Practice Management Archive

Family-Centered Communication During Pediatric Hospitalizations Reduces Harmful Medical Errors

Family-Centered Communication During Pediatric Hospitalizations Reduces Harmful Medical Errors

Structured communication involving families, nurses, and physicians can reduce harmful medical errors and improve family experience during pediatric hospitalizations.

Gender Equity Initiative Reduces Salary Gap Among Medical School Faculty

Gender Equity Initiative Reduces Salary Gap Among Medical School Faculty

An institutional gender equity initiative (GEI) can reduce gender-based salary gaps among medical school faculty.

Number of Physicians Excluded From Public Insurance Increasing

Number of Physicians Excluded From Public Insurance Increasing

From 2007 to 2017, the number of physicians excluded from Medicare and state public insurance programs increased.

Challenges in Weighing Costs, Therapeutic Benefits of Expensive Pharmaceuticals

Challenges in Weighing Costs, Therapeutic Benefits of Expensive Pharmaceuticals

Physicians have a moral obligation to protect their patients from both physical and financial harms associated with pharmaceutical therapies.

Machine Learning Models May Predict Emergency Hospital Admissions

Machine Learning Models May Predict Emergency Hospital Admissions

Machine learning models incorporated into electronic health records (EHRs) may predict the risk for emergency hospital admissions.

Shifting Pattern Seen for Primary Care Office Visits

Shifting Pattern Seen for Primary Care Office Visits

Among patients with employer-sponsored insurance, there was a decline in visits to primary care physicians (PCPs) from 2012 to 2016.

Veterans Health Administration Hospitals Outperform Non-VHAs

Veterans Health Administration Hospitals Outperform Non-VHAs

Veterans Health Administration (VHA) hospitals outperform non-VHA hospitals for 14 of 15 outcome measures in 121 regions.

FDA Warns Companies on Unsafe, Unapproved Stem Cell Treatments

FDA Warns Companies on Unsafe, Unapproved Stem Cell Treatments

After infections tied to unapproved stem cell treatments sent 12 people to the hospital this past year, the U.S. Food and Drug Administration has issued a stern warning about the products.

Growth in Use of Telemedicine Seen From 2005 to 2017

Growth in Use of Telemedicine Seen From 2005 to 2017

From 2005 to 2017, there was a substantial increase in telemedicine use, although use was still uncommon in 2017.

Affordable Care Act Sign-Ups Higher Than Expected

Affordable Care Act Sign-Ups Higher Than Expected

Despite numerous difficulties, early figures show that sign-ups for health coverage next year under the Affordable Care Act are higher than expected.

Knit One, Purl One: The Health Benefits of Knitting

Knit One, Purl One: The Health Benefits of Knitting

Knitting is both process- and product-oriented, encompassing repetitive tasks that can exercise physical and cognitive skills

National Healthcare Spending Slowed in 2017

National Healthcare Spending Slowed in 2017

National health care spending slowed in 2017.

Academy of Nutrition and Dietetics Does Not Recommend Routine Supplements for Chronic Disease Prevention

Academy of Nutrition and Dietetics Does Not Recommend Routine Supplements for Chronic Disease Prevention

Routine use of vitamin and mineral supplements to prevent chronic disease is not recommended.

HHS Issues Draft Strategy for Reducing Health IT Burden

HHS Issues Draft Strategy for Reducing Health IT Burden

The U.S. Department of Health and Human Services has developed a draft strategy to reduce the health information technology (IT) burden, and the strategy is open for public comment through Jan. 28, 2019.

Flaws, Potential Solutions for Physician Incentive Programs Examined

Flaws, Potential Solutions for Physician Incentive Programs Examined

Physician incentive programs have not been proven helpful in improving patient outcomes.

Understanding Therapeutic Misconceptions Associated With Clinical Trial Enrollment

Understanding Therapeutic Misconceptions Associated With Clinical Trial Enrollment

Therapeutic misconception is an important type of false belief in medical research and medical practice.

