Over the last decade, I’ve read, studied, trained, and practiced my craft in the emergency department, dedicated to doing my best for each patient. I also realized that while I am a part of the medical care system, I am not actually part of a healthcare system. While my goal is to give my patients the best chance to be healthy, the system and science in which my practice is rooted seem too content to manage disease, watching it wax and wane. I find this unacceptable. I’ve watched from the inside as healthcare has struggled to live up to its name, despite our successes.Continue Reading >
It’s been described as “a cyclical arms race,” as well as a Game of Thrones-style struggle for dominance over the healthcare kingdom. Whatever you call it, the widespread of consolidation health insurers on the one side and hospitals and health systems on the other clearly leaves physicians groups with a consequential choice to make.Continue Reading >
The Wall Street Journal’s December 1 story on observation care is relatively even-handed and does a good job at bringing to light the highly complex web of regulation which has gotten a little slice of the U.S. healthcare system to where it is today.
The gist of the story is rather straightforward: 30-day readmissions have fallen significantly since Obamacare, while the number of visits which classify as observation status has gone up. The implication is that patients aren’t actually being given better treatment, they’re just being reclassified under a different status.Continue Reading >
Ever notice how quickly things can change in the ER?
One minute things seem to be well under control, the next minute several alarms are going off, three nurses are asking for you simultaneously, and there no inpatient beds available. How’d that happen so quickly?Continue Reading >
Third Physician Group Joins USACS as Momentum Continues
CANTON, Ohio & GERMANTOWN, Md.–U.S. Acute Care Solutions (“USACS”), a national leader in emergency medicine and hospitalist services, today announced a partnership with Maryland-based MEP Health, an emergency physician practice that serves nine facilities across three states in the Mid-Atlantic region. MEP Health is composed of 130 board-certified emergency medicine physicians and 110 physician assistants and nurse practitioners who provide care to more than 500,000 patients annually.Continue Reading >
Whether it’s the first time you’ve attended or you’ve experienced that four-day long whirlwind in the past, the reality is this: ACEP is a multi-day scientific assembly like no other. There are a lot of informative classes to attend, great people to meet, top-notch dinners to enjoy—and drinks every night. And this year, ACEP takes place in Boston—one of the country’s oldest cities—which has some of the best eats and architecture!
Still, as recent grads and residents, you should also consider ACEP a four-day interview for your next job. It’s a networking opportunity that you should take seriously.Continue Reading >
Former CMS Administrator Thomas Scully speaking at Observation Care ’15.
One of the principal architects of Medicare Part D had an interesting message at Observation Care ‘15: the future of healthcare is for physicians, not hospitals.
Thomas Scully, who was the Administrator for the Centers for Medicare and Medicaid Services from 2001 to 2003, said yesterday he thinks the current trend toward hospital and health system consolidation won’t turn out well.Continue Reading >
Editor’s Note: the following is an excerpt from Dr. Robbin Dick’s forthcoming book on Hospital Capacity Management. Dr. Dick is MEP’s Director of Observation Services. He will be speaking on hospital capacity management and other subjects at MEP’s third annual observation medicine conference, Observation Care ’15.
Bed assignment often sets the pulse for the entire hospital, affecting every patient and every department from minute to minute, yet is often poorly managed. Continue Reading >
“The romance isn’t gone. But it’s definitely going.”
That was the verdict from Dr. Patsy McNeil, MEP Health’s Director of Patient Satisfaction, as we discussed the documentary film Code Black at a recent Leadership Academy meeting.
The film chronicles a handful of emergency medicine residents training at one of the busiest emergency departments in the country, Los Angeles County Hospital. More than anything, the film documents a changing culture in emergency medicine. At LA County, that change is embodied by a 2008 move from the old hospital building to a new one.Continue Reading >
When you work with a team of great people for several years, you grow together. You learn together. You succeed and fail together. I had the opportunity to be part of a such a team in the ED for the past several years. A couple weeks ago I moved to a new hospital, which has given me time to reflect on the team I was part of for so many years.
It was my first gig after residency. When I interviewed for the position almost five years ago and walked through the ED, I could tell it was quirky place. There’s a feeling you get when you walk through an ED. Everybody can feel it. It either feels like things are running smoothly or it doesn’t. There’s no mistaking it. Surely it can change hour to hour, but that’s beside the point. Every ED has its own feel. And this place felt… quirky.Continue Reading >