Practice Management

Because some practices have been slow to adopt electronic health records, scant evidence exists to support the commonly held notion that EHRs help mitigate liability risk, according to a published report in American Medical News.

I recall I took some comfort in that adage during my residency. However, such bravado was representative of a different era, a time when 36-hour calls, 120-hour workweeks, and 1 weekend off a month were seen as rites of passage crucial to the creation of competent physicians.

Changes recently proposed by the Centers for Medicare and Medicaid Services (CMS) for the 2010 e-prescribing incentive program should make the initiative even more attractive to physicians.

A new study reported in the New England Journal of Medicine (9/9/09) supports the Obama administration's claim that improving the efficiency of healthcare delivery would make it possible to cover the uninsured without rationing needed care or raising taxes.

More than 63% of ob/gyns have made changes to their practice because of the risk or fear of liability claims or litigation, and 60% have made such changes because liability insurance is either unavailable or unaffordable.

New breach notification rules have been in effect that call for immediate notification of a patient if her personal data are leaked.

Gynecologists are more successful with instant claims adjudication than any other group of specialists, with 89% of gynecology claims resolved in less than 10 seconds

The U.S. Department of Health and Human Services announced plans to award $598 million in grants to open as many as 70 regional offices next year to help practices adopt electronic health record systems.

Nearly half of physicians believe that various off-label uses of prescription drugs are approved by the Food and Drug Administration, according to a national survey.

Patients are going to have direct-to-consumer genetic tests done, regardless of our position on the subject. At the very least, we can offer them sound advice on the matter.

To Err Is Human challenged the medical community to cut in half within five years the "shocking" number of people who die from medical errors. Yet a decade later, the rate of medical error is actually increasing, according to federal analysts.

Choice of physicians and other health-care providers is sometimes influenced by quality data.

Physicians have many questions for consulting firms related to effects of the recession.

Massachusetts was the ideal setting to attempt universal coverage, but the influx of newly insured strained the system's ability to provide care and drove up costs. Dr. Lockwood offers his perspective on lessons to be learned from their mistakes.

As part of the economic stimulus package, the federal government is expected to spend more than $35 billion during the next decade on Medicare and Medicaid bonuses to physicians and hospitals that adopt certified electronic health records (EHRs), American Medical News (3/16/09) reported.

A small but growing number of physicians are asking patients to sign agreements pledging not to post negative remarks about them on Web sites that allow the public to rate medical encounters.

Finding the best way to fix our broken health-care system remains one of our major challenges. Dr. Charles J. Lockwood summarizes two competing approaches, one championed by Michael Porter, which revolves around integrated practice units (IPU), and one recommended by Alain Enthoven, which hinges on the use of large integrated health-care delivery systems (IHS).

Court in Arkansas ruled that hospital acted improperly when it used a credentialing policy that denied admitting privileges to doctors with interest in competing hospitals.

Patient safety was one of the most important topics at this year's Annual Clinical Meeting at ACOG.

The looming health-care crisis will bring about a sea change in the practice of medicine, predicts this expert. He assesses whether specialized teams or a return to capitation will likely win out and gives tips on preparing your ob/gyn practice for an uncertain future.

Here's how new regulations will affect ob/gyns.

Sick of high premiums? If you're willing to control risk in your practice and be involved in decisions, this non-traditional liability insurance option may be for you.

Dr. Carrie Klima discusses the value of educating patients in a group setting, rather than one on one.

The practice of medicine has become too complex for ob/gyns to rely solely on their memories to keep patients safe. A mishap during the test flight of the B17 bomber taught its designers the value of a preflight checklist, and clinicians can likewise benefit from preprocedure checklists.

As the burden of uncompensated care mounts, some companies are offering credit histories to help screen prospective patients and collect overdue bills.