Continuity of Care Associated With Lower Expenditures, Hospitalization

Continuity of Care Associated With Lower Expenditures, Hospitalization

Continuity of care scores are significantly associated with lower expenditures and hospitalization rates.

Debating the First Amendment: Is False Speech Constitutionally Protected?

Debating the First Amendment: Is False Speech Constitutionally Protected?

False beliefs are common in society and have permeated the healthcare industry.

Discrimination Against Physician-Mothers A Widespread Issue

Discrimination Against Physician-Mothers A Widespread Issue

Key themes identified included issues with gendered job expectations, financial inequalities, and limited advancement opportunities, among others.

Medication Errors Resulting in Death Most Common in Elderly

Medication Errors Resulting in Death Most Common in Elderly

Medication errors in acute care that result in death occur most often in patients older than 75 years, with the most common error category being omitted medicine or ingredient.

Hospital Discharge During Holiday Season Considered Novel Risk for Readmission, Death

Hospital Discharge During Holiday Season Considered Novel Risk for Readmission, Death

The "Christmas Effect" has been linked to increased risks in patients discharged from the hospital during the December holiday season.

US Medical Schools Increase in Diversity After Implementation of Accreditation Standards

US Medical Schools Increase in Diversity After Implementation of Accreditation Standards

After implementation of the Liaison Committee on Medical Education (LCME) diversity accreditation standards, U.S. medical schools saw increasing percentages of female, black, and Hispanic matriculants.

Most Insured Patients Not Using Online Portals

Most Insured Patients Not Using Online Portals

Nearly two-thirds of insured adults with a previous health care visit did not use an online patient portal in 2017.

Physician Burnout Linked to Stress in Using Health Information Technology

Physician Burnout Linked to Stress in Using Health Information Technology

Stress related to use of health information technology (HIT) is common and predictive of burnout among physicians.

Chronic Disease Education Can Improve Patient Self-Management

Chronic Disease Education Can Improve Patient Self-Management

An educational intervention can improve patients' ability to self-manage their chronic diseases.

AMA Code of Medical Ethics Guides Physicians in Fighting Harmful Online Health Information

AMA Code of Medical Ethics Guides Physicians in Fighting Harmful Online Health Information

Health information is widely available online, yet the quality of that information can be dubious at best.

"Gender Panic" in Clinical Settings: Protecting Public Accommodations Access for Transgender Individuals

"Gender Panic" in Clinical Settings: Protecting Public Accommodations Access for Transgender Individuals

There is substantial discussion in the United States regarding the use of public accommodation laws to legislate bathroom access for transgender individuals.

Walgreens Now Offers Next-Day Rx Delivery Service With FedEx

Walgreens Now Offers Next-Day Rx Delivery Service With FedEx

Currently, same-day delivery is available only in Dallas, Chicago, New York City, Gainesville, Miami, Tampa, and Fort Lauderdale; this program will be expanded in 2019.

Patients Commonly Withhold Medically Relevant Information From Clinicians

Patients Commonly Withhold Medically Relevant Information From Clinicians

Many patients intentionally withhold information from clinicians.

ACC: Smoking Cessation Expert Decision Pathway Emphasizes Team-Based Support

ACC: Smoking Cessation Expert Decision Pathway Emphasizes Team-Based Support

The ACC Expert Consensus Decision Pathway provides guidance to clinicians who treat patients with cardiovascular disease who are also smokers.

Few Physicians Work in Practices That Use Telemedicine

Few Physicians Work in Practices That Use Telemedicine

Only 15.4 percent of physicians work in practices that use telemedicine for a wide spectrum of patient interactions, with larger practice size being an important correlate of telemedicine use.

AMA Survey Collects Advice for Physicians Approaching Retirement

AMA Survey Collects Advice for Physicians Approaching Retirement

The transition from the workforce into retirement is always challenging, but for physicians accustomed to working long or odd hours, it can be especially difficult.

