The Acute Care Continuum is the integration of urgent, emergent, inpatient and post-discharge care of patients with acute medical conditions.
The physician I work with calls me his “right hand man”.
As the worlds of software technology and medicine continue to become more intertwined, scribes are playing an important role in the transition to electronic medical record (EMR) systems in the emergency room. EMRs are a solution for the future in saving time and money in healthcare. Based on my experience as a scribe, I can see that scribes are a bridge to the future between the medical world and the software world.
The purpose of scribes in the emergency room, according to Jason Ruben, MD, is to document treatments at the physician’s direction so that the doctor can focus on patient care. The physician I work with says that, thanks to my work, he “goes home on time.” This is because I save him hours he would have to put in charting at the end of his shift.
In Victorian London, people were used to death. But the cholera epidemic of 1849 had people afraid to breathe, believing that cholera was an air borne illness. One letter from the time describes a hard-hit area, “The inhabitants themselves show in their faces the poisonous influence of the mephitic air they breathe. ”
John Snow, MD, learned otherwise. When he placed small rectangular bars representing cholera deaths on a map of London, it showed clearly that the deaths were clustered around an infected water well. The day officials removed the handle from the Broad St. pump in London was the last day of the cholera epidemic, which had taken over 50,000 lives. Snow’s map is now included among important texts of information visualization and is considered the birth of epidemiology.
Regardless of whether you support the outcome of the November 6 election, every American can take pride in being a part of a democratic society "of the people, by the people." I am often asked by physicians of different organizations how this spirit transcends from politics to our democratic practice model and what it is like to be part of a large democratic physician group.
My democratic physician group is analogous to a representative democracy, with an elected board selected by the Partners, who appoint an executive who is accountable to the group. Most important to our practice model is that each partner is an owner of the organization and has a vote. The partners’ votes determine the direction taken by the group. This is in contrast to a publically owned or private equity company, where investors hire leaders who unilaterally determine the direction of the organization.
The new Medicare penalty for a 30 day readmission applies to readmissions for heart attacks, heart failures, and pneumonias. As part of this new policy, hospitals will be penalized if patients with the same diagnosis are readmitted within 30 days. By definition, an Obs status equals an outpatient visit, thus an Obs status is a way for the hospital to avoid potential penalties. In our experience, we gained efficiency but lost potential revenue and became victims of our own success.
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Rachel, thank you for sharing your unique method of coping that allows you to
Inspiring and thought provoking! Thank you for taking the time to share this
This article is timely and topical. Brilliantly done.
Rachel, Thank you. Terrific perspective! The arts are so essential to making
So many ways for folks to settle the stress of work and I love this idea.