Practice Management
With patients having more choices of healthcare providers—and settings—than ever before, understanding what drives them to a given location can mean the difference between success and going out of business. In fact, one out of five patient participants in Vitals’ ninth annual Physician Wait Time Report say they’ve switched physicians specifically because of long wait times. Even more (30%) have walked out on an appointment because they were made to wait too long. The cost …
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Depending on who you listen to, responsibility for the opioid crisis in the United States lies with “Big Pharma,” physicians, patients, insurance companies…all of which is true to some extent. It’s a complex problem borne out of a legitimate need to help ease the pain of patients who are suffering. However, a new KevinMD blog post suggests that removing a very noncomplex tool—the pain scale—from patient interactions may be a big step in rebooting how …
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Data published recently in the Journal of the American Medical Association point to a need for all clinicians to focus on controllable risk factors for disease and mortality. For urgent care clinicians, that may mean being assertive in probing for patient habits that could be contributing factors related to their presenting to you on a given day. The article points out wide differences in the burden of disease from state to state, attributed to key …
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Honest, respectful feedback can spur subordinates, superiors, and coworkers to do their best work. Comments that could be perceived as overly critical or, especially, bullying are both divisive and potentially harmful to all parties concerned, however. A recent blog post on the website DoctorDiscourse illustrates this in painful detail. It recounts how three physicians at three unrelated facilities lost their jobs or believe they were “blackballed” for seeming to discount the contributions or capabilities of …
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It may be premature to call it a trend, but stories of urgent care operators taking their services directly to patients continue to pop up around the country. It’s becoming a more appealing prospect to payers, too. Most recently, Mercy Care Plan granted its members access to DispatchHealth in the Phoeniz, AZ metropolitan area. The service allows patients who may be too ill or frail to travel to the emergency room or an urgent care …
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You may have already assumed this based on repeat visits by “frequent flyers” in your practice, but a recent study published in PLOS One confirms that without prompts, the majority of patients forget at least part of what they’re told by physicians. One culprit revealed by the study: limited time for provider–patients engagements. Patients surveyed remembered only 49% of their doctor’s instructions on their own; 36% did better with prompts, and 15% either could not …
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Nearly a third of patients taking part in a survey from Vitals say they’ve walked out on a physician appointment because they had to wait so long—and 20% have been so put off by wait times that they’ve switched doctors altogether. No surprise, then, that the Wait Time Report also reveals that 84% of people believe the amount of time they have to wait to see a medical provider is either “somewhat important” or “very …
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A couple visiting Duluth, MN over the holidays needed to get their baby to a doctor on New Year’s Day. Being from Portland, OR they didn’t have a provider in town. So, they checked out reviews of local providers on Yelp and decided the urgent care center at nearby St. Luke’s hospital would be a good choice. It was the right call, as they got their baby in to see a friendly, efficient doctor in …
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After too many mass murders involving guns in the U.S., more than 1,000 physicians have signed a pledge published in the Annals of Internal Medicine to proactively raise the issue of firearms safety with patients. Annals moved to offer the pledge in light of evidence that many people killed by guns (including suicides) were in contact with their healthcare provider shortly before their deaths. Ironically, the idea of publishing the pledge was raised well before …
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Shortening duration of treatment, adopting a multimodal, nonopioid model for acute pain management treatment, and establishing a system for notifying primary care providers when their patients are prescribed opiates are high on the list of recommendations just issued by the Texas Hospital Association (THA) for emergency room clinicians. While the guidelines are voluntary, they reflect a growing trend toward institutionalizing opiate prescribing practices in multiple settings around the country. They could reasonably be viewed as …
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