CDC Report Outlines Rates of Uninsured in First Half of 2018

CDC Report Outlines Rates of Uninsured in First Half of 2018

In the first six months of 2018, 8.8 percent of U.S. individuals of all ages were uninsured, which was not significantly different from 2017.

Clinicians Must Do Their Part to Address Inaccurate Online Health Information

Clinicians Must Do Their Part to Address Inaccurate Online Health Information

Clinicians have a responsibility to engage in initiatives that improve the quality of health information available online.

Give Thanks: The Role of Gratitude in Combating Burnout

Give Thanks: The Role of Gratitude in Combating Burnout

Many healthcare organizations are trying a new tactic to reduce rates of burnout: gratitude.

Can Examining Marginalization Identify Gaps in Medical or Nutritional Care?

Can Examining Marginalization Identify Gaps in Medical or Nutritional Care?

Healthcare interventions should assess the multiple layers of a person's life, rather than simply classifying marginalized groups as vulnerable.

How Does Accepting Blame Affect Future Medical Errors?

How Does Accepting Blame Affect Future Medical Errors?

Assuming blame for a medical error may help patients and families heal.

Should Physicians Offer Treatments Contrary to Published Guidelines?

Should Physicians Offer Treatments Contrary to Published Guidelines?

When deviating from published guidelines, physicians must ensure their recommendations are based on justified belief, not personal bias.

FDA to Update Medical Device Approvals Process

FDA to Update Medical Device Approvals Process

The FDA announced a major update of the United States' system for approving medical devices.

The Future of Robot Physicians: Is Artificial Intelligence Poised to Take Over Medicine?

The Future of Robot Physicians: Is Artificial Intelligence Poised to Take Over Medicine?

By 2030, robots will likely replace 800 million workers. Will physicians make the cut?

Four Principles Underlie Patient and Family Partnership in Care

Four Principles Underlie Patient and Family Partnership in Care

Patient and family partnership in care should include treatment of patients and families with dignity and respect, their active engagement in all aspects of care, and their contribution to the improvement of health care systems and education of health care professionals.

Poorer Health, Health Behaviors Increase Risk for Hospital Readmission

Poorer Health, Health Behaviors Increase Risk for Hospital Readmission

Older patients with poor health, health behaviors, social support, and self-efficacy are more likely to have an unexpected readmission to the hospital.

Hospital Work Environment Associated With Patient Safety Outcomes

Hospital Work Environment Associated With Patient Safety Outcomes

The results of a recent survey of thousands of nurses and patients show that hospital patient safety remains a serious concern.

Decreased Health, Social Service Utilization Among Immigrants Following 2016 Presidential Election

Decreased Health, Social Service Utilization Among Immigrants Following 2016 Presidential Election

Health and social service utilization decreased in immigrant communities after the 2016 presidential election.

Patient Experiences Shed Light on Diagnostic Errors

Patient Experiences Shed Light on Diagnostic Errors

Data from patient- and family-reported error narratives indicate that problems related to patient-physician interactions are major contributors to diagnostic errors.

AMA to Collect Data on Suicide Among Physicians-in-Training

AMA to Collect Data on Suicide Among Physicians-in-Training

By collecting data on suicides by medical students, residents, and fellows, the American Medical Association hopes to identify ways to reduce suicides among physicians-in-training.

Does Neighborhood Gentrification Affect Long-Term Health Outcomes?

Does Neighborhood Gentrification Affect Long-Term Health Outcomes?

A neighborhood's "phase" of gentrification may be predictive of certain health disparities among residents.

#MeToo Movement: Public Health Challenges, Benefits Examined

#MeToo Movement: Public Health Challenges, Benefits Examined

Researchers are concerned that the increased focus on sexual harassment resulting from the #MeToo campaign may cause negative health outcomes.

Multisector Goal Alignment May Curb Medicare Expenditures

Multisector Goal Alignment May Curb Medicare Expenditures

Medicare costs may be contained by incentivizing multisector health activities, according to researchers.

