BMHGT Hospitalist Schedule March 2010.pdf
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From the category archives:
Uncategorized
CHF Orders Correction
**NOTICE** This order set contains an incorrect dose for DVT prophylaxis Lovenox, corrected set forthcoming. The incorrect dose is in the DVT prophylaxis Lovenox dosing for Cr Cl < 30 – it should read Lovenox 30mg q 24 instead of Lovenox 30mg q 12. The correct dosing for Cr Cl < 30 is Lovenox 30mg q 24.
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Stroke TPA Orders.pdf 11-09
These orders placed on the Emergency, Medicine, Neurology and Hospitalist pages.
Nov 09 updated ACAP orders placed on Emergency, Medicine, Pulmonary and Hospitalists pages.
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These orders moved to the Orthopedics page 10-29-09
Ortho Surgery Admission Orders.pdf
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These orders moved to the Hospitalist page 10-29-09.
Ischemic Stroke Admission Orders.pdf
Ischemic Stroke Post TPA Orders.pdf
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From Medscape Internal Medicine
Solving the “Unsustainable” Physician-Pay Problem: Perspectives From the ACP, ACS, and ACC
Much of organized medicine applauds a healthcare reform bill in Congress that defuses a Medicare time bomb next year — namely, an overall 21.5% pay cut.
But can that legislation defuse an even bigger time bomb: the growth in Medicare and Medicaid spending that threatens to put the federal budget “on an unsustainable path,” according to the Congressional Budget Office (CBO)?
The bill’s provisions to scrap the Sustainable Growth Rate (SGR) formula in Medicare that triggered the pay cut would seem to expand the federal deficit, not shrink it. However, the bill also funds experiments to pay physicians on the basis of quality and cost-effectiveness and to wean them from the more expensive fee-for-service model, which motivates physicians to pump up the volume of services rendered. In the words of the Medicare Payment Advisory Commission (MEDPAC), this piecemeal approach “has created a rate of volume growth that is unsustainable.”
Supporters of the legislation acknowledge the need to pull the plug on the traditional fee-for-service model. “We believe in moving to a model that gives doctors a financial incentive to provide good care — it’s quality, not quantity,” said internist Joseph Stubbs, MD, of Albany, Georgia., president of the American College of Physicians (ACP) and one of several leaders in organized medicine that Medscape Medical News interviewed on healthcare reform and physician compensation.
HR 3200 Eliminates “Flawed” SGR Formula
Read More at Medscape….
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The April 8th Wall Street Journal contained an interesting editorial on the utility of “quality metrics” in health care entitled ‘Why Quality Care is Dangerous’.
By JEROME GROOPMAN and PAMELA HARTZBAND
The Obama administration is working with Congress to mandate that all Medicare payments be tied to “quality metrics.” But an analysis of this drive for better health care reveals a fundamental flaw in how quality is defined and metrics applied. In too many cases, the quality measures have been hastily adopted, only to be proven wrong and even potentially dangerous to patients.
Continue with article on the WSJ site …
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