Practice Management News Archive

Practice patterns differ in university vs nonuniversity-based residency surgeons

Nonuniversity-based residency-trained surgeons and university-based residency-trained surgeons have distinct practice patterns.

Some stresses lead female physicians to leave medicine

Practicing after childbirth, wage gaps, and additional work from home are some of the factors that cause burnout in female physicians.

Hot tea consumption may reduce the risk of glaucoma

Individuals who consume hot tea daily may have a lower risk of developing glaucoma.

Characteristics in transgender individuals may lead to more HIV tests

More tests might be administered to transgender individuals who are female, black, or sex workers.

Americans consume less than recommended fruits, vegetables

Lowest US consumption rates for fruits in vegetables found in males, young adults, and impoverished adults.

US surgical residents have high stress, burnout levels

US Surgical residents have severe stress and high burnout levels during general training.

Law upheld requiring HIV-infected adults to tell sexual partners of their status

The Ohio Supreme Court has unanimously upheld the constitutionality of a law requiring HIV-infected individuals to tell their sexual partners of their illness.

FDA: Some liquid pharmaceuticals recalled due to possible bacterial contamination

The FDA has announced a recall of liquid pharmaceutical products because of possible bacterial contamination that could cause severe infections.

AMA calls for transparency in drug pricing

The American Medical Association adopted new policies on drug pricing to protect patients.

Strategies to help physicians plan for retirement

Crafting a debt management plan that includes loan repayment with building retirement savings is crucial for doctors starting their career path.

Guidelines proposed on substance abuse in nurses

Health care facilities should provide education to nurses and other employees relating to alcohol and drug use, and promote safe, supportive drug-free workplaces.

Patients report satisfaction with telehealth primary care visits

All patients reported overall satisfaction with video visits and most reported being interested in continuing use of video visits as an alternative to in-person visits.

AAFP proposes primary care-based payment model

The American Academy of Family Physicians has submitted a detailed plan in response to a request for proposals from the Physician-Focused Payment Model Technical Advisory Committee.

Pharmacy chains continue to develop primary care venues

Retail medical sites like CVS and Walmart have established primary care clinics, which are staffed by nurse practitioners and physician assistants.

Second opinion results in a different diagnosis for 1 in 5 patients

The data showed that 21% of cases received final diagnoses that were distinctly different than referral diagnoses.

Nurse practitioners could meet the need for house calls to elderly

Nurse practitioners made more than 1.3 million home visits nationwide in 2013.

ACA increased coverage and access for patients with chronic illness

Researchers found that nearly 1 in 7 of those with a chronic disease still lack coverage.

Clinician burnout negatively affects health care quality and safety

Healthcare provider burnout was negatively linked to quality and safety of health care.

Primary care clinician volume tied to quality of diabetes care

Higher ambulatory volume was linked to lower quality of care and quality increased with higher diabetes-specific volume.

Tips for addressing negative reviews in patient care

Doctor's responses should demonstrate willingness to take action to address the complaint.

NCCPA survey results show PA certification continues to increase

The biggest challenges for recently certified PAs are the lack of clinical PA opportunities for recent graduates and the lack of clinical PA opportunities in a geographic area.

National PA Week 2016 honors the profession's growing influence

The AAPA celebrates National PA Week from October 6-12, 2016.

Is a primary care panel size of 2500 patients reasonable?

Panel size has been equated with the level of care that patients receive.

Prescribing generics over brand-name drugs could save billions of dollars

Over a 2-year period, the researchers estimated that the United States could have saved $73 billion by prescribing generic equivalents.

E-consultations between PCPs, specialists can increase care access

Electronic consultation between PCPs and specialists can resolve cases faster than if a patient followed up with a specialist themselves.

Supportive-care visits while hospitalized linked to fewer adverse outcomes

Visited patients were also more likely to access community health services.

USPSTF recommends screening all adults for depression

The USPSTF has updated its 2009 depression screening guidelines, now recommending that all adults be screened for depression.

House calls from PAs reduce hospital readmissions after cardiac surgery

After adult cardiac surgery, patients are less likely to be readmitted to the hospital if they receive house calls from PAs.

More life-threatening scope-related infections than previously thought

A US Senate Committee report shows higher numbers of life-threatening duodenoscpe infections between 2012 and 2015.

Primary care providers often yield to patient requests for unnecessary referrals

More than half of primary care providers report making unnecessary referrals to specialists, and more than a third prescribe brand-name drugs when asked by patients.

Patients with RA display lower disease activity at NP, PA-staffed practices

Patients with rheumatoid arthritis who are treated at practices with NPs and PAs exhibited lower disease activity over 2 years.

Affordable Care Act improves access to care and affordability for adults

Despite progress, gaps still exist in access to care and affordability for low-income adults.

