Practice Management Archive

Direct Supervision by Attendings Doesn't Reduce Medical Errors

Direct Supervision by Attendings Doesn't Reduce Medical Errors

Direct supervision in which attending physicians join work rounds does not reduce the rate of medical errors.

Older Adults Often Reluctant to Set Up Secure Patient Portal

Older Adults Often Reluctant to Set Up Secure Patient Portal

About half of older adults report having set up a patient portal, according to survey results from the National Poll on Healthy Aging.

Recommendations Developed for Improving Women's Health Care

Recommendations Developed for Improving Women's Health Care

Women face unique health challenges across their lifetimes, and policies should be implemented to improve their health outcomes.

Health System Expansions Place Patients at Risk for Safety Concerns

Health System Expansions Place Patients at Risk for Safety Concerns

System expansions in the current healthcare environment are making clear impacts on clinical care and patient safety.

Get Your Sweat On: Top Fitness Trends of 2018

Get Your Sweat On: Top Fitness Trends of 2018

The American College of Sports Medicine's (ACSM) annual survey reveals people are going back to basics to get fit in 2018.

ACP Outlines Steps to Improve Women's Healthcare Equity

ACP Outlines Steps to Improve Women's Healthcare Equity

The American College of Physicians has released 7 position statements supporting equality in healthcare for women.

Global Variation in Personal Health Care Access and Quality

Global Variation in Personal Health Care Access and Quality

Researchers used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 to examine personal health care access and quality with the Healthcare Access and Quality Index for 195 countries and territories, as well as subnational locations.

12 County-Level Factors Affect Resident Well-Being in the United States

12 County-Level Factors Affect Resident Well-Being in the United States

Twelve county-level factors, including social and economic, clinical care, and physical environment, explain the majority of variation in resident well-being in the United States.

CDC: No Change in Level of Uninsured in U.S. in 2017

CDC: No Change in Level of Uninsured in U.S. in 2017

Overall, 9.1 percent of individuals in the United States were uninsured in 2017, which was not significantly different from the level in 2016.

Language Used in Medical Record Can Affect Patient Care

Language Used in Medical Record Can Affect Patient Care

Stigmatizing language used in medical records to describe patients can influence medical students and residents in terms of their attitudes towards the patient and their clinical decision-making.

Nonprofit Manufacturer Could Keep Generic Drug Costs Down

Nonprofit Manufacturer Could Keep Generic Drug Costs Down

Researchers discuss generic drug market failure, whereby a generic drug manufacturer increases the drug price, which can compromise care.

Best Practices Developed for Use of EHR to Enhance Patient Care

Best Practices Developed for Use of EHR to Enhance Patient Care

Best practices have been developed for using electronic health records to enhance patient-centered care.

Regulatory Requirements Drive Dissatisfaction With EHRs

Regulatory Requirements Drive Dissatisfaction With EHRs

Regulatory requirements are likely to be an important aspect of physician dissatisfaction with electronic health records that is driving burnout.

White House Unveils Plan to Lower Cost of Prescription Drugs

White House Unveils Plan to Lower Cost of Prescription Drugs

FDA Commissioner, Scott Gottlieb MD, said, "The FDA shares the goal of ensuring that American patients have access to quality and affordable care that meets their needs."

Study IDs Unintended Consequence of Prescription Drug Monitoring Programs

Study IDs Unintended Consequence of Prescription Drug Monitoring Programs

All of these studies, however, had methodological shortcomings (ie, inadequate adjustment for time-invariant; time-varying confounding factors; no adjustment for competing laws/policies that may have affected overdoses).

Patients Prefer Doctors Who Engage in Face-to-Face Visits

Patients Prefer Doctors Who Engage in Face-to-Face Visits

Patients' perceptions of physicians' compassion were assessed after watching two standardized scripted-video vignettes of physicians.

ACP: Shifting Focus to Social Determinants of Health Can Improve Patient Care

ACP: Shifting Focus to Social Determinants of Health Can Improve Patient Care

The ACP is focusing its efforts on improving health outcomes through the assessment of patients' social determinants of health.

April 28 Is Drug Take Back Day

April 28 Is Drug Take Back Day

April 28, 2018 is National Prescription Drug Take Back Day.

ACP: Position Paper Recommends Solutions to Close Gender Equity Gap

ACP: Position Paper Recommends Solutions to Close Gender Equity Gap

While overall gender diversity has improved in the healthcare profession, female physicians are still paid significantly less than their male counterparts.

