Administrators Get in the Trenches

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Here is an interesting story that happened in a Ottawa Hospital. The hospital was hearing complaints from patients for years until the administrators finally decided to try it themselves.  They ate three meals a day for a week.  Guess what happened? “Our management team has recently eaten hospital food for a week and agrees with…

Damn, I gotta get back to the office! by Pat Conrad MD

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Years ago, a med student asked me, “What is a hospitalist?” I answered that a hospitalist was the answer to an economic question. The lead editorial in the current issue of Medical Economics is titled “Transitional care: the unintended consequence of hospitalists’ rise.” It’s author Mary Ann Bauman, MD makes valid – if rather delayed…

Obamacare Gets an F from Doctors

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The magazine Medical Economics recently graded Obamacare and here is how they did it: Our editorial staff, with the assistance of our physician advisers, selected eight provisions and consequences (both intentional and unintentional) stemming from the law. Policy analysts provided their thoughts on how Obamacare has shaped the last six years. Then we asked physicians…

Hospitals Computer and Math Jobs Keep Going Up

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As we digitized healthcare, so have hospitals increased their hiring of for non-medical folk. From 2010 to 2014, there was a 17.9 percent increase in the number of computer and match science positions in hospitals.  Wow.  The ratio of patients per nurse goes up but we have a massive hiring spree on techies?  How has this helped medical care?…

Getting Your Fix by Pat Conrad MD

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Pain control was never an appropriate area for federal oversight. For all it’s good in easing suffering at the local level, medicine has grown insufferably tiresome as a vehicle for busybodies to crawl up each other’s rear while trying to increase their own importance. Yeah, I just described the AMA, AAFP, et al, who substitute…

AAFP Against Nurses’ Scope of Practice?

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Oooh boy, someone is going to get it.  The AAFP, amazingly enough, got into the fray when they made a statement against the Department of Veterans Affairs (VA) who was trying to unilaterally expand the scope of practice for advanced practice registered nurses (APRNs).  The rule removes provisions that require nurses to work in patient-centered care teams…