Practice Management News Archive
From 2007 to 2017, the number of physicians excluded from Medicare and state public insurance programs increased.
Usefulness of PROs varies based on how much doctors value, prioritize, and use them.
Odds of burnout up with report of poor/marginal time for documentation, time spent on EHR at home.
Improvement seen in patients' ability to manage disease, medical students' ability to educate them.
Reasons for nondisclosure include not wanting to be judged or lectured, being embarrassed.
Sex does not independently predict burnout, fatigue, overall quality of life after controlling for age.
DLQI-R allows more patients to achieve threshold for becoming candidates for biologic treatment.
Elderly, those living 10 miles from facility, those with lower SES less likely to receive pulmonary rehab.
Higher likelihood of readmission, developing abscess; more follow-up needed in year after admission.
Administration hopes to identify the systemic factors that contribute to this problem.
Intervention included educational deprescribing information to patients, physicians.
EHR usability issues contribute to 36% of med errors; 18.8% may have caused harm.
Efforts needed in implementing routine assessments of needs, facilitating personalized referrals.
A birth control coverage opt-out for employers was finalized by the Trump administration on Wednesday.
Gaps in quality, safety competencies between bachelor's, associate degree nursing grads increase.
Black women, women living in poverty, and those with higher levels of distrust are less likely to report barriers to timely screening mammography.
HHS study shows Medicare pays 80 percent more than other countries for certain prescription drugs
While primary care physicians overwhelmingly recommend pneumococcal vaccines, there is a gap in their knowledge of how to implement related vaccine recommendations.
Recommendations developed in realms of infrastructure, education, payment, research.
Risk of hospitalization up for Hispanic patients with lower scores on Ambulatory Care Experiences Survey.
Agreement between formalized triage assessment and simple clinical assessment was poor.
Recommendations include clinician education, use of gastric pH measurement, radiographs.
The job market for new nephrologists is continuing to improve, and most fellows would recommend nephrology to medical students or residents.
A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved, according to the US.Justice Department.
Bose Hearing Aid is user-fitted device for people 18 and older with mild-to-moderate hearing loss.
Documentation of advance directives more common in Northeast, among small adult day services centers.
Almost 43% of those presenting to NCI center for second opinion have change in diagnosis.
More than 700,000 Americans uninsured in 2017 vs 2016, despite broad economic improvement.
Parents should be reminded that their driving and behavior will shape the behavior of their teen drivers.
Even after return to pre-EMR efficiency, more time spent on documentation, less on patient interaction.
Staff social media accounts should be strictly personal, with no info about patients or employees.
New classification system intended to capture complexity of anatomy and physiology of ACHD.
Authors recommend professional interpreter when practical if patient has limited English proficiency.
Wide ranges of sleep quality and quantity with use of actigraphy among critically ill patients in ICU.
Diagnostic error is the most common cause of medical errors that patients report.
Inadequate regulation of carbon pollution will likely have current, future consequences for human health.
Scribes lower EHR documentation burden for doctors and increase time spent interacting with patients.
Guidance focuses on Americans posted in overseas settings with high ambient levels of air pollution.
Is the gender wage gap among NPs and PAs shrinking? We analyzed the results of the past 5 salary surveys to find out.
Training includes protocols for the actual incident and self-awareness and care afterwards.
Include enhancing recognition of potential errors, increasing teamwork, patient-centeredness.
Decreases in states imposing annual service limits, requiring preauthorization for services.
One-time nurse-led call does not lower reutilization of urgent care services after pediatric discharge.
All determinants also associated with bone mineral density, which showed causal effect on fracture.
But physician adoption of virtual care technologies is low; few plan to add video visit capability.
Strong link for social complexity with primary care indicators for prevention, chronic disease management.
Issues raised at AMA discussion include knowledge gaps for transgender women, screening guidelines.
Odds of choosing screening up for men with family history, African descent, low socioeconomic status.
Patient with ALS describes assisted death as last element of control, while losing control over his body.