Pay-for-performance measures beneficial for patients in primary care

Pay-for-performance (P4P) measures have had a measured positive effect on both clinician behavior and patient outcomes.

Increased clinician computer use decreases patient satisfaction

When clinicians have high computer use, patient satisfaction drops and there are observable differences in how they communicate.

American College of Physicians recommends prescribing generic medications

Clinicians should prescribe generic medications over brand-name drugs when they can because the generics are less expensive and molecularly identical.

States attempting to improve recent Medicaid expansion coverage

Over the next few years, more states will work to make the recent Medicaid expansion work for clinicians.

As the NP profession continues to grow, legal barriers to full practice authority remain

Throughout the United States, nurse practitioners are still prevented from exercising their full practice authority - leading to increased frustration as the primary care shortage grows.

50 years of the nurse practitioner profession

As the NP profession celebrates 50 years, take a look back at where the profession started and how far it has come.

Off-label prescription use leads to high rates of adverse events, serious side effects

Research shows that off-label drug uses puts patients at high risk for potentially serious side effects.

AMA identifies eight factors associated with medication nonadherence

Roughly one-quarter of new prescriptions are never filled, says the American Medical Association, and most medication nonadherence is intentional.

Quality of cardiovascular care from NPs, PAs similar to that from physicians

Nurse practitioners and physician assistants deliver similar-quality outpatient cardiovascular care compared with physicians.

National PA Week 2015 celebrates the profession's increasing demand

Demand for physician assistants is on the rise, and the average salary for PAs has also increased.

Modern health care providers advised to embrace humanism

Focusing on humanistic qualities like empathy, altruism, and compassion can improve outcomes in health care.

Most Americans will be misdiagnosed at least once

A panel at the Institute of Medicine urges communication between clinicians and patients to help reduce diagnostic errors.

Accountable care organizations can reduce low-value service use

During its first year, the Pioneer accountable care organization reduced the use of low-value services.

Responses to changes in healthcare technology are mixed

Primary care providers are generally positive on how healthcare technology affects quality of care, negative on how it affects performance assessment.

Clinician access on the decline for pharmaceutical reps

A new survey indicates that pharmaceutical representatives have restricted access to over half of clinicians.

Court ruling eases insurers' ability to terminate clinicians from their network

Court supports insurance company in termination of clinicians after dispute regarding necessity of services.

Experts call for public health initiatives, not personalized medicine

To improve public health in the United States, initiatives need to focus on addressing health inequalities and social factors.

Clinicians' helpfulness can improve weight loss

Obese patients who rated their clinicians as very helpful lost more weight than those who gave them low ratings.

Patient, family advisors can improve patient-centered care

Patient and family advisors can help ensure that practice focus on what each patient needs.

AMA releases module to improve clinician resilience

The AMA recommends strategies such as keeping a gratitude journal to help clinicians stave off stress.

Clinician dissatisfaction with electronic health records increasing

More clinicians report being dissatisfied or very dissatisfied with electronic health records.

Delphi methods can improve gastroenterology, liver workups

Delphi methodology can optimize gastroenterology and hepatology workups.

Optimize primary care visits through delegation

Delegating various tasks to other team members can help increase primary care productivity.

Continuity of care improves survival after major surgery

After major surgery, returning to the same hospital for any complications increases survival.

Affordable health insurance, better health reported from ACA

More Americans have reported access to affordable health insurance and feel they are in better health since the ACA.

Health insurance should cover primary care inpatient consultations, says AAFP

Health insurance companies should considering paying PCP for inpatient consulting services.

Physician assistants in Ohio benefit from new bill

Physician-assistant-to-physician ratio in Ohio projected to increase to better meet patient needs due to passage of Senate Bill 110.

Primary care physicians can help bridge hospital transition gaps

Care coordination can help hospital patients transition from inpatient to outpatient-only care.

Medicare, Medicaid may pay for end-of-life counseling

A proposal from the CMS may make end-of-life counseling sessions covered under insurance.

Heart attack, stroke warnings updated for NSAIDs

The FDA will require manufacturers to include updated warnings on prescription and OTC NSAIDs.

Most health care professionals have worked while sick

A majority of health care professionals admitted to working while they were sick.

Asthma treatment less likely to work as patients age

Patients aged 30 years are older are more likely to experience unsuccessful asthma treatment.

Cancer screening rates are short of goal

The CDC reports that screening rates for colorectal, breast, and cervical cancer have dropped in recent years.

Fewer adverse outcomes when pharmacists manage warfarin therapy

Patients whose warfarin therapy was managed by pharmacists had reduced adverse outcomes compared with usual care.

Affordable Care Act subsidies upheld by Supreme Court

On Thursday, the Supreme Court voted to uphold tax subsidies for Americans enrolled in the Affordable Care Act.

