Rolling in like a Trojan horse, CMS is proclaiming that its new ramped
up benchmarking efforts are primarily motivated by efforts to improve
quality. In reality, they are really focused on cost-reduction.
As part of EPM’s commitment to encouraging emergency physicians to
become more effective advocates for our patients and our specialty,
we’ll be running a series of interviews with the emergency physicians
who will be candidates for congressional office in 2012.
Senator John Barrasso was “Doctor” Barrasso, an orthopedic surgeon from
Casper, Wyoming, long before he came to Washington. So, after the
passage of broadsweeping healthcare reform, it came very naturally for
him to offer a physician’s perspective on the floor of the Senate. Since
then, he’s given these “second opinions” about the unintended
consequences of healthcare reform nearly every week.
MedGadget.com presents the top 10 smartphone applications that can save a
patient’s life … before they get to the emergency department.
A physician recently emailed me with a question (paraphrasing): “Our lab
recently switched over to using the new highly sensitive troponins’ and
we’re confused. What do we do with a positive troponin?”
Next November, when Americans enter the polling booths, there
will be five emergency physicians who are either seeking re-election or
running for a seat in the US House of Representatives.
What makes a successful consult call? New research has resulted in “The 5
Cs”: Contact, communicate, core question, collaborate and close the
Knowing the actual probability that a patient will have a bad outcome
can help you communicate risk to a patient or family, and allow them to
share in the decision-making process.
When asked about the future of the Patient Protection and Affordable Care Act and the possibility of its repeal, Dr. Steven Stack responded, “The law is a game changer, and we needed a game changer. Instead of repeal, repeal, repeal, we should be looking at how to fix the things that are clearly wrong in it and go forward.”
I often get asked to give presentations on what I think are the most
important articles of the year. Clearly, one’s perspective regarding
what is important varies from individual to individual, however, I tend
to gravitate to articles that look at systems issues and those that I
think can have a major impact on how we practice clinically.