own risk.
My late father often repeated the adage, “Any man who serves as his own lawyer has a fool for a client.” We physicians may not represent ourselves in court, but we often try to treat ourselves or neglect our own medical care — and end up with a fool for a patient. My uncle was […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 21, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/don-gaede" rel="tag" > Don Gaede, MD < /a > < /span > Tags: Physician Primary Care Source Type: blogs

No room at the inn: how easy is it for nomadic Gypsies and Travellers to access primary care?
This reports the findings of a mystery shopping exercise in which the charity contacted 50 GP practices posing as a patient wishing to register who didn ’t have a fixed address or proof of identity. It found that almost half of practices would not register them. Despite this, every GP practice was rated ‘good’ or ‘outstanding’ by the Care Quality Commission for their work with ‘People whose circumstances may make them vulnerable’.ReportPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 21, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Equality and diversity Source Type: blogs

Highly Sensitive Point-of-Care Sensor Measures Dopamine in Whole Blood
The concentration of dopamine in a patient’s blood can be an important biomarker for a variety of diseases, including certain cancers, depression, and Parkinson’s. Measuring dopamine in whole blood still requires a laboratory, making it slow and expensive and not always suited for things like screenings. Scientists at the University of Central Florida have now developed a portable, enzyme-free dopamine detector that takes just a sample of blood and which provides in a matter of minutes. It is hoped that the technology will be available for point-of-care applications, potentially making dopamine a common paramet...
Source: Medgadget - March 20, 2019 Category: Medical Devices Authors: Editors Tags: Diagnostics Medicine Pathology Source Type: blogs

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As states have sought greater value in Medicaid, many have turned to comprehensive managed care plans to organize, deliver, and manage health care. States that contract with comprehensive managed care organizations must base their approach on written quality assessment and improvement strategies that, among other matters, address how they will use managed care to support and strengthen primary care. George Washington University’s Sara Rosenbaum and colleagues reviewed 36 of these strategies and present key themes, such as a shared focus on social determinants and advanced care coordination.     &...
Source: The Commonwealth Fund: Blog - March 20, 2019 Category: International Medicine & Public Health Authors: Sara Rosenbaum, J. Zo ë Beckerman, Maria Velasquez, Alexander Somodevilla, Elizabeth Gray, Rebecca Morris, Morgan Handley Source Type: blogs

What ’s happened to clinician empathy?
In 2006, the Mayo Clinic asked 192 patients an important question: What makes an ideal physician? From their responses, several characteristics emerged. Among the top criteria, they wanted doctors to be “personal,” “empathetic” and “humane.” This shouldn’t come as much of a surprise. Of course, we want doctors who relate to their patients as people […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 19, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/austin-perlmutter" rel="tag" > Austin Perlmutter, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Practice Management Primary Care Source Type: blogs

3 health tips to help busy physicians
Practicing medicine at the frontlines is hard. It ’s damn hard. Every minute you need to be alert, ready to respond to a potential life or death situation, and be called to another important problem. The current medical practice environment— with excessive bureaucracy, suboptimal information technology, and extreme time pressure with patients— adds exponentially […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 18, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/suneel-dhand" rel="tag" > Suneel Dhand, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Practice Management Primary Care Source Type: blogs

An introduction to Primary Care Networks
Pharmaceutical Services Negotiating Committee -This briefing aims to provide an explanation for community pharmacy teams of what Primary Care Networks (PCNs) are and their role in the NHS. It can be used by Local Pharmaceutical Committees as an introductory briefing on PCNs for contractors, as part of local work to engage contractors and their team in the work of networks.BriefingPharmaceutical Services Negotiating Committee - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - March 18, 2019 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Developments in primary and community care Source Type: blogs

America has seen medical marijuana before: This is what we learned (and forgot)
Very few things in the universe are 100 percent good or 100 percent bad. Cannabis is perfectly  ordinary in having a mixture of good qualities (medical benefits) and bad qualities (medical risks). The people who want to make money – lots of money, by the way – from selling marijuana do a perfectly fine job of pointing out the […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 16, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/erik-messamore" rel="tag" > Erik Messamore, MD, PhD < /a > < /span > Tags: Meds Medications Primary Care Source Type: blogs

“Doctor” or first name: Which do you prefer?
This article is sponsored by  Careers by KevinMD.com.“Sometimes you want to go where everybody knows your name.” So go the famous lyrics from the theme song for“Cheers,” the iconic sitcom of the 1980s. The name thing can get really personal in medicine — and everyone has an opinion — as evidenced by a plaintive […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 16, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/health-ecareers" rel="tag" > Health eCareers < /a > < /span > Tags: Physician Practice Management Primary Care Source Type: blogs

Want to find the best doctor? Don ’t rely on price tags.
Say you want to know which baseball players provide the most value for the big dollars they ’re being paid. A Google search quickly yields analytics. But suppose your primary care physician just diagnosed you with cancer. What will a search for a “high value” cancer doctor tell you? Not much. Public concern over bloated and unintelligible medical […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 15, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/michael-l-millenson" rel="tag" > Michael L. Millenson < /a > < /span > Tags: Policy Practice Management Public Health & Source Type: blogs

Healthcare Must Open More Doors to Mental Health Patients
By ARPAN WAGHRAY, MD and BENJAMIN F. MILLER, PsyD Benjamin F. Miller Arpan Waghray If someone we love has a physical ailment, we can list a variety of places for them to seek care: a clinician’s office, a pharmacy, an urgent care clinic, a school health clinic, an emergency department — the list goes on. And, in every case, we would feel confident the clinicians in those places would know how to handle the case — or at least know where to send the patient if they need more intensive or specialized care. But, sadly, the same isn’t true for a loved one with a mental health or substance misuse need, ev...
Source: The Health Care Blog - March 14, 2019 Category: Consumer Health News Authors: matthew holt Tags: Patients ARPAN WAGHRAY BENJAMIN F. MILLER Mental Health substance use disorders Source Type: blogs