Two separate cases are underway, in Texas and Florida, through which AAEM hopes to challenge the contract management giant.
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Dear Jeannette,
I’m a third year resident who was recently ending a difficult busy shift and was stuck trying to admit my final patient - an elderly male with diverticulitis. I was caught in a stalemate between the surgical and medical team and after four calls felt like I was hitting my head against a wall. As I turned around to ask my attending for help he snapped at me because the booking wasn’t complete. I could feel my eyes well up and made a quick escape to the bathroom where I sobbed for a few minutes, and then berated myself for a few more. I’m a good physician but worry that crying at work may negatively affect my reputation.
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continued from issue of June 07
Did the expert witness acurately represent what a reasonable emergency physician should know about ankylosing spondylitis? Was the emergency physician’s management of the patient appropriate? Your verdict plus a final analysis.
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The patient was having an MI, complicated by intermittent runs of ventricular tachycardia. Despite his serious condition, the good-natured patient, sensing the unspoken anxiety of the emergency physician, masked his fear by gently joking with the providers. As the nursing staff began initiating the ACS protocol, the EP stepped out of the room to call the cardiologist to activate the cath team. He returned only a few minutes later to find the resident and the nurses arguing in front of the now worried patient.
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After years of debate, pay for performance is making its way into the books, courtesy of CMS. The question remains: how will it affect your practice?
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Gentlemen…Start Your Calculators!
I remember the first time I discussed compensation with an emergency physician, it was back in the mid 80’s. We were discussing a northwest contract and he was at the competing hospital in town. He asked, “What is the pay?”
I confidently recited, “It is incentive-based compensation and you receive 36 percent of your gross charges.” Before I could finish, he started laughing.
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