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Practice Management
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When Surgery Requires a Physician Assistant

In collaboration with 15 specialty surgical organizations, the American College of Surgeons (ACS) has published and released its seventh edition of Physicians as Assistants at Surgery. The report is meant to provide guidance to CMS and third-party payors on how often an operation might require the use of a physician as an assistant.…

ACS 2014: Checklists for Surgical Patient Handoffs

The Particulars: Previous research has found that implementing a shift change protocol called PACT—which stands for Priority, Admissions, Changes, and Task Review—enables surgical residents to complete more tasks and learn more about patients on morning rounds. Use of a checklist may enhance the PACT protocol.…

ACEP 14: Triage-Leveling & ED Crowding

The Particulars: Triage classification systems commonly assign five levels to patients. In these systems, level 1 and 2 patients are often given priority for ED bed assignment and level 4 and 5 patients are seen in designated locations. The throughput and utilization characteristics of level 3 patients remain unclear in comparison to patients with other triage levels.…

ACEP 14: Outcomes With High-Risk Care Plans

The Particulars: High-risk care plans are increasingly being used to assist in the management of patients who are big users of ED resources. However, little is known about the outcomes obtained with these plans in a real-world setting.

Data Breakdown: In a study, researchers analyzed data on high utilizers of ED services who had been seen for 6 months prior to and 6 months after the implementation of a high-risk care plan.…

The Impact of Test Fee Knowledge

Hospital patients and providers are often unaware of the fees that come with most medical services. “The healthcare system is oftentimes not transparent in actual costs for these services,” says Leonard S. Feldman, MD. Failure to have a sense of costs can increase waste in medicine by ordering expensive and often unnecessary tests and/or medications.…

A Critical View of Low-Value Medical Care

To reduce low-value care, it is important that clinical care become patient-centered and cost-conscious within a framework of evidence-based practice.


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More Docs Denying Sales Rep Access

A new report from the global sales and marketing consulting firm ZS Associates indicates that—despite signs of leveling off—pharmaceutical sales rep access to physicians continues to steadily decline. Data on more than 240,00 prescribers showed that only 51% of  physicians/prescribers allow access to sales reps in 2014, down from 55% in 2013, from 65% in 2012, and 78% in 2009.…

Capture the Critical Driver of Your Practice’s Financial Success: Physician Time

Pop Quiz: What were you doing during the financial presentation at your last board meeting?…

Surprising Results of Three Studies

I like studies that question accepted practices. I also like to question studies that question accepted practices. [See this post about discrediting discredited practices.]

Here are three studies with surprising and thought-provoking results.

A few years ago, the idea of rapid response teams surfaced.…

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