Most Doctors' Offices Do Not Offer Flexibility for Uninsured

Most Doctors' Offices Do Not Offer Flexibility for Uninsured

Federally qualified health centers provided the highest rates of primary care appointment availability and discounts for uninsured low-income patients.

Recommendations Developed on Gender Equity in Medicine

Recommendations Developed on Gender Equity in Medicine

The American College of Physicians published recommendations aimed at addressing gender equity in physician compensation and career advancement opportunities.

Drug Copayments Often Cost More Than Prescription Drugs

Drug Copayments Often Cost More Than Prescription Drugs

Researchers examined the frequency of overpayments by comparing copayments with the national average reimbursements received by pharmacies for the same prescription for commercially insured patients.

Telemedicine Expands Access to Rural, Low-Income, Isolated Communities

Telemedicine Expands Access to Rural, Low-Income, Isolated Communities

Innovations in digital health and medicine applications are contributing to expanding medical care, particularly among individuals in rural, low-income, or isolated environments.

Improving Evidence-Based Clinical Decision Making

Improving Evidence-Based Clinical Decision Making

Academic detailing is an approach to help minimize "irrational" clinical decision making and involves educational outreach professionals who meet with physicians to discuss specific medication use scenarios.

AMA Develops Module to Address Medication Nonadherence

AMA Develops Module to Address Medication Nonadherence

Understanding nonadherence in patients and encouraging a change in attitude toward patients and their medication can improve medication adherence.

Early Trial Results Often Report Exaggerated Treatment Effects

Early Trial Results Often Report Exaggerated Treatment Effects

Trials to evaluate drugs or devices used to treat chronic medical conditions that are published early in the chain of evidence often show an exaggerated treatment effect compared with subsequent trials.

Percentage of Uninsured Americans Unchanged From 2016 to 2017

Percentage of Uninsured Americans Unchanged From 2016 to 2017

Report provides updated health insurance estimates from selected states using 2017 National Health Interview Survey data.

Prior Authorizations Are Creating a Challenge for Clinicians

Prior Authorizations Are Creating a Challenge for Clinicians

One physician shares his experience in dealing with the challenge of prior authorizations for medications and diagnostic imaging, which he calls "a thorn in the side of the practice of medicine."

Patients Report Major Concerns With Physicians

Patients Report Major Concerns With Physicians

The Physicians Foundation commissioned a survey of health care consumers to examine attitudes on the physician-patient relationship, the cost of health care, social determinants, and lifestyle issues.

Rising Health Care Costs to Blame for Increased Spending

Rising Health Care Costs to Blame for Increased Spending

From 2012 to 2016, cumulative spending growth was 15% and was primarily due to price increases, especially for administered drugs, emergency room visits, and surgical hospital admissions.

Effects of Medicaid Expansion on Coverage, Out-of-Pocket Expenses

Effects of Medicaid Expansion on Coverage, Out-of-Pocket Expenses

States that expanded Medicaid cut the probability of non-elderly near-poor adults being uninsured and lowered average out-of-pocket spending.

Physicians Prefer Communication With Patients via Email

Physicians Prefer Communication With Patients via Email

Providers who give patients their e-mail addresses have higher satisfaction, but this does not appear to impact patient satisfaction.

Call Upon Congress to Prevent Merit-Based Incentive Payment Systems to Part B Therapies

Call Upon Congress to Prevent Merit-Based Incentive Payment Systems to Part B Therapies

The current Part B drug payment structure already makes it difficult for some providers, particularly those in small practices or working in rural settings, to procure and administer expensive Part B drugs

AMA Guidelines for Physicians Creating an Online Presence

AMA Guidelines for Physicians Creating an Online Presence

The American Medical Association recommends physicians take advantage of the internet to reach patients, but exercise caution in their online presence.

Medicaid: Enrollee's Satisfied With Health Care Overall

Medicaid: Enrollee's Satisfied With Health Care Overall

Few Medicaid enrollee's feel that their insurance is a major barrier to receiving care.

Reducing Physician Burnout By Improving Communication Skills

Reducing Physician Burnout By Improving Communication Skills

Good communication between patient and physician can improve care and reduce burnout.

More Health Issues, Poor Outcomes Reported Among Gender Minority Adults

More Health Issues, Poor Outcomes Reported Among Gender Minority Adults

Surveillence data confirms that in the US, gender minority adults experience marked health disparities.

Does Text Message Monitoring Impact Medication Adherence and Adverse Events?

Does Text Message Monitoring Impact Medication Adherence and Adverse Events?

Ninety-eight percent of participants reported that the text messaging intervention was easy to use.

