Let’s explore a few areas where just a simple change in our own actions can reap huge benefits for both ourselves and our patients.
The Stress of Hospitals
Emergency departments can be a stressful place, both for patient’s and healthcare providers. Patient’s are often scared, in pain or other distress, and anxious about what is happening to them, and what is about to happen to them. As Providers, we are often caring for multiple sick and/or injured patients who all want one-on-one attention, constant interruption by nurses and other staff, plus keeping things like patient satisfaction and turn-around times in the back of our minds so that we can satisfy administration’s expectation of us. This mixture can easily lead to dissatisfaction by both patients and Providers, which is completely counter to the reasons many of us went into the practice of Emergency Medicine in the first place. It doesn’t have to be like this, and I can show you some ways to help improve everyone’s experience in the ER.
The short answer is Time! The long answer highlights all of the actual work involved to go from the concept of a good clinical topic to a polished presentation. Excellent original content takes a deep commitment to create, and identifying the literature, research, and data behind a clinical topic can be very time consuming. Once found, tying the clinical pieces and information together into a cohesive and interesting presentation begins.
And so the rest of this blog post comes to you – the biggest investment in healthcare.
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.
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.
What is a value-based payment system, and how do I fit in the equation?
This post will open your eyes to the government regulation coming our way, and show you how Nurse Practitioner and Physician Assistant skills and procedures courses and their continuing education will be invaluable to your success as a provider.
This blog post is important. Not because it is filled with clinical pearls, or focused on clinical decision-making. This post is focused on the delivery of healthcare, and how your career will be shaped by what you do – on a scale never before imagined. Please take a few moments and read below, to get a general sense for what is coming our way, and how to best prepare for the change in tides. Given the length of this post, it will be best to start with a little bit of history. Trust me – you will want to read this one through to the end, as it will define the rest of your career.