Assessing Insurance Coverage Trends in Lesbian, Gay, and Bisexual Adults in the Post-ACA Era

Assessing Insurance Coverage Trends in Lesbian, Gay, and Bisexual Adults in the Post-ACA Era

Lesbian, gay, and bisexual adults still delay medical care due to cost despite having access to insurance coverage.

Medicaid Expansion Approved in 3 Republican-Leaning States

Medicaid Expansion Approved in 3 Republican-Leaning States

Hundreds of thousands more low-income Americans could get health insurance after voters in three Republican-leaning states approved Medicaid expansion in the midterm elections.

Pharmacist-Led Intervention Reduces Inappropriate Prescriptions for Older Adults

Pharmacist-Led Intervention Reduces Inappropriate Prescriptions for Older Adults

A pharmacist-led intervention has the potential to reduce prescriptions for inappropriate medication in older adults.

Food Sustainability and Public Health: What Is the Physician's Responsibility?

Food Sustainability and Public Health: What Is the Physician's Responsibility?

As the global population grows, food sustainability and its effect on public health becomes even more important.

Online Tool Helps Patients With Advance Care Planning

Online Tool Helps Patients With Advance Care Planning

The patient-facing PREPARE advance care planning program plus an easy-to-read advance directive significantly increases documentation of advance care planning and patient-reported engagement.

Challenges in Nutritional Counseling for Patients Living in Food Deserts

Challenges in Nutritional Counseling for Patients Living in Food Deserts

Nearly 12% of Americans live in households considered food insecure.

HHS: Updated Physical Activity Guidelines for Americans Released

HHS: Updated Physical Activity Guidelines for Americans Released

This guidance, updated for the first time since 2008, provides evidence-based recommendations for children (ages 3-17) and adults.

Progress Toward Goals in Global Health Is Slowing

Progress Toward Goals in Global Health Is Slowing

Global progress in health has slowed, and improvements in health have been unevenly distributed.

Patients Using GoFundMe Platform to Raise Funds for Scientifically Unsupported Medical Treatments

Patients Using GoFundMe Platform to Raise Funds for Scientifically Unsupported Medical Treatments

GoFundMe, one of the largest crowdfunding sites, reported that medical campaign funding has increased $2 billion from 2015 to 2016.

Trump Administration Finalizes Birth Control Coverage Opt-Out

Trump Administration Finalizes Birth Control Coverage Opt-Out

A birth control coverage opt-out for employers was finalized by the Trump administration on Wednesday.

What Does the Cigna-Express Scripts Merger Mean for the Future of Health Care?

What Does the Cigna-Express Scripts Merger Mean for the Future of Health Care?

The $67 billion merger between Cigna and Express Scripts will be the first of its kind.

Stakeholders Must Consider All Aspects of Produce Prescription Programs

Stakeholders Must Consider All Aspects of Produce Prescription Programs

There are several concerns associated with produce prescription programs, despite the benefits to patients.

How Employer-Sponsored Wellness Programs Create Ethical Dilemma for Physicians

How Employer-Sponsored Wellness Programs Create Ethical Dilemma for Physicians

Employer-sponsored wellness programs can put physicians in an unenviable position.

Steps to Improve Nutritional Counseling in Clinical Practice

Steps to Improve Nutritional Counseling in Clinical Practice

The modern American diet is widely recognized as a major determinant of morbidity and mortality.

Patient, Consumer Groups Push for Injunction Against Short-Term Insurance Rule

Patient, Consumer Groups Push for Injunction Against Short-Term Insurance Rule

The American Heart Association and others are urging the court to reconsider changes to short-term limited-duration insurance plans.

FDA-Approved Test Provides Pharmacogenetic Reports Directly to Consumers

FDA-Approved Test Provides Pharmacogenetic Reports Directly to Consumers

The 23andMe Personal Genome Service Pharmacogenetic Reports test can detect 33 variants for multiple genes, corresponding to more than 50 commonly prescribed medications and over-the-counter products.