Serving patients' specific needs, such as referral to socioeconomic support, can improve care.
Pharmacist roles include helping with insulin treatment, virtual consults, diabetes management.
Mindfulness-based stress reduction integrated into personal, professional settings over 12 months.
Variation in skilled nursing facility, hospital care up in Medicare Advantage vs traditional Medicare.
Average change in median compensation 1.2% in 2017 for all medical specialties.
Increase in mortality when carbohydrates were exchanged for animal-derived fat or protein.
Staff can learn from negative reviews by acknowledging patterns and seeking solutions.
And, 30-day functional outcomes similar with supraglottic airway device or tracheal intubation.
No significant reduction in percentage of patients prescribed opioids after general surgery.
Diagnosing, but leaving these polyps can save time and, likely, costs.
Fills for insulin and newer medications increased by 40 and 39%, respectively.
Few differences between rural, urban patients in cancer outcomes with uniform access to cancer care.
Cytology recommended every 3 years from age 21; different screening options from age 30 to 65.
Due to limited evidence, other experts urge caution in implementing guideline for women.
Appeals center on relevance of consent, known risks and complications presented at trial.
Physicians can stress the factors in a patient's control and change messaging about the condition.
In survey of independent practices in NYC, higher adaptive reserve linked to lower odds of burnout.
Early vs late DNR tied to shorter median length of stay in hospitalized adults aged 65 years and older.
Presence of discrimination, the silent witness, effectiveness of leadership can help assess inclusion.
Short intervention associated with more sunscreen use, improved patient satisfaction.
Physicians weigh in on the need to develop a screening strategy.
Most have potential surrogates for decision making but have not discussed or documented ACP wishes.
Underinsured and never insured adults more likely to report poor/fair health.
AMA House of Delegates has adopted policy to study, act for, advocate gender equity in medicine.
US Preventive Services Task Force says benefit unclear in asymptomatic, older patients.
Findings suggest need for reimbursement to have severity adjustment, especially in underserved areas.
Program for heart failure management and implementation of clinical practice guidelines.
Numerous cases of vaginal burns or scarring have been linked to the procedures.
Small changes in health behaviors seen for partners of those newly diagnosed with diabetes.
Employees should undergo detailed background checks; practices should have zero-tolerance for theft.
Positive guaiac fecal occult blood test result linked to increased risk of death from circulatory, respiratory, other diseases.
Weighted net estimated increase of 795,000 US youths being reclassified as having hypertension.
Gap in earnings between self-employed and employed health care professionals also decreased.
Standardized definition, guidance on estimation may facilitate understanding of overdiagnosis.
Eight-six percent of PCPs feel unable to adequately address needs of patients with multiple chronic conditions
Commission makes 6 recommendations to meet 2030 goals for non-communicable diseases
Policy supports evidence-based strategies such as excise taxes, adding warning labels
Association says medical students, residents should undergo training with evaluative feedback.
Ethical discussion relates to issues of informed consent, privacy, and justice
AMA calls for greater manufacturer transparency in order to prepare for disasters, mitigate shortages.
Visit provides unique opportunity to address relationship between family and pediatric practice.
Greater reproducibility and higher concordance for melanoma staging with implementation of AJCC 8
Screening with bone measurement recommended for women aged 65, younger women at risk
Findings from 2008 to 2016 in both rural and nonrural practices.
Vertical level mergers, which incorporate not just health care providers, but also insurers, retailers, and PBMs, could pose challenges in primary care.
New policy recommends state licensing boards to only inquire about current conditions
Costs were significantly higher than total annual costs per matched control with similar comorbidities.
Screening, counseling advised for adults, including pregnant women; evidence lacking for teens
Average-risk adults aged 45 should undergo high-sensitivity stool-based test, structural exam
Recommendations focus on policies to improve health outcomes, including training for clinicians
Five percent of children uninsured in 2017, 41.3 and 55.0% had public and private coverage.