Recently I was taking care of a gentleman in one of our Emergency Departments named Paul. Paul is 55 with a history of alcohol abuse. He also had some psychiatric problems, and was diagnosed with rectal cancer approximately one year ago.
He was placed in one of our psychiatric rooms as he was visibly intoxicated and complaining of the abdominal pain. On further questioning he was concerned that his abdominal pain was getting worse and he was scheduled for surgery at a university referral center for possible release of adhesions (scar tissue) in his abdomen.Continue Reading >
MEP is now accepting applications for the 2015 Thai McGreivy, MD, Memorial Scholarship. The scholarship was established in memory of Dr. Thai McGreivy, a dear friend and one of MEP’s founding partners, and in collaboration with his wife, Katherine.
The scholarships are awarded each year to a selected high school senior, and can be renewed each year. The recipient can be the child of any employee of MEP or its partner companies, including all partner hospitals or facilities, and PSR.
Applications for this year’s award must be postmarked by May 1st to be considered. Please download the full application and guidelines here: 2015 Thai McGreivy, MD, Memorial Scholarship.
Hospital leaders who are successful managers today are successful because they manage change. The great hospitals leaders by now have become masters at it. But there’s a difference between change you can see coming (bundled payments, EHR implementations, declining reimbursements, CINs) and change that shows up unannounced on the front door.
That’s often what it feels like when a huge, publicly traded company acquires a smaller physicians group. It can feel like a long-lost uncle suddenly showing up at your doorstep, which is to say it’s not always all harmonious. Continue Reading >
At the beginning of 2014 MEP analyzed data that showed a steep drop in ER visits in hospitals across Maryland and DC. Then, just last month a major report from Modern Healthcare showed that visits at the nation’s busiest emergency rooms had actually increased in 2014. The headline read: “ER visits still rising despite ACA”
Scanning headlines can often lead to confusing conclusions: sometimes ER visits are going up, and sometimes they’re dropping.Continue Reading >
Emergency physicians often have deep and emotional ties to the communities they serve. If a hospital administration decides to switch emergency management groups, there is great potential for stress, both amongst hospital staff and the community, not to mention push-back on both the administration and the new group.
Hospital administrations that do decide to transition ER groups must be prepared. During the time just before, during and after a new group assumes control of the emergency department, trust within the community can be weakened or strengthened, quality physicians can be retained or lost to other hospitals, and emergency department culture can be energized or left to deteriorate.Continue Reading >
MEP’s “The Shift” set a new bar for quality in 2014, with more than a dozen individual authors contributing exceptional posts on everything from better patient communication to the shifting attitudes about choosing medicine as a profession. MEP stories were picked up and republished in outlets including KevinMD, the PracticeLink Blog, and Fast Company, while MEP authors were interviewed by national and regional publications as a result of their writing.Continue Reading >
It was last Summer in July when I became sick. It was a range of not unusual upper respiratory symptoms, but as time progressed and my symptoms didn’t respond to the usual combination of steroids and antibiotics, I became concerned. I’d developed a more distinct pain in my chest, and became increasingly mindful about those bad things we see from time to time.Continue Reading >
“My wife died uncomfortable and alone. She died thirsty!”
The man who spoke those words came in to the Emergency Room recently where I was working a shift. He was accompanied by his wife, a 70-year-old with high sugar, weakness, and nausea. The team worked to get her seen under the presumption that her diabetes needed control. Once she was brought back to the room, she began vomiting. While waiting for the physician, she became thirsty, and asked for ice chips. She was told that, with doctor’s authorization, the nurse would bring them right in.Continue Reading >
It was toward the end of the second day of the largest conference in the country for emergency physicians, when the official Twitter account for the American College of Emergency Physicians (ACEP) sent out this little nugget of truth:
#Ebola is not the only topic at #ACEP14. It just feels that way.
Continue Reading >