Practice Management

Nonoptimized Drug Therapy Costs More Than $500 Billion Annually

April 16, 2018

After initial Rx use, average cost of individual having treatment failure, new medical problem over 2,000

Does Immunity from Medical Malpractice Lead to Improved Patient Care?

By April 11, 2018

Results showed that the average post-SI incidence rate of harmful events at JMH was 13% lower (estimate=-0.1368, RR-0.8721, P=0.0109) compared to the 2 pre-SI years on record.

Suggestions Offered to Reduce Physician Frustration With EHRs

April 11, 2018

EHR users should ascertain where time is being wasted; most systems can show where physician time is being spent in the software. The EHR can be customized to workflow and specialty; customization improves physician satisfaction.

Variations Identified in Free-Text Directions in E-Prescriptions

April 04, 2018

Substantial variability was displayed in Sig strings, including in those that expressed apparently simple and straightforward concepts; 832 permutations of words and phrases used to convey the concept of "take one tablet by mouth once daily" were identified.

EHR Usability Contributes to Possible Patient Harm Events

March 28, 2018

Of the 557 reports, harm level analysis showed that the patient was reached and potentially required monitoring to preclude harm, potentially caused temporary harm, potentially caused permanent harm, and could have necessitated intervention to sustain life or could have resulted in death (84, 14, 1, and <1%, respectively).

Provider Self-Perception of Opioid Prescribing Often Inaccurate, Says Study

By March 27, 2018

Results showed that 65% of those in the intervention group underestimated their opioid prescribing.

Ethical Duties ID'd for Short-Term Global Health Experiences

March 27, 2018

The authors note that in short-term global health experiences, a physician's primary ethical obligation is to improve the health and well-being of individuals and communities; the physician's primary ethical obligation is to the welfare of individual patients, not their own interests.

Unique Risks Associated With Texting Medical Orders

March 23, 2018

Institute of Safe Medication Practices indicates risks such as abbreviations, autocorrection

National Task Force to Develop Blueprint on Combating Physician Burnout

March 21, 2018

"I'm hopeful that our blueprint team will offer avenues for organizations to actually do the work that's going to make the difference in the long run," Maples said in the article.

Hospital Recycling Found to Contain Personally Identifiable Health Information

March 21, 2018

Researchers found that 802 of items contained information that was considered low sensitivity, 843 medium sensitivity, and 1,042 high sensitivity. At all hospitals, PII and PHI were found in the recycling. The most items (1,449) were recovered at physicians' offices, and physicians' offices also had the highest proportion of PHI and PII recovered

AMA: PA Process Delays Care, Negatively Impacts Clinical Outcomes

March 20, 2018

According to the results of the survey, 64% of respondents reported waiting at least one business day for a PA decision from health plans, with 30% waiting at least three business days.

Drug Copayments Frequently Exceed Prescription Costs, Says Study

March 14, 2018

Researchers found that 22.94% of the 9.5 million claims involved overpayments. The rate was significantly higher for generic versus brand drugs (28.17 versus 5.95%). There was a mean overpayment of $7.69, with 17.15% exceeding $10.

Practice Doubles Physician Engagement Through Three-Pronged Approach

March 13, 2018

The final aspect of improving physician engagement relates to helping staff to cultivate an individual resilience approach. The approach uses scientific evidence for resilience by drawing on common practices from other cultures, such as meditation, cultivating gratitude, and engaging in activities beyond the self.

Uber Health Lets Doctors Book Rides for Patients so They Don't Miss Appointments

By March 02, 2018

Uber has launched a HIPAA compliant, ride-hailing system allowing doctor's offices and hospitals to book and schedule (up to 30 days in advance) rides for patients. Healthcare organizations are billed the cost directly on a monthly basis.

FDA: Compounded Drugs from Cantrell Drug Company Should Not Be Used

By March 02, 2018

The FDA has also sought legal action to prevent the company from further producing and distributing drugs.

Study Assesses Potential Harm of Missed Messages With E-Prescribing

By February 28, 2018

The researchers determined that over one-third (31.5%) of the comments had potential for significant harm if not communicated, while 2.8% had potential for severe harm. The most frequent comment categories were related to dose, route, or duration (38.0%), transmission of the prescription (19.3%), or details on filling the prescription (16.6%).

Blame-Free Environment Key for Rx Nonadherence Discovery, Improvement

February 27, 2018

Physicians and their teams need to develop a blame-free environment in order to discover nonadherence, and allow patients to feel comfortable sharing their true medication taking behavior.

Four Best Practices Identified to Help Prevent Healthcare Cyberattacks

February 14, 2018

Health care execs should ID potential inefficiencies in cybersecurity, ensure systems backed up

What Should Practices Prioritize to Meet Value-Based Care Requirements

February 13, 2018

Patient portals do not represent patient engagement, while value-based care requirements need direct and interactive exchange with patients. Finally, EHRs cannot support the complexity needed for fee-for-value workflows.

Majority of Patients Feel They Don't Have Enough Time With Physician

February 12, 2018

The researchers found that although 95% of patients are satisfied with their primary care physicians they expressed concerns and only 11% of patients reported having all the time they needed with their physician.

Physicians' Top Concerns Regarding IT Adoption Identified

February 05, 2018

According to the report, few papers talked about provider adoption, with only 57 studies out of more than 3,000 papers mentioning provider adoption. Key facilitators of digital health adoption include resources and training, access to accurate data

The Major Challenges Facing Pharmacists in 2018

January 31, 2018

Drug affordability, nonadherence, and pharmacist compensation are major challenges for the year

Pharmacist-Led Feedback, Education Effective for Reducing Rx Writing Errors

January 29, 2018

The researchers found that prescription writing errors were significantly reduced in the pharmacist education group (P<0.001).

Retirements, Layoffs Could Lead to Under-Staffing at Public Health Departments

January 24, 2018

At least 65,000 staff will leave their organizations during fiscal years 2016 to 2020, with up to 100,000 staff leaving (if all planned retirements occur by 2020).

ACA Implementation Decreased Mean Out-of-Pocket Spending by 11.9%

January 23, 2018

The researchers found that ACA implementation was correlated with an 11.9% decrease in mean out-of-pocket spending in the full sample and with decreases of 21.4, 18.5, and 12.8% in the lowest-, low-, and middle-income groups, respectively.

Benefits of 24-Hour Primary Care Clinics Highlighted in New Report

January 22, 2018

A 24-hour primary care clinic with multiple doctors offering round-the-clock care would actualize better and more sustainable care.

Discussing Sexual Orientation: Should All Patients Be Asked?

January 18, 2018

According to Ma, professionals should ask patients how they define their sexuality at every encounter; asking these questions will allow lesbian, gay, bisexual, and transgender (LGBT) patients to access better health care.

Can E-Mail Use Improve Patient-Provider Communication?

January 18, 2018

In addition, the overall satisfaction scores for providers who made their e-mail addresses available to patients were significantly higher than those who did not. Individual satisfaction domains did not differ significantly.

Combating Compassion Fatigue and Burnout: An Interview With Dike Drummond, MD

By January 12, 2018

The term "compassion fatigue" was originally coined by Joinson,1 a nurse researching burnout in the emergency department.

Study Reveals Why Women Leave Medicine More Often Than Men

January 05, 2018

More women are entering medical school but still there are more male doctors.