Health Enterprise Zone Initiative Reduces Hospitalizations, Costs of Care

Health Enterprise Zone Initiative Reduces Hospitalizations, Costs of Care

Maryland's Health Enterprise Zone Initiative reduced hospitalizations and led to net cost savings.

Individual vs Community Needs: Should Hospitals Subsidize Expensive Lifesaving Care for Foreign Patients?

Individual vs Community Needs: Should Hospitals Subsidize Expensive Lifesaving Care for Foreign Patients?

Experts debate whether it is ethically permissible to provide life-saving treatment to a non-US citizen who does not have health insurance.

Mortality Rates for Young People in US Declined From 1999 to 2015

Mortality Rates for Young People in US Declined From 1999 to 2015

Mortality rates for infants and youths generally declined in the United States from 1999 to 2015, though they remain higher than rates in Canada and England/Wales, with especially high rates among black and American Indian/Alaskan Native youth.

Community Health Worker Support Beneficial for Low-Income Patients

Community Health Worker Support Beneficial for Low-Income Patients

A standardized community health worker-delivered intervention, Individual Management for Patient-Centered Targets, improves patient-perceived quality of care and reduces hospitalizations for low-income patients with chronic diseases.

Many Hospitals Noncompliant With Record Request Regulations

Many Hospitals Noncompliant With Record Request Regulations

Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations.

Trump Administration Announces Plan to Reduce Drug Prices

Trump Administration Announces Plan to Reduce Drug Prices

In an effort to reduce high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations.

Addressing Current Challenges in Nutritional Epidemiologic Research

Addressing Current Challenges in Nutritional Epidemiologic Research

The field of nutritional epidemiology needs radical reform.

Most Dietary Supplements Contain Prohibited Stimulants

Most Dietary Supplements Contain Prohibited Stimulants

Many supplements contain one or more stimulants that have been the subject of U.S. Food and Drug Administration-issued public notices.

Multicomponent Intervention Can Reduce Sitting Time at Work

Multicomponent Intervention Can Reduce Sitting Time at Work

A multicomponent intervention (Stand More At [SMArT] Work) can reduce sitting time over the short, medium, and long terms.

An Introduction to Deep Learning and Neural Networks and Their Utility in Health Care

An Introduction to Deep Learning and Neural Networks and Their Utility in Health Care

The "deep learning" approach to artificial intelligence allows computers to perform diagnostic tasks with accuracy comparable to that of trained medical professionals.

Little to No Association Found Between Physician Performance and Medical School Ranking

Little to No Association Found Between Physician Performance and Medical School Ranking

Researchers found a limited association between the ranking of a physician's medical school and patient mortality or readmission rates.

AHA, ADA, and Others Concerned Over Latest Trump Administration ACA Guidance

AHA, ADA, and Others Concerned Over Latest Trump Administration ACA Guidance

More than 25 professional medical and patient advocacy organizations are in opposition to the Trump Administration's latest effort to undermine the Affordable Care Act.

Inadequate Reimbursement May Inhibit Diabetes Prevention Program

Inadequate Reimbursement May Inhibit Diabetes Prevention Program

The costs of delivering a new Medicare Diabetes Prevention Program (MDPP) may be higher than the expected reimbursement.

High Cost of Clinical Trials Under FDA Pediatric Exclusivity Program Examined

High Cost of Clinical Trials Under FDA Pediatric Exclusivity Program Examined

The costs to patients are high when trials are carried out under the FDA's pediatric exclusivity program.

Reducing Race-Based Inequalities Across Health Care

Reducing Race-Based Inequalities Across Health Care

Data show that there is a significant difference in how black patients are treated compared with patients of other races.

Supporting the Transition From Pediatric to Adult Health Care

Supporting the Transition From Pediatric to Adult Health Care

Guidelines have been updated to support the health care transition from adolescence to adulthood.

The Progression of Health Care From Personalized Medicine to Wellness Genomics and Beyond

The Progression of Health Care From Personalized Medicine to Wellness Genomics and Beyond

The progression from personalized medicine to wellness genomics as mapped by researchers began with pioneering work on the molecular genetic code.

