Practice Management

Pediatric palliative care outcome measures often miss quality of life

December 07, 2018

A systematic review of outcome measures found that only a minority addressed quality of life and patient (child) reported outcomes, and many did not measure psychometric properties.

Walgreens Now Offers Next-Day Rx Delivery Service With FedEx

By December 06, 2018

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.

HHS Issues Draft Strategy for Reducing Health IT Burden

December 05, 2018

Health care providers, practice managers, and hospitals have reported challenges with EHR system designs; in addition, regulatory and administrative burdens associated with EHR use have been experienced during care delivery, required reporting activities, and documentation of claims for payment.

Shifting Pattern Seen for Primary Care Office Visits

December 03, 2018

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

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

November 15, 2018

"While we have been working hard to reduce burnout and increase access to mental health services for physicians and medical students, it is imperative that we also work toward fully understanding the problem," said AMA Board Member, Ryan Ribeira MD.

Pace of Change Has Accelerated in Alternative Payment Models

October 25, 2018

In a follow-up to a 2014 study that examined the effects of APMs on physician practices, Mark W. Friedberg, MD, MPP, from the RAND Corp., and colleagues used qualitative data from surveys of physicians and other staff in 31 practices in 6 markets.

Medical Scribes Improve Physician Workflow, Patient Interaction

September 20, 2018

Scribes lower EHR documentation burden for doctors and increase time spent interacting with patients

Burnout and career regret prevalent among US resident trainees

September 19, 2018

In this prospective cohort study, trainees in specialties such as urology, neurology, emergency medicine, and general surgery were all associated with a higher relative risks of reported burnout symptoms during residency.

Incorporating Guidelines Into Clinical Practice: An Interview With Gary L. LeRoy, MD

By September 18, 2018

Despite their advantages, many clinicians do not necessarily agree with the centrality or content of CPGs. Others — especially primary care physicians (PCPs) — are overwhelmed by the vast and ever-increasing numbers of guidelines issued by multiple societies.

Physician Burnout Rates Vary by Medical Specialty

September 11, 2018

Nearly half of those in critical care, neurology, family medicine, ob-gyn, internal medicine report burnout

Many Opportunities for Doctors Using Twitter

September 11, 2018

"It's something where you have to think about when in your day you're going to do it, but the nice thing is that you can do it from anywhere," Abigail Tripp Berman, MD, assistant professor of Radiation Oncology said in a statement.

Docs, Consumers Agree on Benefits of Virtual Care

September 10, 2018

While only 23% of consumers have had video visits, 57% of nonusers are willing to try them in the future. In contrast, only 14% of physicians have video visit capability today and 18% plan to add this capability within the next 2 years.

Physician burn-out linked to patient safety incidents, low patient satisfaction

September 08, 2018

In this meta-analysis of available studies, physician burnout was linked to an increased risk of patient safety incidents, professionalism issues, and reduced patient satisfaction.

Medical Practices Should Address Negative Online Reviews

September 04, 2018

Staff can learn from negative reviews by acknowledging patterns and seeking solutions

National Provider Identifiers Are Vulnerable to Theft

August 22, 2018

Providers can monitor claims and reimbursements to verify that billed services match actual income and that reimbursements are not being diverted elsewhere.

Strategy Outlined for Shooter Incident in Health Care Facility

August 22, 2018

The run, hide and fight response is not necessarily appropriate for health care facilities that house vulnerable patients and professionals who are not necessarily able to run, hide, and fight within the hospital setting, and have a moral and ethical duty not to abandon their patients.

Pennsylvania Case Could Affect Evidence for Malpractice Defense

August 21, 2018

The appeals to the case, Mitchell v. Shikora et al., center on the question of whether evidence concerning the known risks and complications of a surgical procedure is relevant to the question of negligence.

Physicians Rate Communication During Visit Lower Than Patients

August 21, 2018

From 55 appointments, the mean of rater scores was 57.3. A near-zero correlation coefficient was seen between physician- and patient-reported communication scores (0.009; P=.854) and between physician- and trained rater-reported communication scores (−0.006; P=.69).

Patient Portals Do Not Appear to Have Much Traction

August 17, 2018

Patients not accessing them, physicians not using full range of features

Steps Provided for Discharging Patient From Practice

August 16, 2018

A letter must be sent to the patient to advise them of their discharge; at least 30 days' notice should be provided. During the notice period, the practice should continue to offer emergency care and necessary treatment and to fill prescriptions.

AMA Adopts Policy on Augmented Intelligence

August 14, 2018

Will promote development of high-quality AI that is transparent, aims to address bias, safeguards privacy

AMA Adopts Policy to Advance Gender Equity in Medicine

August 10, 2018

In order to reduce gender bias, the AMA was directed to recommend elimination of the question of prior salary information from job applications, create an awareness campaign to inform physicians of their rights, and establish educational programs to empower all genders to negotiate for equitable compensation.

Cyber Insurance Recommended for All Physician Practices

August 09, 2018

Practices that don't have specific cyber insurance often have some limited coverage through their malpractice or general business policies.

Assessing, Improving Patient Satisfaction Cuts Malpractice Risk

July 27, 2018

Patient satisfaction can be improved by reducing long wait times, improving communication

Physicians and Practices Should Prepare for Emergencies

July 25, 2018

Helpful strategies include developing a plan, knowing who will implement the plan, and staying flexible

Should You Record Your Patient Encounters? An Interview With Dr James Ryan

By July 24, 2018

Patients are increasingly recording physician visits on their phones, should physicians do the same. MPR spoke with physician who advocates for recording in clinical practice.

Physician Burnout Tied to Higher Risk of Medical Errors

July 17, 2018

Physicians reporting errors were more likely to also report burnout, fatigue, recent suicidal ideation

Virtual Assistants Not HIPAA Compliant

July 16, 2018

Lawyer recommends physicians should not bring Siri and Alexa to the office

Error Rate 7.4% in Speech Recognition-Assisted Notes

July 10, 2018

Overall, 15.8, 26.9, and 25.9% of errors at the SR, MT, and SN stages, respectively, involved clinical information, while 5.7, 8.9, and 6.4%, respectively, were clinically significant.

PCPs Often Not Meeting Needs of Seniors With Chronic Conditions

July 09, 2018

86 percent of PCPs feel unable to adequately address needs of patients with multiple chronic conditions