Practice Management News Archive

AHA Introduces Heart Failure Certification Program

Program for heart failure management and implementation of clinical practice guidelines.

Diabetes Diagnosis May Impact Health Behaviors of Family

Small changes in health behaviors seen for partners of those newly diagnosed with diabetes.

Embezzlement Not Uncommon in Medical Practices

Employees should undergo detailed background checks; practices should have zero-tolerance for theft.

Risk of CRC, Non-CRC Death Increases With Positive Fecal Hemoglobin Test

Positive guaiac fecal occult blood test result linked to increased risk of death from circulatory, respiratory, other diseases.

More Youths With Hypertension Using 2017 AAP Guidelines

Weighted net estimated increase of 795,000 US youths being reclassified as having hypertension.

2001 to 2015 Saw Decline in Self-Employment in Health Care

Gap in earnings between self-employed and employed health care professionals also decreased.

Authors Explore Overdiagnosis in Cancer Screening

Standardized definition, guidance on estimation may facilitate understanding of overdiagnosis.

PCPs Often Not Meeting Needs of Seniors With Chronic Conditions

Eight-six percent of PCPs feel unable to adequately address needs of patients with multiple chronic conditions

WHO Calls for Renewed Effort to Combat Chronic Disease

Commission makes 6 recommendations to meet 2030 goals for non-communicable diseases

AMA Adopts Policy to Cut Sugar Sweetened Drink Consumption

Policy supports evidence-based strategies such as excise taxes, adding warning labels

AMA Calls for Electronic Health Record Training

Association says medical students, residents should undergo training with evaluative feedback.

Ethics of Genealogy Data Use for Solving Crimes Discussed

Ethical discussion relates to issues of informed consent, privacy, and justice

AMA: Docs Declare Drug Shortages Public Health Emergency

AMA calls for greater manufacturer transparency in order to prepare for disasters, mitigate shortages.

Prenatal Pediatric Visit Recommended for Expectant Families

Visit provides unique opportunity to address relationship between family and pediatric practice.

New Guidelines Increase Melanoma Staging Reproducibility

Greater reproducibility and higher concordance for melanoma staging with implementation of AJCC 8

USPSTF Favors Osteoporosis Screening to Prevent Fracture

Screening with bone measurement recommended for women aged 65, younger women at risk

Presence of Nurse Practitioners Growing in Primary Care

Findings from 2008 to 2016 in both rural and nonrural practices.

Vertical Mergers Could Be Challenging for Primary Care

Vertical level mergers, which incorporate not just health care providers, but also insurers, retailers, and PBMs, could pose challenges in primary care.

AMA Vows to Improve Access for Physicians Seeking Mental Health Care

New policy recommends state licensing boards to only inquire about current conditions

High Costs for Diagnosis, Care of Nonalcoholic Fatty Liver Disease

Costs were significantly higher than total annual costs per matched control with similar comorbidities.

USPSTF Advises PCPs to Screen Adults for Unhealthy Alcohol Use

Screening, counseling advised for adults, including pregnant women; evidence lacking for teens

ACS Updates Colorectal Cancer Screening to Start at Age 45

Average-risk adults aged 45 should undergo high-sensitivity stool-based test, structural exam

Recommendations Developed for Improving Women's Health Care

Recommendations focus on policies to improve health outcomes, including training for clinicians

CDC: No Change in Level of Uninsured in US in 2017

Five percent of children uninsured in 2017, 41.3 and 55.0% had public and private coverage.

Nurses' Overtime Can Negatively Affect Collaborative Practice

Findings tied to both frequency of overtime and length of overtime hours in acute care setting

Whole Body CT Not Linked to Reduced Mortality in Blunt Trauma

No significant difference in mortality for those undergoing whole body CT vs selective CT approach

CDC reports lack of sleep in majority of school children

Nearly 75% of high school students are not getting enough sleep.

24-Hour clinics could provide sustainable primary care

Some believe clinics offering 24-hour primary care may facilitate the quality of patient care.

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.

Sign Up for Free e-newsletters