Factors Influencing Physician Burnout

Factors Influencing Physician Burnout

Physician burnout is often caused by a breakdown of 1 of 6 factors, including workload, control, rewards, community, fairness, and values conflicts.

Longer In-Office Wait Times Associated With Medicaid

Longer In-Office Wait Times Associated With Medicaid

Data from 21.4 million outpatient visits were examined to assessed in-office wait times between patients with Medicaid and private insurance.

Medical Administrative Recording Improved With Electronic Record App

Medical Administrative Recording Improved With Electronic Record App

Electronic medication record use reduced errors in medication administration among patients.

Online Reviews May Expose Physicians to HIPAA Violation Liabilities

Online Reviews May Expose Physicians to HIPAA Violation Liabilities

Physicians should take control of unclaimed online profiles and encourage patients to discuss negative complaints by phone.

Promoting Shared Decision Making With Health Literacy Tools

Promoting Shared Decision Making With Health Literacy Tools

Health literacy tools encourage shared decision making between patients and clinicians.

ACA: Surge in TV Ads Linked to Drop in Uninsured Rates

ACA: Surge in TV Ads Linked to Drop in Uninsured Rates

County-level health insurance coverage increased based on the volume of Affordable Care Act (ACA) television advertisements.

Privacy and Accountability: Corrective Action Plans to Correct HIPAA Breaches

Privacy and Accountability: Corrective Action Plans to Correct HIPAA Breaches

The Department of Health and Human Services may impose a corrective action plan (CAP) in response to a particularly egregious HIPAA breach.

On-Site Hospital Surveys Lead to Reduced Mortality

On-Site Hospital Surveys Lead to Reduced Mortality

Patients admitted during Joint Commission on-site inspections have lower 30-day mortality vs those admitted during non-survey weeks.

American Diabetes Association Voices Concern Over American Health Care Act

American Diabetes Association Voices Concern Over American Health Care Act

The American Diabetes Association has released a statement in opposition of the forthcoming American Health Care Act (AHCA).

Diagnostic Accuracy of X-rays Interpreted Using Cell Phone App

Diagnostic Accuracy of X-rays Interpreted Using Cell Phone App

Researchers found that diagnostic accuracy via cell phone app was on par with traditional digital imaging and internet-based workstation viewing.

ACA: Replacement Plan Formally Introduced by GOP

ACA: Replacement Plan Formally Introduced by GOP

The GOP-proposed plan will remove President Obama's mandate for health insurance, instead offering tax incentives to encourage Americans purchase coverage.

Do Patient Outcomes Differ With Internists Graduating from US vs International Med Schools?

Do Patient Outcomes Differ With Internists Graduating from US vs International Med Schools?

In an observational study, the 30-day mortality rate for patients treated by international doctors was 11.2%.

ACP Asks Congress to Reconsider Repealing Obamacare

ACP Asks Congress to Reconsider Repealing Obamacare

The 115th US Congress is wasting no time considering reforms to the outgoing president's signature healthcare legislation.

Medicare Readmission Rates Drop With Penalties Under Affordable Care Act

Medicare Readmission Rates Drop With Penalties Under Affordable Care Act

Passage of the Medicare Hospital Readmissions Reduction Program under the Affordable Care Act is associated with a more rapid decrease in 30-day risk-standardized readmission rates.

Personal Health Care Spending Continues to Climb in the United States

Personal Health Care Spending Continues to Climb in the United States

The highest spending was for diabetes, ischemic heart disease, and low back and neck pain in 2013.

Health Care Spending on Children Increased From 1996 to 2013

Health Care Spending on Children Increased From 1996 to 2013

Health care spending on children increased from 1996 to 2013 in the United States.

Structured Rounding Tools Beneficial for Multidisciplinary Rounds

Structured Rounding Tools Beneficial for Multidisciplinary Rounds

The use of structured rounding tools improves time allocation per patient and communication breakdowns during hand-offs in multidisciplinary rounds.

Is Outcomes-Based Pricing for New, Costly Drugs Beneficial?

Is Outcomes-Based Pricing for New, Costly Drugs Beneficial?

Outcomes-based pricing for novel and expensive biopharmaceuticals is supported in an Ideas and Opinions piece published in the Annals of Internal Medicine.

Survey: Factors Influencing Physician Recruitment

Survey: Factors Influencing Physician Recruitment

Factors that influence whether an internal medicine physician will accept a position include opportunities for improved work-life balance as well as compensation.

