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Reducing Bloodstream Infections

There’s this light on my way to work that is just a royal pain. It’s set up so that you have to wait for the arrow to make a left hand turn. The intersection is busy, especially in the mornings, and...

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Brinksmanship

I may end up eating my words about this. We’ll see. James Rohack, the current AMA President, made a post at Kevin MD about why patients should care about fixing the pending Medicare payment cuts....

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Medicare Cuts Delayed Again — PHEW

I had planned to log on and write a quick post reminding docs that they have less than a week to decide whether or not to remain a participating provider in Medicare in the face of 21% payment cuts —...

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We’re From The Government, We’re Here To Help …

The clock is ticking for Parkland Memorial Hospital in Dallas. Last week, Parkland was cited by the Centers for Medicare & Medicaid Services for several “serious threats” to patient safety. As a...

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Certificates of Medical Necessity

  Not too long ago I got a letter labeled “URGENT” in my mailbox at work. The letter was from Walgreens regarding a patient I had seen several weeks earlier. I cut and pasted parts of the letter to...

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Choosing Wisely – Good Medical Practice or Prelude to Rationing?

EP Monthly has an important Pro-Con debate between ACEP President David Seaberg and EP Monthly founder Mark Plaster about the “Choosing Wisely” program. Choosing Wisely is being pushed by the ABIM...

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CMS Offering Us Some Rope

Our beloved government is now seeking comments on how it can deny payments to hospitals through patient assessment of the emergency department experience. According to this entry in the Federal...

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More Joys of Electronic Medical Records

Go up to your favorite emergency department staff member and ask them what they think of “twofers.” Depending on that person’s mood, chances are that you’ll get anything from a scowl to a punch in the...

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CMS One Way Data Transparency

According to an article on the CMS Blog, in 60 days the government plans to begin disclosing information regarding payments it has made to individual physicians. In order to receive the information,...

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BMI Measurements Inaccurate But Still A Government Gold Standard

Everyone needs to read this NY Times article and then think about how inane the concept has become. The Body Mass Index or “BMI” is used as a measure of a person’s body weight. If your BMI is between...

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