HealthLeaders Media PhysicianLeaders - April 22, 2010 | Something Lost, Something Gained in Primary Care View as a Webpage | Subscribe for Free
Something Lost, Something Gained in Primary Care
Joe Cantlupe, Senior Editor

Across the country, the discussion continues about the primary care physician shortage, and the hardship of doctors trying to keep it all together in a small practice. The primary care physician is seen as a collective aging body. But for Parkview Health, a not-for-profit community-based health system in Indiana, primary care is the focus of its growing practice. [Read More]
  April 22, 2010

Editor's Picks
Seven Health, Political Leaders Respond to Berwick's leading CMS
Now the political battle begins. President Obama formally announced Monday his nominee for administrator of the Centers for Medicare and Medicaid Services, fulfilling widespread expectations that he would tap Donald Berwick, a Harvard University professor and leading advocate for improving healthcare quality and efficiency. If confirmed by the Senate, Berwick will play a pivotal—and challenging—role in implementing the recently enacted healthcare overhaul legislation. Berwick, who specializes in healthcare policy and pediatrics, has never led such a large organization. As head of the Boston-based Institute for Healthcare Improvement, however, he is known for persuading doctors and hospitals to adopt innovative methods for reducing medical errors. Here, HealthLeaders Media reports the views of political and health leaders on Berwick's nomination. [Read More]
Should Doctors Explain Their Board Certification to Patients?
Jack Bruner, MD, former member of the California Medical Board and a board certified plastic surgeon in Sacramento, CA, insists doctors should inform their patients whether they are board certified, and some California lawmakers agree. Bruner says there is "massive consumer confusion as to the qualifications of practitioners, and patients are being hurt because of it." Some California lawmakers think he has a point and are considering legislation that would mandate the practice statewide for any physician, osteopath, or podiatrist. If board certified, he or she would have to say so. If not, they might have to say that too. [Read More]
Rightsizing Your Physician Practice's Staff
How many staff members do you need to maximize productivity and quality while containing costs? The bible of practice staffing ratios, Rightsizing: Appropriate Staffing for Your Medical Practice by Deborah L. Walker and David Gans, notes that understaffing can negatively impact employee recruiting and retention, disrupt physician productivity, hinder patient service, and place patients and business operations at risk. On the flip side, Walker and Gans note that overstaffing can lead to poor staff interactions with physicians, a decrease in productivity, and a decrease in the bottom line. [Read More]
Avoid Lawsuits by Allowing Whistleblowers to Voice Concerns Internally
No CEO wants to see his hospital's name splashed across newspaper headlines because of a high-profile court case. One of the ways to avoid court cases is to allow employees to voice their concerns through a regulated, internal process designed to protect both the hospital and whistleblower. Strengthening internal whistleblower policies is a good way for hospitals to identify and correct mistakes, and to retain valuable employees who see areas for improvement in the current processes. In fact, some hospitals expect their employees to blow the whistle. [Read More]
Time to Tell Your Leadership Team's Story
The deadline is approaching to enter the seventh annual Top Leadership Teams in Healthcare Awards—a program that celebrates stories of great healthcare leadership in hospitals, health plans, and medical group practices. There are five categories: large hospitals and health systems (500 or more licensed beds); community and mid-sized hospitals (100 to 499 licensed beds); small hospitals (fewer than 100 licensed beds); health plans (state, regional, and national); and medical group practices (physician-owned, single- or multi-specialty groups employing 25 or more physicians). Winners will be announced nationally and profiled in an issue of HealthLeaders magazine. [Learn More]
Business Rx
MGMA Survey: In-house Recruiters Need Six Months to Recruit Primary Care Docs
In-house physician recruiters need 180 days to fill positions for internal medicine or family practice physicians, according to the Medical Group Management Association's new In-House Recruitment Benchmarking Survey: 2010 Report Based on 2008 Data. [Read More]
Physician News
CMS Proposes Cutting Inpatient Payments by 0.1%
Janice Simmons, for HealthLeaders Media - April 20, 2010
Legislation Expands Scope of EHR Meaningful Use Eligibility
Andrea Kraynak, for HealthLeaders Media - April 21, 2010
Physicians Claim Doc Rating System is Misleading Patients
Cheryl Clark, for HealthLeaders Media - April 20, 2010
OCR Will Post Names of Private Practices That Violate HIPAA
Dom Nicastro, for HealthLeaders Media - April 16, 2010
Large Patient Information Breaches Skyrocket
Dom Nicastro, for HealthLeaders Media - April 16, 2010
When heart devices fail, who should be blamed?
New York Times - April 21, 2010
Malpractice lawsuits decline in Pennsylvania
Philadelphia Inquirer - April 21, 2010
Doctors pursue House, Senate seats
USA Today - April 19, 2010

Audio Conferences/Webcasts
April 22: Neuroscience Service Lines Strategies
May 13: Integrated Compensation Plans to Enhance Physician Performance
May 19: Five Proven Steps to Improve Patient Satisfaction Scores
June 2: Seamless Systems of Care: Better Alignment, Coordination, and Outcomes

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From HealthLeaders Magazine
Split Decisions
HealthLeaders April 2010
While reforms aim to encourage coordination, linking the care continuum will happen at the service line level. But first providers will have to change their relationships, and how they think about care delivery. [Read More]
Service Line Management
On the Spectrum
The lack of care coordination for those with autism is costly for patients and providers alike. [Read More]
PhysicianLeaders Forum

Legislation Requires Development of Technology Standards and Protocols: New health reform legislation requires the U.S. Department of Health & Human Services to develop interoperable and secure standards and protocols to facilitate the enrollment of individuals in federal and state health and human services programs. The new standards and protocols may affect how healthcare providers conduct health plan eligibility verification transactions standardized under HIPAA, as well as how providers comply with the Medicare and Medicaid electronic health record incentive programs' "meaningful use" objectives and measures pertaining to use of an EHR for electronic insurance eligibility verification. [Read More]
Audio Feature

Boost Patient Satisfaction Via Patient Flow: Are long wait times in the ER hurting the patient experience at your organization? Denice Soyring Higman, RN, president and founder of Soyring Consulting in St. Petersburg, FL, discusses how hospitals can dramatically boost patient satisfaction scores with simple patient flow changes and by using clinical data to improve efficiency and productivity in the ER. [Listen Now]
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