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“Pay for On Call” Issues

by admin on July 23, 2009

Recent AMA News article

HHS OIG Advisory Opinion on the issue

I want to go off call

American College of Emergency Physicians paper

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Quality Care Dangerous?

by admin on April 10, 2009

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’.

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.

Health-policy planners define quality as clinical practice that conforms to consensus guidelines written by experts. The guidelines present specific metrics for physicians to meet, thus “quality metrics.” Since 2003, the federal government has piloted Medicare projects at more than 260 hospitals to reward physicians and institutions that meet quality metrics. The program is called “pay-for-performance.” Many private insurers are following suit with similar incentive programs.

Continue with article on the WSJ site …

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January 28, 2009 Interesting Case Conf

by admin on January 19, 2009

January 28, 2009 Interesting Case Conference Noon Conf Center

To view the Slide Sets, click the links below.

50yo with jaundice
16yo with lymphadenopathy
Pulmonary Hypertension

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BaptistMD Clinical Documentation (CD)

by admin on December 9, 2008

Computerized clinical documentation is coming in about 12-18 months.  An early preview is located on BaptistMD.  Under the ‘help’ dropdown menu is a pdf file labeled “Clinical Documentation CD”.

On the hospital computers, you may open the web browser and enter “baptistmdtrain” as the URL and then enter “portal” as the patient last name.  This will bring up an example patient file and their clinical data.

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Print Troubleshooter

by admin on November 29, 2008

If you print a blank page, click on print again, then click on the advanced tab and make sure “print as an image” is checked.

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Admission Progress Notes

by admin on November 2, 2008

A new admission progress note form has been adopted which incorporates documentation requirements regarding “Present on Admission” (POA) diagnoses to distinguish these from “Hospital Acquired Conditions” (HAC’s).  See the sidebar item HAC’s and POA’s for more information.

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ExitCare

by admin on October 28, 2008

Dr McCoy spearheaded ExitCare for the ED.

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ED begins use of new software

by admin on October 27, 2008

The ED has begun the use of new software to print out discharge instructions, work or school excuses, and prescriptions for our patients. The program is called ExitCare and an online demo of ExitCare is available.

ExitCare has been well accepted by the physicians and nurses in the ED, and has added to our productivity while increasing information we can provide to our patients.

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Welcome to BMHGT.com

by admin on September 2, 2008

BMHGT.com is the site for BMHGT’s medical staff information on the web.  BMHGT.com is NOT the official website of Baptist Memorial Hospital Golden Triangle.  BMHGT.com is NOT a patient information website and no patient information of any type should ever be found on BMHGT.com.  Patient information is at BaptistMD.

Physician order sets are available here in pdf format.  Baptist Memorial Hospital Golden Triangle physicians are expected to utilize this resource for any order set they may need in the hospital, in their office, or even at home.  Printing out these orders and then faxing them in to the appropriate nursing unit with patient identifying information on the fax is considered acceptable use.   Hospital Fax Numbers

The orders are listed by department across the top of the page.  The orders are listed by doctor/specialty within the tab headings.

To contact the webmaster of BMHGT.com:

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To contact the Chief of the Medical Staff:

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