Drunks caught on security camera beating each other in a Turkish emergency department waiting room. Best part of the video is when one dope pulls off his belt to start hitting people and his pants fall down. Then he waddles about swinging his belt like a little kid with a load in his diapers.
Another bamblance theft from the emergency department. If you don’t know why it’s called a bamblance, you need to listen to the video below (strong language alert). This latest ambulance theft occurred at University of Michigan. Many of the commenters to the article suggested that the patient was going to a different emergency department due to the wait times.
FDA stifling pharmaceutical innovation through excess regulation. You don’t say. Scary that the average time and cost involved in developing a single drug approved by the FDA is 12 years and $1.2 billion.
How much will you be charged for your emergency department visit. This study in PLOS-ONE gives you a good idea of what you should be charged. Keep in mind, though, that the numbers are “median” values, meaning half of patients got charged more than those numbers and half of patients were charged less than those numbers. The range of charges was ridiculous. For a UTI, the lowest charge was $50 while the highest charge was $73,002. That doesn’t mean some poor patients actually paid $73,000 for a Bactrim prescription, only that insurance was billed that much (which is still a crime).
Yet another way for government to cut healthcare costs: Pay for services, then go back years later and allege that those services were provided inappropriately. Demand reimbursement and penalties. Publish news articles about how horrible the providers were and how patient’s lives were in jeopardy. Then show how federal agency intervention is the only means to help patients.
In this article, nursing homes had patients on two whole anti-psychotic drugs and one depression medication and didn’t even have tons of paperwork to show how the drugs were being monitored! Gasp! Another patient had paperwork for the government, but the paperwork showed that he kept getting physical and occupational therapy even though all the therapy goals had been met. What “poor nursing home care.”
Too bad we can’t compare private hospital performance to VA hospital performance on the HospitalCompare web site. Data for government institutions is blocked. Wonder why that is?
One of the biggest impediments to the government providing health care to the general public is that it would be crushed under the weight of its own paperwork and regulations.
Obama administration creates statistics showing that its policies have decreased the hospital readmission rates by a little more than one percentage point. A CMS official says that the news is “exciting” and that we are seeing “a fundamental, structural change.” Penalties work!
Read into the article a little further and you’ll see that the penalties amount to a whopping $1 per Medicare patient for one hospital. You’ll also see that the government is penalizing 2,217 hospitals which is a little less than half of all the non-federal government hospitals in the United States. In other words, whether or not hospitals will receive penalties pretty much becomes a coin-flip.
I’d like to see how many of those non-readmissions were classified that way simply because the hospitals admitted the patients as “observation” stays – meaning that more of the costs were shifted to the patients and that the number crunchers still met their goals. Doubt you’ll hear that sound byte from the administration, though.
Interesting findings. When admitted patients receive “clot-buster” thrombolytics for acute strokes, they had more complications and higher death rates than patients who came to the hospital and received thrombolytics on arrival. Even when the study was adjusted for age and baseline clinical characteristics, in-hospital patients still had worse outcomes and more complications.
What will some of the other effects of the UnAffordable Care Act be? Silent exodus of physicians from the workforce. More employed physicians that punch clocks and work 9-5. Hospitals monopolizing medical care in certain regions. Some patients maintaining insurance, though … for now.
When Greek pharmacies stopped paying for their shipments, eventually the pharmaceutical companies stopped sending the medications. Greece owes pharmaceutical companies almost $2 billion Euros. In addition, due to the low price of medications in Greece, some of the wholesalers are selling medications to other countries to make a profit.
Now there is panic among the population because many medications are in short supply.
But I’m pretty sure that the Greeks have national healthcare insurance, right?
A little late, but worth repeating. Medscape publishes warning about physicians being liable for any bills sent to the government in the physician’s name. Note that the original federal OIG Alert regarding this issue was posted in February 2012.
Would you trust your own hospital for medical care? More than one third of 101,000 doctors, nurses, and paramedics surveyed in Great Britain wouldn’t recommend their own hospital to family or friends. In addition, one third of survey respondents had witnessed medical blunders or near misses at least once in the previous month.
Notice how contempt in the comments is directed toward the government? By providing “insurance” instead of health care to patients, the government in this country is able to redirect that contempt.
EPIC – one of the many electronic health record software companies – goes to hospital administrators and demands that they force a physician blogger to remove pictures of EPIC’s user interface from a snarky post about the software. Dickweeds.
First of all, anyone with half a brain can do a search for EPIC EMR screenshots and come up with dozens of pictures of your bloated EMR. Trust me, your EMR isn’t that good and it takes way too much time away from me being able to provide care to my patients. Oh, and talk about alarm fatigue.
Looks like I’ll have to prepare an educational article about EPIC now — including screen shots. Maybe I’ll call it EPIC FAIL. And I have no problem filing a SLAPP suit for inappropriate letters from attorneys.