Adverse Drug Events Are Common Cause of ER Visits

Adverse Drug Events Are Common Cause of ER Visits

Anticoagulants, antibiotics, and diabetes agents were implicated in an estimated 46.9% of emergency department visits.

Searching for Pricing Influences Choice of Health Care Facility

Searching for Pricing Influences Choice of Health Care Facility

Patients who viewed price estimates chose health care facilities with lower relative price estimates.

Strategies Proposed for Mitigating Physician Burnout

Strategies Proposed for Mitigating Physician Burnout

Effective strategies for managing physician burnout include mindfulness and stress-management training.

Narrow-Network Plans Have Lower Monthly Premiums

Narrow-Network Plans Have Lower Monthly Premiums

Extra-small-network plan has less expensive monthly premium than large-network plan.

Medicaid Revenue Increased in States With Medicaid Expansion

Medicaid Revenue Increased in States With Medicaid Expansion

There was increased Medicaid revenue and improved profit margins for hospitals in 19 states with expansion.

Copay Assistance Programs: Part of the Problem?

Copay Assistance Programs: Part of the Problem?

Despite offering assistance to those who cannot afford medications, copay assistance programs create broader problems.

AMA Module Developed to Identify Distressed Physicians

AMA Module Developed to Identify Distressed Physicians

Module includes steps to identify doctors at risk, such as talking about risk factors, and warning signs for suicide.

Doctors' Political Beliefs May Affect Treatment Decisions

Doctors' Political Beliefs May Affect Treatment Decisions

Republican vs Democratic doctors offered different guidance on abortion, guns, and marijuana.

Increasing Amount of Money Spent on Health IT

Increasing Amount of Money Spent on Health IT

Costs increased by 40% between 2009 and 2015 and are expected to continue increasing.

Acceptance of Single-Blind vs Double-Blind Manuscripts

Acceptance of Single-Blind vs Double-Blind Manuscripts

Reviewers more likely to recommend acceptance when prestigious names and institutions were visible.

Empathetic Listening Can Help Clinicians Forge Deeper Connections With Patients

Empathetic Listening Can Help Clinicians Forge Deeper Connections With Patients

Empathetic listening can help physicians navigate difficult situations and forge deeper connections with patients, leading to greater professional satisfaction and joy.

Medicaid Expansion Did Not Affect Hospital Length of Stay, Mortality

Medicaid Expansion Did Not Affect Hospital Length of Stay, Mortality

State Medicaid expansion as part of the Affordable Care Act (ACA) is not associated with length of stay (LOS) or in-hospital mortality among general medicine patients.

Patent Monopolies Likely Responsible for Soaring Drug Prices

Patent Monopolies Likely Responsible for Soaring Drug Prices

Letting Medicare and Medicaid negotiate pricing would likely help bring costs down, researchers contend.

Legal Issues Impeding Telehealth Implementation

Legal Issues Impeding Telehealth Implementation

Telehealth technologies can allow delivery of high-quality care at a lower cost, especially in underserved areas, but there is currently no uniform legal approach to telehealth.

More Than Half of US Hospitals Have Language Services

More Than Half of US Hospitals Have Language Services

Overall, 68.8% of hospitals offer language services, with the proportion increasing with level of need..

Spending on Compounded Drugs Has Soared

Spending on Compounded Drugs Has Soared

Government spending on compounded drugs has skyrocketed, raising concerns of fraud and overbilling, according to a report published by Kaiser Health News.

Total Drug Expenditures Expected to Increase in 2016

Total Drug Expenditures Expected to Increase in 2016

Total drug expenditures are expected to increase by 11% to 13% in 2016.

Many Medical Students Use EHRs to Track Progress of Former Patients

Many Medical Students Use EHRs to Track Progress of Former Patients

The practice is common and raises privacy issues, but it is overall is beneficial, researchers noted.

Medical Spending Increasing for Middle-, High-Income Americans

Medical Spending Increasing for Middle-, High-Income Americans

While overall US medical spending growth slowed between 2004 and 2013, expenditures rose for middle- and high-income Americans.

Burnout and Stress May Have Serious Personal and Professional Consequences

Burnout and Stress May Have Serious Personal and Professional Consequences

Stress and burnout are increasingly prevalent among physicians, with serious personal and professional consequences, according to a report published in Medical Economics.

Growth in US Health Spending Expected to Average 5.8% for 2015 to 2025

Growth in US Health Spending Expected to Average 5.8% for 2015 to 2025

By 2025, health spending is expected to account for 20.1% of the economy.