Glycemic control improves with more electronic clinician notes

Clinicians who take more electronic notes on lifestyle counseling help their diabetic patients achieve lower HbA1c.

Empowering nurse practitioners will help Veterans Health Administration

The Frontlines for Lifelines Act, S 297, would allow more than 4,000 nurse practitioners practicing in Veteran Affairs facilities full-practice authority.

Larger practices use similar selection of EHR systems

Sixty percent of responses from clinicians in large practices were from users of 10 EHR products.

Primary care prostate cancer screening practices have changed

Primary care screening patterns have changed as a result of the USPSTF recommendation.

Maryland passes nurse practitioner full-practice authority law

Governor Hogan signed the bill (HB 999/SB 723) into law on May 12, making Maryland the 21st full-practice authority state in the United States.

Pre-ACA, how much were uninsured patients paying for primary care visits?

Prices were significantly lower at family practice offices versus internists, in offices participating in Medicare managed care plans, and in federally qualified health centers.

How has the Affordable Care Act impacted insurance enrollment rates?

But many Americans still can't afford medical care

Unsupervised home births rise in popularity

Guidelines from the American College of Obstetricians and Gynecologists (ACOG) state that hospital and birthing center births are safer.

What providers need to know about the Apple Watch

Some companies and organizations see the potential of the Apple Watch as a useful device for clinicians in communication with patients and colleagues, plus quick access to patient records.

Experimental microneedle patch may be game changer for vaccine delivery

A recently completed study on the patch found that it produced a strong immune response to the measles virus in rhesus macaques with no adverse effects or health issues.

Providers not always happy with increased electronic health records functionalities

Less than 40% of providers reported being satisfied with their electronic health record system switch.

Sam's Club savings program now offers low-cost Alzheimer, diabetes medications

More than 200 generic medications are available for $4 and more than 400 generic prescriptions are available for $10.

Proper screening of at-risk alcohol users is lacking

Only a minority of primary care providers appropriately screen or intervene with at-risk alcohol users.

Multi-step intervention improves hand hygiene compliance

At both the completion of the project and three months afterward, hand hygiene compliance rates improved.

PCP shortage expected by 2035

An additional 1,700 primary-care residency slots will be necessary by 2035 based on current production.

Reminders improve quality-assurance testing in health care

Postal, computer reminders equally increase adherence to quality-assurance program.

New FDA app offers drug shortage alerts

App notifies health care providers of new and resolved shortages, product discontinuation, and can be used to report shortages.

Rx drug monitoring programs underused in primary care

Barriers to use include time-consuming nature of information retrieval, lack of intuitive format for data.

Nurse phone follow-up decreases post-surgery complications

Educational intervention improves patient outcomes after discharge from hospital.

SCOTUS ruling benefits nurse practitioners

The Supreme Court ruling will help reduce restrictions to advance practice medical provider practice.

Primary care visits expected to rise less than 5% post-Affordable Care Act

Estimates suggests that primary-care providers can expect about 70 additional visits a year per year, or slightly more than one visit a week.

Patients, providers deeply divided over Affordable Care Act

While the new Republican majority in Congress has vowed to repeal or rework the law, President Barack Obama has said he would veto any such efforts.

NIH issues small business grant to encourage hepatitis research

Projects funded by the grant will aid public health efforts to reduce the burden of viral hepatitis in the United States.

Headache counseling needed

Patients with headaches should be counseled about making lifestyle changes before being referred to specialists.

Prescription costs forcing some patients to skimp on treatment

Although patients skimped on prescription drugs because of financial concerns at every age, patients aged 64 years or younger were more likely to do so.

More oversight needed for compounded drugs, says OIG

The report suggests CMS consider requiring more than 50 practices for accreditors to use to oversee compounded sterile preparations (CSPs).

Updates to U.S. childhood, adolescent vaccine schedule released

Changes in the 2015 childhood and adolescent immunization schedule include column changes to reflect the availability of influenza vaccines.

Nurse practitioners, physician assistants linked to higher ICU survival rates

Intensive care unit teams with nurse practitioners and physician assistants saw higher survival rates compared with teams made up of only residents.

Virtual clinics improve chronic obstructive pulmonary disease care quality

A local hospital in the United Kingdom saw a decrease in inappropriate inhaled corticosteroid use and an increase in smoking cessation and exercise.

Working in pairs may reduce diagnostic errors

Fourth-year medical students who worked in pairs ordered more accurate tests compared with students who worked independently.

Patients may be mixing medications with alcohol

Nearly 42% of patients considered current drinkers reported taking a medication that can interact with alcohol.

OB/GYN leadership lacks gender diversity

Representation of women was closer to parity among residency program directors, in which women held just under half of positions.

Full practice nurse practitioners linked to improved health outcomes

Despite a predicted shortage of primary-care providers, some states do not allow nurse practitioners to practice to the full extent of their training.

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