What Does Patient Choice Have to Do With Integrated Care?

Angelo Falcone headshotRecently 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 >

Posted in Future of Healthcare, Life in the ER, Quality, Efficiency, Utilization

Now Accepting Applications for the 2015 Thai McGreivy, MD, Memorial Scholarship

Thai McGreivy PhotoMEP 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.

Posted in MEP News

What to Consider When A Huge Publicly-Traded Company Buys Your Emergency Group

Kyle Bray headshotHospital 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 >

Posted in Future of Healthcare, Hospital Partnership

Obamacare’s Big ER Question: Is Volume Rising or Falling?

Russell Max Simon HeadshotAt 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 >

Posted in Future of Healthcare, Life in the ER

Change in the ER? Here’s The Right Way to Transition Physician Groups

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 >

Posted in Hospital Partnership

MEP’s Top Five Most-Read Posts of 2014

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 >

Posted in The Shift

Doctor Patient: What Happened When I Got Cancer

Mittleman-Craig MD Bristol_July 2012It 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 >

Posted in Life in the ER

The New World of Patient Satisfaction: Even Ice Chips Matter

David Klein headshot“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 >

Posted in Life in the ER

Imagine If Your Favorite Restaurant Ran Like an Emergency Department

Patsy McNeil MD SGAH-2014Setting patient expectations in the ER

Imagine you walk into a restaurant named Luigi’s. From the décor and the smell of pasta sauce coming from the kitchen, you assume that this restaurant serves Italian food. You walk forward, your name is taken and you are then told to sit off to the side and wait until your name is called so that you can get a table. Time goes by, and no one gives you any eye contact or tells you what’s going on but you’re quite hungry and so you wait. Other people go get seated ahead of you and you don’t know why.Continue Reading >

Posted in Life in the ER, Quality, Efficiency, Utilization

Inside the Media Training for ER Docs to Learn to Talk About Ebola

Russell Max Simon HeadshotIt 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 >

Posted in Life in the ER