Physician Fee Schedule Changes Proposed by CMS

Physician Fee Schedule Changes Proposed by CMS

Changes have been proposed to the Physician Fee Schedule to transform how Medicare pays for primary care, focusing on improvements in pay for care coordination and planning.

Salary Differs for Male, Female Faculty Physicians

Salary Differs for Male, Female Faculty Physicians

For physicians with faculty appointments at 24 US public medical schools there are significant salary differences between men and women, even after adjustment for confounding variables.

Burnout Syndrome Affects Many Critical Care Professionals

Burnout Syndrome Affects Many Critical Care Professionals

Critical care health care professionals have one of the highest rates of burnout syndrome, compared with other health care professionals.

Medication Organization Devices May Be Related to Adverse Events

Medication Organization Devices May Be Related to Adverse Events

Medication organization devices may cause medication-related adverse events in unintentionally nonadherent older people.

Many Clinical Trials Not Listed at Clinical Study Data Request Website

Many Clinical Trials Not Listed at Clinical Study Data Request Website

Only about half of trials registered at ClinicalTrials.gov are listed in the largest data-sharing repository.

Is EHR Use Associated With Physician Burnout?

Is EHR Use Associated With Physician Burnout?

Survey found those who have to use electronic health records and computerized physician order entry report more burnout and job dissatisfaction.

Report Highlights Need for Strategy to Address Impending Physician Shortage

Report Highlights Need for Strategy to Address Impending Physician Shortage

AAMC promotes multipronged approach including federal support, technology, care delivery changes

A 'Reset Room' May Help Mitigate Physician Burnout

A 'Reset Room' May Help Mitigate Physician Burnout

The creation of a reset room is one of several solutions that can help physicians and medical providers address burnout.

One-Third of Female Doctors Experienced Sexual Harassment

One-Third of Female Doctors Experienced Sexual Harassment

About two-thirds also report experiencing gender bias in the workplace.

Doctors Reducing Work Hours Due to Burnout, Lack of Job Satisfaction

Doctors Reducing Work Hours Due to Burnout, Lack of Job Satisfaction

Full-time physicians are reporting worsening burnout or decreasing job satisfaction more likely to cut hours.

Telemedicine Visits Increasing, But Not Among Rural Medicare Beneficiaries

Telemedicine Visits Increasing, But Not Among Rural Medicare Beneficiaries

Telemedicine visits are up from 2004 to 2013; only 0.7% of rural beneficiaries received visit in 2013.

Decreasing Brand-Name Drug Use Could Significantly Reduce Health Care Costs

Decreasing Brand-Name Drug Use Could Significantly Reduce Health Care Costs

The United States spends more on medications than any other country.

Good Physician Leadership May Help Counteract Burnout

Good Physician Leadership May Help Counteract Burnout

Leadership ratings strongly linked to employee burnout and satisfaction

Report Details Why Health Care Costs Are Lower in Europe vs US

Report Details Why Health Care Costs Are Lower in Europe vs US

The main reason for price the difference is a national system that negotiates with medical providers.

More Research Needed on Addressing Workplace Violence in Health Care Settings

More Research Needed on Addressing Workplace Violence in Health Care Settings

Workplace violence is often underreported, and the health care sector is among the industries most subject to violence.

Record Highs for Registrants, Matching in 2016 Match for Medical Students

Record Highs for Registrants, Matching in 2016 Match for Medical Students

A total of 30 750 positions were available, with an overall match rate 96.2% and 96.3% of first-year positions filled.

Tips for Addressing Overlooked Details in Practice

Tips for Addressing Overlooked Details in Practice

Positive impression can be created in the waiting room, front desk, hallway, and examination room.

Medicare Spending Decreased for 2012 Accountable Care Organization Entrants

Medicare Spending Decreased for 2012 Accountable Care Organization Entrants

First full year of Medicare Shared Savings Program contracts is linked to an early drop in Medicare spending.

Health Care Quality Varies Considerably for Virtual Visits

Health Care Quality Varies Considerably for Virtual Visits

For 6 common acute illnesses, significant variation was seen across companies and by condition.

Addressing the Wage Gap Among Female Physicians

Addressing the Wage Gap Among Female Physicians

Female physicians should lobby for transparency to reduce gender wage disparity.

Model Developed to Help Combat Physician Burnout

Model Developed to Help Combat Physician Burnout

The model considers 3 factors that physicians need: choice, social connectedness, and excellence.

Spending on Prescription Medications Increased About 5% in 2015

Spending on Prescription Medications Increased About 5% in 2015

Researchers found an increase due to increased medication use and higher prices, with an increase about half that of 2014.

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