Tag Archives: #MEDICADE

Live short and Prosper

13 Jul

2012-02-immigrants-doctor.html

New study out indicates that Immigrants are not the healthy lot we thought they were.  I recently spoke with an er Doctor about a common issue that he faces; immigrants or what he thinks to be immigrants use the ER like Primary Care only they tend to come in with a list of issues. Many of their health issues could have been treated easily had they not waited. Many have chronic diseases such as Diabetes 2 and have never been treated. Many have respiratory issues that from xrays you get a feel that they are long standing.

I wonder how much it costs us to frighten immigrants, illegal or otherwise, into thinking that there is some reporting that goes on in Health Care. As far as I know I have never heard of any Doctor or staff reporting immigrants. I worked for an early childhood development program and we would see it all the time that immigrant families were hesitant to seek service for their children and even when service was rendered they often treated it to begin with, with mis-trust. This was double for the male head of house hold.

In this current political climate this problem is growing worse. I also believe that the money that outreach programs had for interpreters is long gone/ cut by many states. But I also wonder if there is something deeper here? Is this lack of outreach some sort of punishment or if immigrants are afraid to seek care is it somehow a way for our leaders to make it less likely some will stay.  I am sure no one on CNN will talk about healthcare in immigrant populations, but if we looked at this from a perspective of cost savings it is far cheaper to outreach and treat then it is to treat in an ER.

www.immigrantsolidarity.org

I believe that there are a number of  Health Care related issues that could be addressed right now and with far less money then what it costs us currently. Certainly Immigrants around the world face similar issues. These are not second class citizens! They were once our fathers and grandmothers and the people that bring life to a culture.

Brian Goldman: Doctors make mistakes. Can we talk about that?

12 Jul

 

How much do medical mistakes cost? 19.5 Billion per year study-puts-cost-of-medical-errors-at-195-billion This linkw will lead you to an interesting article on the costs of medical errors.

How can we fix a problem that is systemic.?

I have worked with many practices that have put no thought into prevention of errors and find that talking to physicians and medical staff about mistakes is like talking about abortion or politics. NO ONE WANTS TALK ABOUT IT! As if somehow the mere mention of errors would somehow make them happen.

I have seen investigations into medical errors and they are not singular in nature meaning that multiple parties are involved in most mistakes and a recurring theme always comes up: Not listening to patients and caregivers.

How can we change the mindset that the patient does not know what they are talking about when it comes to their own health?

How do we heal Healthcare and should we have thought of prevention?

12 Jul

We seem to be able to point out the faults of medicine, but how can we help our providers and patients better prevent and treat disease states.

#helpmegettoTedTalks

It is more than treating symptoms

12 Jul

The reality of aging

Is regenerative medicine a real answer?

Day 7 Care Plan Oversight

2 Jul


I have been paying attention to the recent discussions on The Affordable Care Act and the medias coverage of the supreme court ruling. One thing strikes me as odd in all these talks, whose actually talking about the impact on patient care?

I CAN PULL A RABBIT OUT OF MY ASS
Just look over there while I do it.

I wonder if somewhere someone sits twisting their mustache, while laughing maniacally. Every moment spent talking about the act and not talking about patient care is a wasted moment.

I want to hear and read lively conversation on how to improve patient care.  Thats what this is all about, right ? How can I get better when I’m sick?   While Homer Simpson was studying not hitting his thumb he accidentally bashed himself in the eye instead.

Who is talking about primary care?

Who is talking about Care Plans much less Care Plan Oversight/CPO?

In my mind the only way to effectively control cost is to effectively treat patients.  Care plan Oversight/ CPO is the key.

care plan,

n strategies designed to guide health care professionals involved with patient care. Such plans are patient specific and are meant to address the total status of the patient. Care plans are intended to ensure optimal outcomes for patients during the course of their care.
I found this definition in a medical dictionary and thought I would share. When we talk about Care Plans we have to talk about managing Care Plans which is called Care Plan Oversight.
A good way to understand CPO is to think along these lines. Your Doctor orders blood work and then lets you know of the results and gives you options on how to treat any condition indicated,, that is care plan oversight/CPO. Now lets say you have an indication of Cardio Vascular issues, your Primary care Doctor refers you to a Cardiologist and then they work you up and the same scenario as before plays out, except this time your Primary care Doctor and the specialist should work up a Plan of Care together. Because ultimately there needs to be somewhere there to direct things medically and advise you on your options and it should be your Family doctor. Don’t get me wrong they do not tell the specialist what to do they help you implement what the specialist is indicating and fit that treatment into an existing Care plan.
Would you do a core part of your job if no one paid you for it?
Well guess what no one pays for it and the few like Medicare that do, Doctors are either afraid to bill for it or know if they bill for it they will have to be accountable.  When the accountability for Care Plan Oversight could be the easiest part of CPO. We could say billions if we could foster Care Plan Oversight and heres the good news !
We have the Technology and Design we just have to have an #IDEAWORTHSHARING
#helpmegettoTed so many medical applications for design and technology that already exist.
Link

Open Forum CMS/ Meicaid Medicare

29 Jun

Open Forum CMS/ Meicaid Medicare

Interesting reading although I am not sure how much of it actually relates to Patient Care