A few days ago a colleague of mine was inching south through the mother of all traffic jams: 60 straight miles of construction work on I-95 just south Washington DC. The three-lane highway was jammed. Route 1, which runs parallel to I-95 was also jammed. Cars were stalled in the middle of the highway having run out of gas from waiting so long.Continue Reading >
Maryland state incentives for hospitals to reduce unnecessary admissions and readmissions have led Western Maryland Health System (WMHS) to launch a new skilled nursing program at three facilities near Cumberland. These services aim to reduce the sort of unnecessary and expensive hospital admissions that cost the U.S. healthcare system billions every year.Continue Reading >
MEP is pleased to announce that Xiaoyu Cai has been awarded the Thai McGreivy, MD Memorial Scholarship for 2014.
While the MEP family of hospitals has always produced impressive candidates, this year stood out. Not only were the sixteen candidates more than twice the number of previous years, but most of the candidates were extremely well qualified. “The kids were really amazing,” said Katherine McGreivy, Dr. McGreivy’s widow. “It was a very hard decision, but Xiaoyu stood out for her academic successes and diverse interests. She epitomized the kind of intellectual curiosity that my husband would have admired.”Continue Reading >
We hear a lot about the death of the independent physician practice. But perhaps the more important discussion is about the death of practicing medicine independently. That is, the days when individual physician groups could operate their businesses and treat patients independently and without regard to the surrounding network of other physicians, nursing facilities, health networks, social workers, case managers, and other support is over.Continue Reading >
Emergency Department Directors measure value in their departments with a number of metrics that are tracked religiously: door-to-provider times, ambulance drop-off times, left without being seen rates, length of stay for discharged patients, diversion hours, and 72-hour returns all come to mind.
These metrics clearly measure the performance of the Emergency Department, what to they do, if anything, to measure the value of care being provided? These metrics are often presented to hospital administration either monthly or quarterly to demonstrate the performance of the Emergency Department. Emergency physicians in the ER are now the key gatekeeper for nearly half of all hospital administrations, so it makes sense that the hospital leadership would have an interest in what goes on there.Continue Reading >
Jazz and emergency medicine. You may not think they’re all that alike, but Dr. Dean Moore, an MEP traveller and accomplished jazz musician, sees a lot of parallels, beginning with the role of improvisation.
“It’s the fact that you need to have a lot of information, be alert, and be prepared for anything that might come through the door,” Moore said in a recent interview.Continue Reading >
It’s easy to get frustrated in the ER. First, you’re at work. Second, most of your patients don’t want to be there. Third, many (if not most) of your patients don’t need to be there. Finally, by the time you see them, most of your patients are tired of being there.
It’s easy to become jaded when you trudge through this never-ending mire of patient after patient, and indeed ER docs can be known as a jaded lot. We order tests whether they’re needed or not, because, if we don’t, the patient will think that we didn’t do anything. Some react to this enigma by blaming the patient. For a memorable example of that attitude, see Dr. Thomas Doyle’s 2009 article, “Treating a Nation of Anxious Wimps.”Continue Reading >
Editor’s Note: Dr. Mark Moseley is a featured speaker at Observation Care ’14
Congratulations! You have successfully set up and implemented your ED based observation unit. Now what?
Since you implemented the unit several months ago, the hospital CEO has been asking questions about bed utilization, unit occupancy rates, and staffing productivity for the nurses working in the unit (What is Action O/I and Visionware?). Meanwhile, why has your ED admission percentage suddenly gone down?Continue Reading >
MEP is proud to announce that it will assume management of the Emergency Department and Observation Care services at Union Hospital in Cecil County, a 122-bed hospital located in Elkton, Maryland. Union Hospital will become MEP’s eighth hospital partner, and its seventh in Maryland.Continue Reading >
A physician I have known for many years recently told me about his decision to enter the world of concierge medicine. His reasoning was telling, saying that it came down to a very simple decision on staying independent or becoming a hospital employee. He liked being an independent solo practitioner, and that was his primary motivation – to maintain independence in a time of consolidation.
Richard Gunderman, writing for The Atlantic, tackled this question head on in a recent piece titled, “Should Doctors Work for Hospitals?” The article reflects on the dramatic shift in physicians either seeking or being forced by market pressures to join hospital systems as employees.Continue Reading >