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Splinting Guide

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  A Comprehensive Guide to Extremity Splinting Rob Beatty, MD FACEP Splinting an extremity is a fundamental skill in orthopedics, emergency medicine, and athletic training, designed to immobilize an injured limb and provide comfort and support. The materials used have evolved significantly, offering a range of options for providers. Products and brands vary, from generic …

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Antibiotics for Abscesses

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TMP-SMX vs Placebo for Uncomplicated Skin Abscess Talan DA et al.. “Trimethoprim–Sulfamethoxazole versus Placebo for Uncomplicated Skin Abscess”. NEJM. 2016. 374(9):823-832. PubMed Full text PDF Clinical Question In settings with MRSA, does Trimethoprim-sulfamethoxazole treatment after Incision and drainage of an abscess result in a greater cure rate? Conclusion Trimethoprim–sulfamethoxazole treatment resulted in a higher cure rate among patients with a drained cutaneous abscess than placebo for abscess that …

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Pediatric Rashes

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Pediatric rashes are a common complaint, and knowing the difference between them can save time, stress, and agony. Here are a series of resources to help you differentiate between the rashes most commonly seen. DISEASE SEASON PROGRESSION MORPHOLOGY DISTRIBUTION ASSOCIATED FINDINGS TREATMENT Measles/Rubeola paramyxovirus Winter to Spring Incubation: 1-2 weeks Communicability: 4 days before and …

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Part 3: How do PA’s and NP’s fit into healthcare reform

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And so the rest of this blog post comes to you – the biggest investment in healthcare.

MIP’s

Physicians, Physician Assistants, Nurse Practitioners – anyone who is considered a provider in healthcare, is now having their own quality measures applied to their care delivery.  As part of the permanent “Doc Fix” the Medicare Access and CHIP Reauthorization Act (MACRA) was passed in 2015. CHIP is the Children’s Health Insurance Plan that provides matching federal payments to state-funded children’s insurance programs.  MACRA is designed to shift the healthcare fee-for-service model of payments to the value-based payment (quality) payment model through Merit-based Incentive Programs (MIPs), which are designed to focus on quality measures at the provider level. Each specialty will have different requirements.  The intent of these quality measures is aimed at reducing cost, but their application to current medical standards is debatable.

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Part 2: How PA’s and NP’s fit into healthcare reform

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In the previous blog we went over how medicare, RVU’s and SGR have led us to where we are headed as you will read below.

Affordable Care Act

The Patient Protection and Affordable Care Act (ACA), also known as “Obamacare” was passed in 2010 and was the first major overhaul to our nation’s reimbursement system since the introduction of Medicare in 1966.  The intentions of the ACA were to create a system that would insure healthcare for everyone in the United States, and to reduce the cost of that insurance. The challenge with this law was to find a way to provide reduced cost coverage for patients, while providing expanded coverage at the same time.  

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