Benefits and Ethical Considerations of Using AI for Predicting Incapacitated Patients' Consent

Benefits and Ethical Considerations of Using AI for Predicting Incapacitated Patients' Consent

The use of an artificial intelligence algorithm could become valuable for medical decision-making processes.

Aetna-CVS Merger Approved

Aetna-CVS Merger Approved

A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved.

Should Physicians Play a Role in Minimizing the Societal Cost of Medical Care?

Should Physicians Play a Role in Minimizing the Societal Cost of Medical Care?

Physicians are evenly divided on the importance of considering societal cost and resource allocation while providing individual patient care.

Exploring the Effect of Data on Precision Medicine Research

Exploring the Effect of Data on Precision Medicine Research

Electronic health records can offer information on social and behavioral data, which can aid research investigating genetic and social factors across health disparities.

Sharp Decrease in US Life Expectancy Rankings by 2040

Sharp Decrease in US Life Expectancy Rankings by 2040

The United States will have the largest drop in life expectancy rankings of all high-income countries by 2040.

Nutrition Tips for Physicians: Staying Healthy During Busy Days

Nutrition Tips for Physicians: Staying Healthy During Busy Days

Between the double shifts and stressful days, keeping energy up and eating right can seem like an insurmountable challenge.

The Striking Effects of Diversity in Health Care: Improving Patient Outcomes

The Striking Effects of Diversity in Health Care: Improving Patient Outcomes

Two Stanford researchers sought to study the effects of diversity on health care among men of color.

Industry-Funded Trials Often Involve Employees in Studies

Industry-Funded Trials Often Involve Employees in Studies

Industry employees are often involved in the design, conduct, and reporting of industry-funded trials in high-impact journals.

Causes of Burnout in Resident Physicians Examined

Causes of Burnout in Resident Physicians Examined

Career choice regret, specialty choice, and anxiety in medical school have been linked with elevated rates of burnout in resident physicians

Without Medicaid Expansion, Poor Patients Forgo Medical Care

Without Medicaid Expansion, Poor Patients Forgo Medical Care

Doing without medical care is much more common among low-income residents of states that have not expanded Medicaid than among low-income people in other states.

Addressing Ethical Challenges Associated With Precision Medicine

Addressing Ethical Challenges Associated With Precision Medicine

There is a continual debate regarding which approaches should be used to base stratification of patients to precision therapy.

Unapproved Active Pharmaceuticals Identified in Many Dietary Supplements

Unapproved Active Pharmaceuticals Identified in Many Dietary Supplements

Dietary supplements often include active pharmaceuticals, even after warnings from the U.S. Food and Drug Administration.

Make the Most of Employment: Guidelines for Evaluating Physician Employment Contracts

Make the Most of Employment: Guidelines for Evaluating Physician Employment Contracts

Physician employment contracts include a number of bonuses and benefits that can be included or negotiated.

Manufacturers Increase Drug Prices Twice as Fast During Drug Shortages

Manufacturers Increase Drug Prices Twice as Fast During Drug Shortages

Prices of prescription drugs in short supply between 2015 and 2016 were found to increase more than twice as quickly as they would have in the absence of a shortage.

Establishing Meaningful Informed Consent: Challenges in mHealth

Establishing Meaningful Informed Consent: Challenges in mHealth

The role of mHealth technologies, including smartphone applications and wearable sensors that enable real-time health monitoring, has become more prevalent within the last decade.

Minority Residents Experience Burdens Linked to Race, Ethnicity

Minority Residents Experience Burdens Linked to Race, Ethnicity

Minority residents describe burdens associated with race/ethnicity, including microaggressions and bias on a daily basis.

High Quality Care as Important as Universal Health Coverage in Reducing Global Mortality

High Quality Care as Important as Universal Health Coverage in Reducing Global Mortality

Universal health coverage has been proposed as a way of improving access to healthcare in low- and middle-income countries.

Sign Up for Free e-Newsletters



CME Focus