As we move to value-based healthcare, the composition of the team is a key component to a successful transition. Numerous discussions have occurred over what these teams encompass, the certifications awarded, and the definition of the physician’s role within these teams. However, this latter component is an area that requires further examination. Defining team leadership with the physician… Read More »
Achieving lackluster results, the United States indisputably spends an exorbitant proportion of our Gross Domestic Product on Healthcare. There are two sides to that equation: either we should be receiving better results for what we pay, or we should pay less for the results that are rendered. No matter what you believe, a conversation is warranted on why… Read More »
A great deal has been discussed concerning physician burn out. Various reasons have been provided such as less time with patients, more paperwork, litigation, difficulty in getting paid, and so forth. Previously, I discussed the implications of the definition of “what is success” as a potential issue when it comes to job satisfaction. Yet, another reason is the… Read More »
As we move to a value-based model in healthcare, it is imperative we contemplate the dilemma of who is the ultimate risk bearer. At the conclusion of the day, that entity should be the one receiving the financial value of our efforts. Presently, the holder of the financial obligation for paying for services is not the recipient of… Read More »
Historically, the pricing of medicine has not been defined by the value it brings. On the provider side, whether the provider is a facility such as a hospital, or a person such as a doctor, payment is based on delivering a service regardless of the outcome of that service. Unless there is a guarantee, we pay for various… Read More »
No, I do not believe I am dying soon. However, I am approaching the point in my life and career where I am considering how I want to be remembered, what I have accomplished, and what type a person I am. Having interviewed numerous people in my life, I constantly seek to learn what makes them tick, what… Read More »
Recent discussions within the industry have placed blame on EHRs for repetitive or ineffectual notes. Some say the reason is the required documentation that must be completed in order to justify reimbursement. We also have seen the proliferation of information in the EHR that has very little impact on the reason for the visit. EHRs do not cause… Read More »
Recently, I have been reading publications regarding the “debate” over what type of patients should be seen by which licensed professional. Frequently this discussion revolves around the usage of Nurse Practitioners, or Physician Assistants versus Physicians. Well discussed arguments for both are abundant. Neither side of the conversation, however, truly has anything to do with the license one… Read More »
As we continue to focus on value-based care, where quality and costs are extremely important, there has been an increasing emphasis on practicing evidenced-based medicine. Researchers are now beginning to collect data and evidence not only on clinical matters, but also on issues such as whether patient-centered medical homes truly work or if technology definitely lowers costs. As… Read More »
Webster’s states, “a professional is characterized by or conforming to the technical or ethical standards of a profession.” And, Postema, Gerald J. (1980). “Moral responsibility in professional ethics.” (PDF). NYUL Rev. 55. Retrieved March 26, 2016 proclaims (they), “self-subjugate themselves to strict codes of conduct enshrining rigorous ethical and moral constraints that serve important aspects of public interest… Read More »